tci ED Coding & Reimbursement Alert - 1999 Issue 12

Reader Question: Billing for PA Services

Question: Can we bill MD charges for physician assisstant (PA) services in the ED if the doctor is supervising treatment and noting in the documentation that he agrees with PA treatment?Anonymous California SubscriberAnswer: In most cases, this would be inappropriate. According to the rules established by the Health Care Financing Administration (HCFA) for Medicare, the ED physician can bill only for care that he or she provides to the patient. It would be permissible for a PA to participate in the overall physician service if the documentation by the physician indicates that the physician performed the substantial portion...

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