tci ED Coding & Reimbursement Alert - 1999 Issue 5

Correctly Report PA Services in the ED: "Incident To" Does Not Apply

Busy EDs across the country rely heavily on physician assistants (PAs). Under the supervision of a single emergency physician, several PAs can do initial patient workups, procedures, and, in more than 45 states, write prescriptions.However, confusion over changes in the way PA services are reimbursed by Medicare and a clarification from the Health Care Financing Administration (HCFA) prohibiting the billing of PA/physician services in the hospital setting as incident to resulted in many departments scaling back their use of PAs, not using them altogether, or, in the worst cases, continuing to bill for their services incorrectly.If hospitals...

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