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Wiki Question on PA Guidelines for Billing
- Thread starter sassmile
- Start date
mitchellde
True Blue
Somewhat depends on your state but in general if the PA has their own number then it usually falls to the state regs as to how far away the physician is allowed to be, if you are billing under the physician number then the physician must be within the office suite area while the patient is being seen.
I'm a little curious to the first question, when you say "entity" do you mean building/office suite or do you mean group?
To bill incident to for CMS the PA has to be employed by the physician/group and the physician has to be in the office while the service is provided.
If the PA is not employed by the physician/group then they can not be billed under the physician at all.
Laura, CPC, CEMC
To bill incident to for CMS the PA has to be employed by the physician/group and the physician has to be in the office while the service is provided.
If the PA is not employed by the physician/group then they can not be billed under the physician at all.
Laura, CPC, CEMC