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Thread: medicaid modifier

  1. #1

    Default medicaid modifier

    I have an ortho group I bill for and I am having a hard time getting the PA's visits paid- i am sending the claim over with an AS modifier- is their a special way to bill visits to medicaid for physicians assistant.
    Finance Analyst

  2. #2
    Join Date
    Apr 2007
    Phoenix, AZ


    Check your modifier. I used that when I billed the PA as the assistant surgeon.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  3. #3
    Join Date
    Apr 2007
    Columbus GA

    Default Modifiers

    In the state of GA we are not allowed ANY modifiers with Medicaid so you may need to check into that

  4. #4
    Join Date
    Apr 2007
    Milwaukee WI

    Default Wisconsin

    Our PAs are individually credentialed with T-19 Medicaid Wisconsin. We bill office visits by PAs under their own name/number. The AS modifier can only be used with procedure codes that accept an assistant surgeon. You would never use this modifier with E/M code.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  5. #5
    Join Date
    Apr 2007
    North Carolina


    Assuming you're referring to surgery...NC requires modifier 80 for assistant at surgery for those codes that allow an assistant.

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