The federal government will end the COVID-19 emergency declarations on May 11, 2023. This means starting May 12, 2023, standard health plan provisions will apply with cost shares as applicable for COVID-19 testing, related services and vaccine administration. Read more
Resident/Students
Billing and Reimbursement
Policy Number: RP-P-006
Last Updated: April 10, 2023
Beginning April 1, 2023, claims submitted by a teaching physician for services rendered by residents or interns will be considered for reimbursement when appended with modifier GC. According to the Centers for Medicare & Medicaid Services, the modifier indicates services were rendered in part by a resident or intern under the direction of a teaching physician.
Services rendered by a student are not reimbursed.
Services appended with modifier GE indicating services were rendered by a resident without the presence of a teaching physician will deny as inclusive.