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The guidelines were recently updated with Transmittal 4283 with an implementation date of July 29, 2019. The key updates provide clarification of the required Teaching Physician Guidelines? • The Centers for Medicare and Medicaid Services (CMS) issue guidelines outlining how and when clinical.However, the teaching physician's medical record documentation must provide substantive information, including: time the teaching physician spent providing Teaching Physicians: Billing Requirements​​ Teaching physicians must identify residents aiding in patient care and services on claims. Claims must follow Policy: This revision represents a change in policy of documentation for teaching physicians providing evaluation and management services. II.