Results 1 to 5 of 5

PA billing

  1. Default PA billing
    Medical Coding Books
    When a PA is assisting the doctor in the office on a surgery can the PA bill too?
    Thanks
    Rachel

  2. #2
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Only if the procedure allows for an assist...and use mod -AS.

  3. #3
    Location
    North Carolina
    Posts
    3,126
    Default
    There are surgeries that will warrant the use of an assistant...if medically necessary. The modifier will vary from state to state to indicate that it is an assistant. Our region requires modifier AS with the exception of Medicaid. They require modifier 80. There are various sources you can refer to that will indicate whether or not the service is payable for a PA. The physician must dictate the role of the PA to warrant medical necessity. Simply dictating the PA's name won't cut it.
    Rebecca CPC, CPMA, CEMC




    Your click COUNTS...

    http://www.thebreastcancersite.com/c...faces?siteId=2

    CLICK to give FREE mammograms!

  4. #4
    Location
    Milwaukee WI
    Posts
    4,466
    Default Teaching Hospital
    Additionally, if you are in a teaching facility, the physician must dictate that "No qualified resident was available to assist, so PA Name assisted in this procedure." AND you would use modifier -82.

    F Tessa Bartels, CPC, CPC-E/M

  5. #5
    Default Determining if an assistant is allowable
    This information is available through CMS (on the fee schedule), but UMD was nice to consolidate them into a user-friendly list.

    http://www.umd.nycpic.com/08Assistant.html

    Medicare pays for an assistant where 95% of surgeons bill for an assistant. That means if less than 5% of surgeons report an assistant for a specific CPT, Medicare won't pay.
    Belinda S. Frisch, CPC, CEMC
    Author of "Correct Coding for Medicare, Compliance, and Reimbursement"

Similar Threads

  1. Replies: 2
    Last Post: 04-24-2015, 04:20 PM
  2. Replies: 0
    Last Post: 08-24-2012, 08:09 PM
  3. CPC owner of Medical billing service offers remote billing
    By dfallows in forum Resume Postings
    Replies: 0
    Last Post: 06-18-2008, 12:11 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.