Wiki Physician Assistant

[jhannon63]

We recently had a physician assistant start in our urogynecology office. We billed her charges with the PA as the performing provider and our physician as the supervising provider. Both providers are signing the office notes. We are receiving denials from Highmark stating missing/incomplete/invalid rendering provider primary identifier. What is the correct way to bill for our physician assistant? Should we add a modifier? We are located in Pennsylvania. Thank you

 

[rthomas@impcna.com]

We recently had a physician assistant start in our urogynecology office. We billed her charges with the PA as the performing provider and our physician as the supervising provider. Both providers are signing the office notes. We are receiving denials from Highmark stating missing/incomplete/invalid rendering provider primary identifier. What is the correct way to bill for our physician assistant? Should we add a modifier? We are located in Pennsylvania. Thank you

Make sure the physician assistant been credentialed with Highmark. When our PA sees patients we do not attach a supervising provider.

 

[jhannon63]

Make sure the physician assistant been credentialed with Highmark. When our PA sees patients we do not attach a supervising provider.

Thank you

 

[csperoni]

I agree that the issue may be your PA is not fully through the credentialing process. Regarding supervising physician on the claim, you definitely SHOULD include that if you are part of a large multispecialty group. Otherwise you may wind up with incorrect new patient denials. If you are a small private practice, it should not matter.