Who is the payer? Let's assume Medicare or Medicaid
You would bill this under the PA's name/number. The physician cannot take credit for work performed by anyone but him/herself.
For a commercial payer, however, you'll need to refer to your contracts. Many commercial carriers do not credential PAs or NPs. Some will say you need to bill them under the physician's name/number. Others might say that they follow Medicare's "incident to" rules (which means no NEW problems).
Be specific when you ask your commercial payer how to handle a claim for service performed by the PA. Get the response in writing.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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