Physicians meeting patients in an ER often leads to this type of billing confusion. An argument can be made that all four services are billible. Getting them paid is another story. Often if a PMD meets a patient in the ED prior to surgery, The ED physicians will not bill for the service. So an argument can be made the the professional component of the ED service by the PA shouldn't be billed. But if the PA did a work up and it is documented properly that could be billible. You say the PA only did triage. Usually that is done by a nurse and not billible as professional component. Are you certain the PA didn't do a low level E&M? As to the facility side, that is clearly billible since regarless of who was meeting the patient, facility time and resources were used.
So I'd say the bill for the PA might be questioned if all he/she did was triage, or if the Ed practice has a policy of not billing when a PMD meets a patient at the ED.
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