tci ED Coding & Reimbursement Alert - 2003 Issue 9

Reader Question: Check With Carrier for PA Payment

Question: I'm having difficulty getting reimbursed for the work of our physician assistants (PAs) by private insurance companies. The PAs see only level-one and -two patients without supervision. I was instructed to bill office visit codes for these emergency room visits, but I don't feel that this is appropriate. How should I report these services?Answer: This situation can get tricky because the scope of allowable practice for PAs varies by state. Many PAs are not restricted in the types of patients they may treat. However, some private carriers and regional Medicaid carriers have specific policies, so you'll probably...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.


You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.