physician assistant

  1. L

    Question Physician Assistant Supervision Requirements - Georgia

    Hello, I seem to be finding some conflicting information regarding PA supervision requirements in the state of GA, both as it pertains to the pandemic and outside the pandemic. Can anyone please explain what the guidelines were/are for Medicare before and during the pandemic? Was/is it direct...
  2. eharloff

    CMS-1500 Question - PA

    For Box 31 on the CMS-1500 Form, if a patient sees a Physician Assistant, does the PA's name go in that box or does it have to be an MD or DO? Any help would be great! Thank you :)
  3. KStaten

    Answer What qualifies as a "change" in the plan of care for Outpatient Incident-To Billing Rules?

    Hello Everyone! 🙂 Soo.... Incident-to Billing can be tricky, as even references sometimes vary in their wording/ interpretation of the rules. It has been to my understanding that any time a change is made in the physician's current plan of care, it no longer qualifies as incident-to services...
  4. J

    Question Aetna Medicare Mid-Level E/M

    Our office is having problems with Aenta Medicare (specifically Aetna Medicare Elite and Premier) denying our Physician Assistant E/M charges stating the provider type is ineligible to bill/perform the service (PI-170). They will pay other services on the claim, if any, (like a UA, EKG, etc) but...
  5. D

    Billing a PA as an AS for Medicare

    I am trying to bill out an Assistant Surgeon - who is also a PA - to Medicare and the claims keep getting denied as either Remark Code N259: MIS/INC/INV 2ND ID or PR172: PYMT ADJ WHEN PERF BY PROV OF THIS SPECIALTY. The primary surgeon - who is an MD - was paid. Anyone have any insite on how...
  6. J

    Physician Assistant performing Right Heart Catheterization

    Hi- Looking for any organziations that are currently having their PA's perform Right Heart Catheterizations and how you are billing those and also if your state required any sort of physician supervision. Please email
  7. S

    Certified nurse practitioner vs Physician Assistant

    My private practice outpatient only internal medicine clinic needs to hire a physician extender in the Detroit Michigan area. Review of billing guidelines suggest that without physician direct supervision they both get reimbursed at 85% but a Physician assistant can see new medicare patients...
  8. D

    Physician Assistant Assist at Surgery - Different Group

    My group of general and trauma surgeons wants to "share" our PA with an orthopedic group. She would be doing first assist at surgery for both groups but only be employed by our group. My docs think I can bill the assist under our tax ID and the ortho group bill the physician services under their...
  9. E

    Can you bill 20985-AS

    Hi friends- I have a question about billing assistant surgeon. My surgeon is starting to utilize 20985 in his total joint surgeries. My question is, when billing his PA as an assistant to surgery, am I able to bill 20985- AS, or should I leave out the imaging code for the assistant since it...
  10. B

    Orthopedic Physician Assistant needed

    I am looking for an experienced orthopedic clinic PA to work 4.5 days a week seeing clinic patients, charting, injections assessing surgical candidates etc... if you know of one please tell them to send CV with salary requirements. to Thanks Bill