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PA Billing in a physicians office

  1. #1
    Tucson Arizona Chapter
    Question PA Billing in a physicians office
    Medical Coding Books
    We've just hired a PA and there is some argument about how to bill for her services. I have a few questions that I'm hoping I'll get some good feedback on...

    1. Does the physician have to physically see and talk to the patient in order to bill the visit under their name as 'supervising'?

    2. Is it appropriate to bill under the physicians name as long as they're 'in the building' at the time the pt is seen by the PA? (This question comes up because we do bill our infusion patients under the docs name and they don't always SEE the pt while they're in the infusion suite..)

    3. If we bill under the PA's name only, then reimbursement is generally reduced by about 15% - true/false.

    I guess that's about it - for today anyway!!! LOL - I really appreciate your comments.

  2. #2
    Evansville Indiana
    Default PA
    You would need to review your state scope of practice for PA's and the "incident to" guidelines for your individual payers as they vary from payer to payer and state to state.

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