Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1141 - PHYSICIANS' SERVICES
PAYMENT FOR PHYSICIANS' SERVICES
Section 1141.53a - Clinic and emergency room services personal performance-statement of policy

(a) Consistent with 42 CFR 415.152 (relating to definitions), a teaching physician is a physician (other than another resident) who involves residents in the care of that teaching physician's patients.

(b) Clinic services rendered by a resident are compensable when a teaching physician is readily available for immediate face-to-face consultation and assistance.

(c) Emergency room services rendered by a resident are compensable when a teaching physician is readily available for immediate face-to-face consultation and assistance.

(d) Consistent with 42 CFR 415.180 (relating to teaching setting requirements for the interpretation of diagnostic radiology and other diagnostic tests), the interpretation of diagnostic radiology and other diagnostic tests is compensable. Documentation must indicate that the teaching physician personally performed the interpretation or reviewed the resident's interpretation with the resident.