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(a) Request for Information for Teaching Physician Services Furnished Under the Primary Care Exception The so-called primary care exception set forth at 415.174 permits the teaching physician to bill for certain lower and mid-level complexity physicians' services furnished by residents in certain types of residency training settings even when the teaching physician is not present with the resident during the services as long as certain conditions are met, including that the services are furnished by residents with more than six months of training in the approved residency program

The general findings of this case included significant stress, strenuous abdominal exercise and ingestion of food intolerances contributing to chronic abdominal pain, acid reflux, nausea and hiatal hernia syndrome