Results 1 to 3 of 3

NP/PA in hospital

  1. #1
    Default NP/PA in hospital
    Medical Coding Books
    What would be the best way to utilize a NP/PA in the hospital setting for a specialty such as Cardio, Neuro, GI etc? Billing Consults under their own number for Medicare / Billing Split/share hospital visits? I know there is no "Incident To" or "Split/SHare" on Consults in the hospital setting.

    Do they also see office patients? or do they just do hospital? Thanks in advance for any replies.
    Peggy Y, Green, CPC, CPMA, CPC-I, CRC
    "To love what you do and feel that it matters - how could anything be more fun?" Katharine Graham

  2. #2
    I don't know if this is the best way or not but I can tell you how one of my surgical groups utilize their PAs.

    The PA does the inpatient consults and they are billed under the PAs number. They also see follow-up visits in the office billed incident to under the doctor. Additionally they are used as assistant surgeons for procedures and billed under their own numbers with appropriate modifiers.

    Oh, forgot to mention, this is in a cardiovascular practice.

    Good luck,

    Laura, CPC

  3. #3
    Milwaukee WI
    Default NO one way
    I agree that there's no one way to do this.

    One surgical practice I know if uses the PAs for inpatient consults / H&Ps / minor surgical procedures (e.g. I&D abscess) / assist for major surgical procedures. But they don't go to clinic/office visits.

    Another has the PAs/NPs run their own clinics and institute care (billing under their own name/number of course), but they NEVER assist at surgery.

    A third has the PA see fracture follow-up and assist at surgery, and occasionally see new patients either on their own, or as triage (doctor is present in clinic and will step in if PA feels necessary).

    A fourth has the PA doing all the new patients, all H&Ps, and some F/U care (suture removal - including when it requires anesthesia in the OR), with occasional assist at surgery.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Replies: 3
    Last Post: 07-09-2015, 06:40 AM
  2. Bundling Issue with Charges from a Hospital/Hospital-Owned Clinic
    By dreampeddler in forum Pathology & Clinical Laboratory
    Replies: 1
    Last Post: 10-06-2010, 06:05 PM
  3. Replies: 0
    Last Post: 08-18-2010, 01:58 PM
  4. Replies: 0
    Last Post: 08-18-2010, 01:47 PM
  5. Replies: 0
    Last Post: 05-07-2009, 09:40 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.