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PA Initiating Care/New Patient Visits

  1. #1
    Question PA Initiating Care/New Patient Visits
    Medical Coding Books
    I am needing some clarification. To keep compliant with Medicare, can a PA initiate care during a new patient visit without provider MD in the office and bill for the new service under their own provider number....OR, is it a requirement that an MD initiate care for "new" patient visits at all times?

  2. #2
    Columbia, MO
    For a PA it generally depends on State regs. For Medicare a PA is an NPP and an NPP can bill under their own number for new patients. However your state may feel strongly about whether the physican must be on site.

    Debra A. Mitchell, MSPH, CPC-H

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