decisionhealth Newsletters, Coder Pink Sheets - 2009 Issue 12 (December)
Primary Care RoundUp: PAs can see ‘new’ patients under their own NPIs
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Article Overview
This article is aimed at primary care coders, billers, and compliance staff who need a clearer understanding of how physician assistant services may be billed in a practice setting. It focuses on general Medicare policy concepts, supervision and scope-of-practice considerations, and the distinction between billing under the PA’s own NPI versus a supervising physician’s NPI. The piece also points readers to official Medicare and professional association resources for additional guidance.
Why This Topic Matters
Billing choices for physician assistant services can affect compliance, reimbursement, and whether claims are submitted under the correct provider identifier. Understanding the article helps practices evaluate how new patient and similar visits are handled under Medicare and within state practice requirements.
What You Will Learn
- How the article frames physician assistant billing for new patient evaluation and management services
- Which broad Medicare and practice compliance considerations are discussed
- What kinds of official resources are cited for further guidance on PA billing
- How the article distinguishes PA billing under different NPIs at a high level
Who Should Read This
- Primary care coders
- Medical billers
- Practice managers
- Compliance staff
- Physician assistants
- Physician office administrators
Codes Discussed
Code Ranges Discussed
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