Certified Specialist Physician Practice Management (CSPPM) Practice Exam

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Under which condition can E/M services be performed by residents without meeting the teaching physician's presence requirement?

If the resident is in a teaching hospital.

If the service meets certain criteria under PATH.

The correct answer is based on specific guidelines that allow residents to perform evaluation and management (E/M) services without the direct presence of a teaching physician. This scenario occurs when the services meet certain established criteria under the PATH (Payment for Advanced Training in Healthcare) program. PATH is designed to enhance the training and evaluation of residents by allowing them some autonomy in patient care responsibilities, provided that they adhere to strict documentation and oversight requirements.

In contrast, being in a teaching hospital typically implies that residents will work under supervision, and attending a seminar does not relate to patient care services directly. Similarly, partnerships with private practices do not inherently provide residents the authority to deliver services independently; these arrangements typically maintain the requirement for supervision by a qualified attending physician. Therefore, the provision under PATH is the specific condition that enables residents to conduct these services without the physical presence of a teaching physician.

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If the resident is attending a seminar.

If in partnership with a private practice.

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