Results 1 to 2 of 2

mid-levels and commercial ins's??????????

  1. Question mid-levels and commercial ins's??????????
    Exam Training Packages
    Our office has 2 NP's and 2PA's. I understand the incident-to guidlines for Medicare/Trailblazers, but my situation is this.......

    Say for example my PA is seeing a patient for a follow-up visit totally on their own with-out any supervision. The insurance is Blue Cross. I know BC will not accept the PA's name on the claim and it will need to have a physicians name. IF the patients treating physician is not present in the office. Should we still bill under the name of the physician who initially treated the patient (who isnt in the office) or should we bill under an actual physician who was present in the office?

  2. #2
    We are having a lot of issues with our PAs and the Blue carriers. Based on the way they had us credential them, our understanding was no matter who was there they were to be billed under the provider they are credentialed under.

    I have 5 PAs and 2 surgeons, all 5 of the PAs work with both surgeons but we had to assign them to just 1. It is very confusing and we continue to get rejections and have had to go thru the credentialling process 3 times in the past 6 months. I still don't know if it is fixed.

    I know this isn't much help but at least you know you aren't alone.

    Laura, CPC

Similar Threads

  1. Mid Levels
    By jcox in forum Orthopaedics
    Replies: 1
    Last Post: 10-29-2015, 01:03 PM
  2. PSA/Colon Screening for Commercial Ins Question
    By in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-25-2015, 11:34 AM
  3. Papsmear only commercial ins
    By mconnolly in forum OB/GYN
    Replies: 1
    Last Post: 03-13-2012, 12:04 PM
  4. W/C + Commercial Ins E/M's
    By nyyankees in forum E/M
    Replies: 0
    Last Post: 06-22-2011, 10:42 AM
  5. Commercial Ins Home Health Coding
    By Cymerick in forum Employment General Discussion
    Replies: 2
    Last Post: 11-11-2010, 09:29 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.