Wiki In Urgent Care setting, Can a Physcian Assistant bill a new pt using his/her own NPI?


Darby, PA
Best answers
Hi coder family:)

I guess my question is can P.A's see new patients in Urgent Care?

I am auditing our P.A.'s who see patients Monday-Sunday in Ortho Urgent Care. My question is, if a new patient comes in to be seen and a P.A. see's them for the first time. Would the P.A. be able to bill under their own NPI or because the patient is new and a treatment plan has not been established, P.A. would need to bill incident to and bill using the Supervising doc's NPI? I think a P.A has to use their own NPI when supervising doctor has no involvement in patients treatment?

Any help is appreciated and if anyone has reference materials to back it up, that would be awesome. Thanks!
Billing for Phys Asst. Staff

Yes you can bill under their NPI number but some payers want modifier to define them linked on claim.

I hope this helps you

Lady T