Recent content by micki127

  1. M

    Question Proper Verbiage for direct supervison of a Physician Assistant

    Hi, Anyone have any suggestions on the correct verbiage to place in an office note when a supervising physician is overseeing a physician assistant ie; Patient seen under direct supervision by ________ ____________, MD? Also, what are the documentation guidelines for the office note. Is it a...
  2. M

    How do you bill physician assistant claims?

    Thank you for your input. I have started a spread sheet regarding which insurances require billing under a supervising physician and require SA modifier amongst other nuances.
  3. M

    How do you bill physician assistant claims?

    Hi, Can anyone please tell me how they are billing physician assistant claims? Most insurance will not credential PA's and with that being said then we need to bill under a supervising physician. Question is: can a PA see new patients and bill under the supervising physician? Any advice much...
  4. M

    Need help with Physician Assistant Billing

    Hi, Can anyone help with this billing question please? Can a PA treat a new patient and bill under the supervising provider? Or does the PA only bill the new patient under his NPI? Some insurances are requiring that the PA bill under the supervising provider. So, I'm confused as to whether or...
  5. M

    ROS is this acceptable?

    Hi, Can you please advise what you would give credit for? Provider states in note (this is found in the HPI): "no change in energy Yes. fatigue during wakefulness Yes. no leg movements with sleep Yes. no change in memory/concentration Yes. no change in mood Yes. nighttime...
  6. M

    Home Sleep Study done in Skilled Nursing Facility. Need advice

    Found out that we would bill the SNF directly and the SNF would bill Medicare.
  7. M

    Home Sleep Study done in Skilled Nursing Facility. Need advice

    Hi, Has anyone ever encountered billing for a HST when the patient is in a SNF. We are a private group practice and not sure if we could bill this and be reimbursed. The insurance is Medicare. Any advice would be greatly appreciated. We typically bill 95806 with POS 12. Thank you, Michelle
  8. M

    CMS-1500 Line 24J NPI #?

    Hi, I am being instructed by an insurance company to use the group NPI# in Line 24J? Is that even allowed/legal? I've never done that before and I always thought it is suppose to be only the rendering physician's NPI # that goes in box 24J. Can anyone offer any advice or input on this...
  9. M

    Incident to Scenario- Please help

    Thank you Hi Kim, Thank you for the advice and will read the article. Have a nice day! Micki
  10. M

    Incident to Scenario- Please help

    Hi, We need guidance on the below scenario. Our doctor evaluates patient at first visit, second visit the NP follows treatment plan with same dx (bills incident to), then a psychologist treats patient with a new dx, then the NP follows up with patient after psychologist and adds the new dx code...
  11. M

    Is there any billable charges in this scenario? Need assistance please

    Thank you Pam! Your advice is always appreciated!
  12. M

    Is there any billable charges in this scenario? Need assistance please

    Hi, I'm hoping someone can assist with this issue. I have a provider that has gone to a skilled nursing facility to review a patients records, discuss patient care with the SNF, and download information from a BIPAP machine. Is there any billable charges in this scenario? Also, is there any...
  13. M

    Is there any billable charges in this scenario? Need assistance please

    Hi, I'm hoping someone can assist with this issue. I have a provider that has gone to a skilled nursing facility to review a patients records, discuss patient care with the SNF, and download information from a BIPAP machine. Is there any billable charges in this scenario? Also, is there any...
  14. M

    Bad Debt need advice on collecting payment

    Thank you very much for your advice and the templates. I truly appreciate it! I hope you have a wonderful day! Micki
  15. M

    Bad Debt need advice on collecting payment

    Thank you and I totally agree with you. Most of these bad debt accounts we won't even be working anymore as they are a waste of resources. There are a few that are worth pursuing in small claims court. Do you send them notice that if failure to make payment then you will be seeking judgement in...
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