US · guidance
CMS Pub. 100-04, ch. 12, § 100.1
Payment for Physician Services in Teaching Settings Under the
MPFS
(Rev. 811, Issued: 01-13-06, Effective: 01-01-06, Implementation: 02-13-06)
Pursuant to 42 CFR 415.170, services furnished in teaching settings are paid under the
physician fee schedule if the services are:
• Personally furnished by a physician who is not a resident;
• Furnished by a resident where a teaching physician was physically present
during the critical or key portions of the service; or
• Certain E/M services furnished by a resident under the conditions contained in
§100.01.C.
In all situations, the services of the resident are payable through either the direct GME
payment or reasonable cost payments made by the A/B MAC (A).
History
(Rev. 811, Issued: 01-13-06, Effective: 01-01-06, Implementation: 02-13-06)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
fc4954f95b66b0f8dbbdffb1aec25666e6f12c7293dd70e50a2e6c9594280b2d
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