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Thread: Billing for Physician Assistants

  1. #1

    Default Billing for Physician Assistants

    AAPC: Back to School
    Can Physican Assistants bill for Consults and New Patient Visits?

  2. #2

    Default Pa billing

    Here at our practice we do bill consults and new patients for our PA'S. As long as they provide valid documentation for their visit there shouldnt be an issue. TA

  3. #3
    Join Date
    Apr 2007
    Dallas, TX


    Yes, they can bill for the same services as the physician they just get paid 85% of Medicare fee schedule instead of 100% which the doctor would get.

    Hope that helps.

    "Life isn't about waiting for the storm to pass...It's about learning to dance in the rain."

  4. #4
    Join Date
    Apr 2007
    North Carolina


    Yes...as long as their state permits and it's within their scope of practice.

    Specifically, a consultation service is distinguished from other evaluation and management (E/M) visits because it is provided by a physician or qualified nonphysician practitioner (NPP) whose opinion or advice regarding evaluation and/or management of a specific problem is requested by another physician or other appropriate source. The qualified NPP may perform consultation services within the scope of practice and licensure requirements for NPPs in the State in which he/she practices. Applicable collaboration and general supervision rules apply as well as billing rules



    New patient's would follow along the same guidelines. Just remember that "incident to" does not apply to consults or new patients; therefore, the NPP would need to submit the claim under their NPI number.

  5. #5

    Smile Billing for Physician Assistants

    Thank you for the responses

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