Teaching Physician Rules and Documentation – Details You Need to Know for 2025 and What to Expect in 2026

The end of the Public Health Emergency has occurred, but confusion about resident services continues.  These licensed physicians are still in training and their work is overseen by teaching physicians and programs.  Both of which have rules and regulations that are unique to them but often confused with other situations. 

These training programs, generally, get some funding from the Medicare system which is why we look to CMS/Medicare for rules regarding coding and billing and the documentation of services these residents perform.  What types of patients care they can perform is determined by where they are in their training and their individual program guidelines.  The level of supervision CMS/Medicare requires them to have is found within Medicare’s Policies and Procedures and refers to the Key portions of the service.  CMS/Medicare gives guidance on who can document what, when residents are performing a service with a patient. 

When the PHE ended, like trying to put a Gennie back in the bottle, it was and has been difficult for entities to go back to the old CMS/Medicare rules.  Find out what you need to know for this year and next!

Webinar Objectives

This webinar will outline what CMS/Medicare rules are for teaching physicians for 2025.  The presenter will then discuss which of those rules are in place, which have been altered for the long term and what Medicare is proposing for 2026.  Documentation of Evaluation and Management notes, Critical Care notes, procedure and surgical notes and other services are all part of the discussion.

Webinar Agenda

• Teaching physician rules from Medicare’s IOM will be explained in detail
• Current documentation and supervision rules will also be explained
• Comments from the CY2026 Medicare PFS Proposed rule will be discussed

Webinar Highlights

• What level of supervision is required for residents?
• What documentation of that supervision is required?
• What can residents, interns or medical students document?
• What documentation must the teaching physician make?
• Where does the teaching physician need to be located during a patient service performed by a resident?
• Can residents perform telehealth visits?

Who Should Attend

Billers, Auditors, Practice Managers, Office managers, Teaching Physicians