Assistants at surgeries

KaylaRieken

Expert
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When billing for assistants during surgeries, I know that I can charge 16% of the surgeon's fee for Medicare and 25% of surgeon's fee for Private Pay. What do I do for Medicare Advantage plans?
 

thomas7331

True Blue
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Yes, you can charge whatever you like and it would make sense to just set all of your fees at 25% of your surgeon's fee so you're always charging the same amount - it's also the most compliant approach.

For payment, Medicare Advantage usually follows Medicare. Some MA contracts will allow a little more than the Medicare rates to providers that they really need to have in-network, but in my experience, that's the exception and not the rule.
 
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