The surgeon I work for does assists and we have run into the same problem, at times, with the other surgeon's billing. My surgeon has told me to bill correctly, using the codes which I know are right and not the incorrect one. As he only gets about 20% of the total fee anyway, I guess he is more worried about accuracy. He also told me that often he will assist to learn a specific technique, so he considers that if he gets paid, it is a perk!
I have also found out that if the other surgeon's office is getting the pre-certs from the insurance company, be sure they state that there will be an assistant. We have been burned a couple times, when the insurance company denies our claim, stating that the authorization did not have an assistant approved.
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