Results 1 to 5 of 5

Billing for Physician Assistants

  1. Default Billing for Physician Assistants
    Medical Coding Books
    Can Physican Assistants bill for Consults and New Patient Visits?

  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
    Default
    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.
    Randi


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

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    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

    http://www.cms.hhs.gov/manuals/Downloads/clm104c12.pdf

    30.6.10

    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. Smile Billing for Physician Assistants
    Thank you for the responses

Similar Threads

  1. Billing Physician Assistants under supervisor as first assists
    By adenyer in forum Billing/Reimbursement
    Replies: 1
    Last Post: 11-01-2011, 11:11 AM
  2. Physician Assistants
    By dpopovich19 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 09-28-2011, 11:50 PM
  3. Billing for physician assistants
    By coder25 in forum Medicare Regulations
    Replies: 5
    Last Post: 04-30-2009, 12:13 PM

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?

Login

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.