Physician Assistant Billing and Reimbursements
In a rapidly shifting healthcare environment constantly adjusting to meet healthcare reform requirements, a thorough understanding of the physician assistant billing guidelines and physician assistant reimbursement rates of public and private payers is fundamental for broadening the revenue generated from billing physician assistant services for medical practices, as well as avoiding concerns about fraud and abuse.
In a Physician Compensation Survey by the Medical Group Management Association, it was determined the average annual billable physician assistant reimbursement for an orthopedic surgical physician assistant was roughly $321,000.
Comparing this number to your organization’s revenue for physician assistants, your medical practice is most likely not recovering all of the physician assistant billing revenue that your organization is entitled too per the contracted physician assistant reimbursement rates with private insurance companies, Medicare, and Medicaid.
Although physician assistants, who first assist during surgeries provide paramount patient care, medical providers have experienced a decline in revenue generated from physician assistant billing reimbursement due to an obstructive system of healthcare compensation for medical providers.
At Medical Bill Gurus, we pioneer strategic business model solutions for medical providers that are looking to utilize a physician assistant outsourced billing service, with the aspiration of recuperating physician assistant lost profits, ensuring the maximum allowable reimbursement of physician assistant reimbursement and physician assistant revenue is collected.
Medical Bill Gurus understands the importance of physician assistants (PAs) in the revenue model for medical practices, proving expertise on the billing guidelines for physician assistants (PAs) that define the reimbursement rates on physician assistant billing for surgery.
The physician assistant (PA) outsourced billing service was developed after collaboration with orthopedic surgery clients who required a solution to file medical claims on behalf surgical physician assistants (PA’s).
To address the lack of physician assistant (PA) revenue in our clients’ practices, the physician assistant (PA) outsourced billing service was implemented to prepare, submit, and audit all physician assistant (PA) services, freeing the client’s billing and office staff of tedious detailed work lined with managing the physician assistant (PA) book of business, and producing profits from revenue previously abandoned.
Leveraging the physician assistant outsourced billing service for our clients, physician assistants (PAs) are eligible for billing and reimbursement when first assisting in any procedure or treatment, where a physician would receive such reimbursement for the services rendered.
Utilizing our pioneered strategic business model for physician assistant billing, our clients have experienced a tremendous surge of insurance revenue since implementing our billing and collection streams.
Medical Bill Gurus provides all services for medical providers in all 50 states on a contingency basis, such that there are no hidden fees, expensive consulting costs, steep software to buy, or upfront fees to get started.
All insurance payments are paid directly to clients, such that Medical Bill Gurus acts as third party, and simply invoices a service fee on the profits recovered for you organization.
If you are looking for an exponential return on physician assistant billing and reimbursement revenue for your medical organization, take action today and setup a FREE BILLING REVENUE EVALUATION for your practice with the experts at Medical Bill Gurus.
Physician Assistant Reimbursement Solutions For Surgical Groups
Physician Assistants are a crucial part of any specialty group or health organization, particularly orthopedics and cardiology practices where surgical physician assistants typically play an integral role as a surgical first assistant on the surgical team.
However, a majority of orthopedic, cardiology, and general medical practices are not properly billing for physician assistant services to the full extent that private insurance policies, Medicare, or Medicaid will reimburse, forsaking substantial revenue and lost profits.
Medical services provided by physician assistants are reimbursable under established physician assistant Medicare reimbursement rates and Medicare physician assistant billing guidelines that are commonly misunderstood by strained by strained and overextended billing staff, deserting potentially tens of thousands of dollars in unclaimed revenue on a monthly basis that your practice is entitled to per published physician assistant billing guidelines and physician assistant reimbursement rates.
The physician assistant rate of reimbursement on physician assistant billing for surgery is either the same as or slightly lower than that paid to physicians, transcending the revenue differential of most likely 15% your medical organization is most likely facing.
At Medical Bill Gurus, we pioneer strategic business model solutions for medical providers that are looking to utilize a physician assistant outsourced billing service, with the aspiration of recuperating physician assistant lost profits, ensuring the maximum allowable reimbursement of physician assistant reimbursement and physician assistant revenue is collected.
Medical Bill Gurus understands the importance of physician assistants (PAs) in the revenue model for medical practices, proving expertise on the billing guidelines for physician assistants (PAs) that define the reimbursement rates on physician assistant billing for surgery.
The physician assistant (PA) outsourced billing service was developed after collaboration with orthopedic surgery clients who required a solution to file medical claims on behalf surgical physician assistants (PA’s).
To address the lack of physician assistant (PA) revenue in our clients’ practices, the physician assistant (PA) outsourced billing service was implemented to prepare, submit, and audit all physician assistant (PA) services, freeing the client’s billing and office staff of tedious detailed work lined with managing the physician assistant (PA) book of business, and producing profits from revenue previously abandoned.
Leveraging the physician assistant outsourced billing service for our clients, physician assistants (PAs) are eligible for billing and reimbursement when first assisting in any procedure or treatment, where a physician would receive such reimbursement for the services rendered.
Utilizing our pioneered strategic business model for physician assistant billing, our clients have experienced a tremendous surge of insurance revenue since implementing our billing and collection streams.
Medical Bill Gurus provides all services for medical providers in all 50 states on a contingency basis, such that there are no hidden fees, expensive consulting costs, steep software to buy, or upfront fees to get started.
All insurance payments are paid directly to clients, such that Medical Bill Gurus acts as third party, and simply invoices a service fee on the profits recovered for you organization.
My Billing Company is not getting me paid quickly and completely. I would like to consider another Company experience in Billing for Surgical Physician Assistants.
Thank you,
Anthony(Tony) B. Centracchio, PA-C
(727) 215-5197
[email protected]
It seems to be extremely difficult to find specific guidelines for Medicare and Medicaid billing for ER physician assistants. I work in Florida ER setting. My specific question is: Can billing be done under the physicians NPI number to capture 100% billing instead of the 85% mid-level reimbursement? Guidelines for inpatient and clinic settings seem easier to find, with the exception of ensuring it’s current information. I recently read on aha.myflorida.com that Medicaid updated their “incident to services policy” to now allow 100% billing based only on whether the physician is in house, as apposed to prior requirement of them seeing the patient the first time before the 100% billing was allowable. Am I interpreting this accurately?, And if so, has Medicare adopted the same change in rule? Problem in the ER setting is , for all practical purposes, the patient is seen for the first time on every visit, as it is not a clinic setting where chronic problems are treated and you have an established patient base. Bottom line: Is it legal for physician to bill the 100% under their NPI in ER, when the patient is seen by the PA and never by the doctor??
What is the requirement for outpatient practice to bill PA visits as MD visits? Is it ok if a PA sees/ treats patients without discussing treatment plans with MD. The PA is the only provider seeing that patient and it can also be a first visit in the practice. . I understand the the PA does not have to be credentialed in the office. I am unclear when it is acceptable to bill 100% of rate and not 85% as per PA normal rates from insurance.
The supervising doctor is present most of the time but not 100%.