medicaid modifier

[Revenuecycle]

I have an ortho group I bill for and I am having a hard time getting the PA's visits paid- i am sending the claim over with an AS modifier- is their a special way to bill visits to medicaid for physicians assistant.
Thanks

 

[Cyndi113]

Check your modifier. I used that when I billed the PA as the assistant surgeon.

 

[jgf-CPC]

Modifiers

In the state of GA we are not allowed ANY modifiers with Medicaid so you may need to check into that

 

[FTessaBartels]

Wisconsin

Our PAs are individually credentialed with T-19 Medicaid Wisconsin. We bill office visits by PAs under their own name/number. The AS modifier can only be used with procedure codes that accept an assistant surgeon. You would never use this modifier with E/M code.

Hope that helps.

F Tessa Bartels, CPC, CEMC

 

[RebeccaWoodward*]

Assuming you're referring to surgery...NC requires modifier 80 for assistant at surgery for those codes that allow an assistant.