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Teaching Physicians

Coverage and Delivery Reform

A teaching physician is a physician other than a resident who involves residents in the care of his or her patients as part of an accredited residency program.  Through its medical schools and teaching hospitals and health systems, the AAMC represents 128,000 faculty members and 110,000 resident physicians. 

Teaching physicians are commonly organized into faculty practice plans that allow them to provide care to patients, who often come from vulnerable populations or benefit from specialized care that is not available elsewhere.

Although Medicare makes special payments to teaching hospitals, teaching physicians are paid according to the same Medicare fee schedule applicable to all other physicians.  However, provided that certain rules are followed, Medicare allows teaching physicians to bill for clinical care in which residents are involved. 

Beyond payment, other areas of interest to teaching physicians include physician quality and value initiatives, models of team-base care, and health information technology (HIT). 

Related: Medicare

News and Updates

CMS Issues Proposed Physician Fee Schedule (MPFS) and Quality Payment Program (QPP) Rule for 2019

July 13, 2018

The Centers for Medicare and Medicaid Services (CMS) proposed historic changes to the evaluation and management code documentation and payment in a proposed rule released July 12, 2018. This rule will update payment rates and policies for services provided by physicians and other clinicians to Medicare beneficiaries in 2019. The rule also proposes changes to the QPP, which consists of two participation pathways — merit-based incentive payment system (MIPS), which measures performance based on four categories, and advanced alternative payment models (APMs) in which clinicians may earn incentive payments based on sufficient participation in models. The AAMC will analyze the proposed rule in more detail in the coming weeks and will be submitting comments by the September 10, 2018, deadline.

MedPAC Issues June 2018 Report to Congress, Including Two Emergency Department Recommendations

June 22, 2018

The Medicare Payment Advisory Commission (MedPAC) June 15 released its June 2018 Report to the Congress, which considers ten issues affecting the Medicare program, including the effects of the Hospital Readmission Reductions Program (HRRP), rebalancing Medicare’s physician fee schedule toward ambulatory evaluation and management (E&M) services, and hospital emergency department (ED) services.

CMS Revises Rules on Medical Student Documentation

February 9, 2018

The Centers for Medicare and Medicaid Services (CMS) Feb. 2 issued a revision to a Medicare manual that allows teaching physicians to use all student documentation for billable services provided that the teaching physician verifies the documentation.

AAMC Responds to ASPE’s Request for Information

January 26, 2018

The AAMC submitted a Jan. 25 comment letter in response to the Health and Human Services (HHS) Assistant Secretary for Planning and Evaluation’s (ASPE) Request for Information,Promoting Healthcare Choice and Competition Across the United States. 

AAMC ‘Dismayed’ by President Trump’s Decision to End DACA

September 8, 2017

In a Sept. 5 press release, AAMC President and CEO Darrell G. Kirch, MD, said, “We are extremely dismayed by the administration’s decision to rescind the current [Deferred Action for Childhood Arrivals (DACA)] executive action.”

On Government Affairs

Testimony and Correspondence