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Wiki Physician Assistant in the ASC/Incident-To-Billing

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HEakin

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Lewis Run, PA
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Hello,
Our Ophthalmology practice utilizes the PA on sx days by having him perform lasers (yags/slts). We are getting paid, and at 85% profee/100% facility as expected.
His supervising MD is in Sx all day. I do not consider this direct supervision as outlined by CMS guidelines.
Am I wrong? Can I bill his lasers as incident- to since the MD is "15 feet away and not in sx the entire time"??
 
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The PA is performing surgical procedures without the presence of the physician? That raises a number of questions, but I would generally agree with you that this would not qualify as an 'incident to' situation.

But regardless, you can't bill 'incident to' in a facility location, only in an office.
 
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