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Billing for assistant surgeon

  1. #1
    Location
    Seattle First Hill
    Posts
    126
    Default Billing for assistant surgeon
    Medical Coding Books
    Our PA's often assist surgeons from other groups. Do we need to wait for the primary surgeon to submit their claim before we can submit ours for the PA? We have been waiting months and my concern is that they will not submit a claim at all or if they do it will be denied due to timely filing. Is our PA just out this $$?

    Thanks,
    Kirsten, CPC

  2. Default
    i send mine in right away. that way at least you will not have a "timely filling issue"
    basically it will all come out in the wash when the insurance receives theirs.

  3. #3
    Default PA billing
    We have a group that assists us on some of cases. I supply them w/a HCFA showing all the patient info, ins and codes. If you have problems getting the info from the surgeons, you might want to deal directly with their Billing Manager so that there wont be a delay. As Mary said, if the PA's have contract deadlines, you will have issues if the surgeons dont help you out. You may have to resort to getting the op report and coding them yourself.

  4. #4
    Location
    Seattle First Hill
    Posts
    126
    Default
    Thanks for your responses. I have no problem coding them out myself. I've been told though that insurance won't pay for the PA until they receive the surgeon's claim, but I'm not sure that sounds right..... your thoughts?

  5. #5
    Default
    Quote Originally Posted by phoover1955 View Post
    [...] You may have to resort to getting the op report and coding them yourself.
    I code from the op note, but we have an internal policy that no billing can be done until the op note is signed. We do lose an occasional billing opportunity, but I find that speaking to the surgeon's billing manager can get the job done in most cases. I do understand your frustration, however - I hate messing up my workspace with unbilled paperwork!

  6. #6
    Default
    Quote Originally Posted by kjstearns View Post
    Thanks for your responses. I have no problem coding them out myself. I've been told though that insurance won't pay for the PA until they receive the surgeon's claim, but I'm not sure that sounds right..... your thoughts?
    Regarding the timing issue, since the PA's work for "us", and the surgeons have their own practices separate from ours, I bill as soon as I see the op note signed - I don't need to drive myself crazy by trying to figure out when "their" billing staff is going to get around to billing for the surgery.

  7. #7
    Location
    Seattle First Hill
    Posts
    126
    Default
    Thanks Brad! I didn't think that was right that we were holding our PA's claims and waiting for the surgeons to submit theirs. Looks like it's time to clean off the desk

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