decisionhealth Newsletters, Coder Pink Sheets - 2005 Issue 6 (June)
NPP assistants at ObGyn surgery: Use -AS modifier for Medicare
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Article Overview
This article covers billing and reimbursement considerations for non-physician practitioners assisting at ObGyn surgery. It is aimed at coding, billing, and reimbursement staff who need to understand how Medicare differs from private payer handling of surgical assistant claims, including general reporting and payment considerations.
Why This Topic Matters
Correctly identifying how assistant-at-surgery services are reported can affect claim processing, payer acceptance, and payment for both the operating physician and the assisting practitioner.
What You Will Learn
- How assistant-at-surgery services are handled for non-physician practitioners in an ObGyn surgical context.
- How Medicare and private payers may differ in claim reporting for surgical assistants.
- What general reimbursement considerations apply to NPP surgical assistance.
- How payer policies can affect whether NPP assistant-at-surgery services are covered.
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Reimbursement specialists
- ObGyn office staff
Codes Discussed
Modifiers Discussed
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