Fellow Billing for Clinical Services and Procedures
gme-adm-0039
About This Policy
- Effective Date:
- 05-24-2017
- Date of Last Review/Update:
- 01-17-2024
- Responsible University Office:
- Graduate Medical Education
- Responsible University Administrator:
- Senior Associate Dean for GME
- Policy Contact:
- GME Assistant Director Emilie Leveque
eleveque@iu.edu
- Policy Feedback:
- If you have comments or questions about this policy, let us know with the policy feedback form.
- Print or view a PDF of this policy
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Scope
This policy applies to all Indiana University School of Medicine (IUSM) Graduate Medical Education (GME) resident physicians.Policy Statement
IUSM has worked with IUHP to establish a template for fellow billing (see Related Information). Fellows in ACGME-accredited training programs will bill for independent work done in their primary specialty only when approved by their ACGME RRC. Such programs may allow fellows to work independently for up to 20% of their time per week or 10 weeks of an academic year. These requirements must be approved by the department and program leadership before implementation. Hospital affiliates associated with the fellow’s training should be notified by the program of any change in fellowship status due to independent practice.
A fellow in a non-accredited training program may work independently in their primary specialty as long as fellow is fully licensed in the state and privileged by the hospital to perform work for which they have been trained as part of their completed residency program. This amount of independent work in the fellowship may not exceed 50% of training time. The department chair and program director for the fellowship are required to identify which procedures qualify for fellow billing. Fellows on J-1 visas may not engage in any moonlighting activities.
Reason for Policy
The purpose of this policy is to define the circumstances under which fellows in a fellowship program may bill for clinical work performed.
Procedures
Thedepartment chair and program director are required to identify which procedures qualify for fellow billing.
ACGME Fellowship training programs allowing for independent practice are responsible for notifying the IUSM Office of Graduate Medical Education of any change in time spent in training fellowship.
Implementation
The Designated Institutional Official (DIO) for GME is responsible for implementation of this policy.Oversight
Policy authority for this document resides with the Graduate Medical Education Committee. The DIO and the Graduate Medical Education Committee are responsible for oversight. This policy will be reviewed every three years or more often if deemed necessary.History
- Policy gme-adm-0039 approved by GMEC and published on 24 May 2017.
- Policy reviewed, updated, and approved by GMEC on 24 May 2017.
- Policy updated for formatting 05 March 2018.
- Policy updated for formatting 27 June 2018.
- Policy updated 31 August 2022.
- Policy updated for formatting 04 November 2022.
- Policy updated 06 December 2023.
- Policy approved by GMEC 17 January 2024.