Wiki PA guidelines

[ggparker14]

Question regarding PA's and attestation documentations.

When there is PA and attending physician involvement, are signatures by each doctor all that is required and no attestation documentation is required by the attending physician for the PA examining the patient?

When procedures are performed by the PA, are the same guidelines applicable?

Thanks for your help.

 

[mitchellde]

if you are speaking of a shared encounter where both the PA and the provider see the patient then both must document their own note, the provider signing the PA note is not sufficient to be able to bill using the MD NPI. IF the PA sees a patient without the MD then you bill using the PA number unless the incident -to guidelines are met. In some states the MD must co-sign a certain percentage of the PA documents.

 

[a.montaruli@gmail.com]

I am going to agree with Debra and just add that if the doctor wants to bill under his name then he has to be present face-to-face for at least one key portion of the (encounter) with the patient. If you are billing under the PA and the doc was not present then it is absolutely sufficient to just have an attending cosignature.