PATH – Physicians At Teaching Hospitals - 2022 Medicare Updates

Webinar Details


Toni Elhoms




Hospital and Compliance


All Days


60 Minutes


Physicians at Teaching Hospitals (PATH) supervision and documentation requirements changed significantly in 2022. Failure to ensure clinical documentation is up to par can be extremely costly for hospitals. PATH regulations for resident-performed services are enormously complex. Today’s webinar will drill down into the 2022 PATH coding and reporting updates extensively, discuss general PATH documentation requirements, review 2022 E/M leveling methodology changes, highlight the key differences between the CMS supervision guidelines and ACGME supervision guidelines, and provide you with tangible PATH-specific information that can be put into action immediately.

Learning Objectives

  • Understand the 2022 PATH Regulations
  • Recognize the 2022 Primary Care Exception (PCE) updates
  • Recall the 2022 E/M Guideline changes applicable to PATH
  • Understand the 2022 PATH supervision requirements
  • Understand the 2022 clinical documentation requirements for PATH
  • Identify Public Health Emergency Considerations for Teaching Settings
  • Recall PATH modifier updates

Areas Covered

  • Review the 2022 PATH Regulation Updates
  • Discuss key PATH terms and regulations
  • Discuss relevant Primary Care Exception (PCE) updates
  • Outline the 2021 E/M Guideline changes applicable to PATH
  • Discuss E/M leveling methodology applicable to PATH settings
  • Review the 2022 clinical documentation requirements for PATH
  • Discuss PATH supervision requirements
  • Outline Public Health Emergency Considerations for Teaching Settings
  • Review ACGME Direct Supervision Guidelines
  • Outline ACGME supervision variations between specialties
  • Discuss required PATH modifiers


Regulations that apply to Physicians at Teaching Hospitals (PATH) are convoluted and difficult to navigate. Teaching hospitals receive federal funds to train residents in their journey to becoming practicing physicians. PATH regulations and documentation requirements are complex.

Why Should You Attend

PATH services are high audit targets for auditors because of the additional government funds hospitals receive. When you submit claims as a teaching physician, the Centers for Medicare and Medicaid Services (CMS) expects you to follow all of their rules. Comprehensive clinical documentation is critical for getting paid for the services that residents provide.

Who Should Attend

Professional Fee Coders, Auditors, Billers, Educators, Consultants, Revenue Cycle Management Professionals, Health Information Management Professionals, Coding Management and Operational Leadership, Medical Providers of all specialties, Physician Advisors, Compliance Officers/Committees  

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Toni Elhoms
Toni Elhoms


Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD10-CM/PCS Trainer is an internationally known speaker and recognized subject matter expert on medical coding, reimbursement, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC. She holds multiple credentials with the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). 

With over a decade of industry experience, she has led and supported hospital systems, universities, physician practices, payers, law firms, government agencies, and other entities on coding, billing, and compliance initiatives. She is a frequent contributor to various media outlets, speaker, and regular guest on industry podcasts. She created the Alpha Coding Podcast series to share her industry Pro-Tips. She also leads and mentors a network of revenue cycle management professionals across the country and serves as the President of the Orlando, FL AAPC Chapter.