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Wiki Physician Assistant Billing Medicare

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Skenyon

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If a PA-C has their own individual medicare provider number and NPI and that number is used to bill for services along with the group number, does the supervising physician have to sign off on all of those visits?
 
Incident To

If the PA-C is billing under their own number, the physician does not have to co-sign the note. However, you should also check your state's guidelines which further defines scope of practice for the PA-C.

There is also a thread in the General Discussion regarding incident-to.
Hope this helps. Karen
 
PA billing Medicare

Thanks. The PA-C only bills under her number so we do not have to follow "incident to" guidelines.
 
I would definitely investigate further. In my previous practice, all PA notes had to be reviewed and signed-off by the provider. The billing still goes under the PA's number, but a MD would always have to sign off.
 
The state scope of practice addresses this issue. Each state is different. Ours requires 100% sign off within 72 hours for new PA's and 50% for more experienced.
 
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