The referral for consult is so that the Referring MD can determine a plan of care for one or more of the patient's condition's & is asking the MD they refer to, for either their "speciality" on that condition or other options on how to care for their patient.
Since a PA cannot bill for an evaluation, they cannot develop the patient's plan of care in the first place, so a referral should alway's come from the patient's MD.
Best thing to do is resend your MD's Consult Request Form or the Order send by the PA and ask the PA's, M.D. to sign the form in addition to the PA to be able to bill for that one time consult with the patient and bill the MD as the Ref. Provider not the PA.
Hope that is clear b/c not the easiest answer to write out.
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