Billing a PA as an AS for Medicare

DP6920

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Cottrellville, MI
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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 the doctors should be listed on the claim - Performing, Ordering, Referring Supervising etc? Or maybe that isn't even the issue.
 
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