Physician assistant billing rule

    • [DOC File]Section III All Provider Manuals

      https://info.5y1.org/physician-assistant-billing-rule_1_f300a5.html

      305.000 Telemedicine Billing Guidelines 8-1-18 Telemedicine is defined as the use of electronic information and communication technology to deliver healthcare services including without limitation, the assessment, diagnosis, consultation, treatment, education, …

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    • [DOC File]Rural Health Clinic Section II

      https://info.5y1.org/physician-assistant-billing-rule_1_08cfcb.html

      211.220 Services and Supplies “Incident To” a Nurse Practitioner’s or Physician Assistant’s Service 10-13-03 Services and supplies “incident to” a nurse practitioner’s or physician assistant’s services are covered if the service or supply is: A. Of a type commonly furnished in physicians’ offices; B.

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    • [DOC File]NEW JERSEY ADMINISTRATIVE CODE

      https://info.5y1.org/physician-assistant-billing-rule_1_f524aa.html

      5. The eligible charge for medically necessary assistant surgeon expenses shall be 20 percent of the primary physician's allowable fee determined pursuant to the fee schedule and rules. Assistant surgeon expenses shall be reported using modifier -80, -81 or -82 as designated in CPT.

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    • [DOC File]Oregon Medical Fee and Payment

      https://info.5y1.org/physician-assistant-billing-rule_1_a9a998.html

      NOTE: The text in rule 0040 has not been revised, but new billing codes are included in the physician fee schedule (Appendix B), effective Jan. 1, 2021. 436-009-0040 Fee Schedule (temporary rule…

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    • 69L-7

      ASCs shall use revenue center code 0278 and workers’ compensation unique code(s) with required modifier(s), as defined in the MEIG and pursuant to rule 69L-7.100, F.A.C., when billing for surgical implants, associated disposable instrumentation, and applicable shipping and handling pursuant to rule 69L-7.100, F.A.C. ASC medical bills shall be ...

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    • [DOC File]INSURANCE - New Jersey

      https://info.5y1.org/physician-assistant-billing-rule_1_4a29fb.html

      Assistant surgeon expenses shall be reported using modifier -80, -81 or -82 as designated in CPT. When the assistant surgeon is someone other than a physician surgeon, the reimbursement shall not exceed 85 percent of the amount that would have been reimbursed had a physician …

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    • [Document header] - Novitas Solutions

      Physician A performs a hysterectomy (58150) on 04/15/2015 in the hospital. The procedure has a 90-day global period. The patient was in the hospital for 8 days until 04/23/2015 during which time physician A administered post-operative care. On 04/24/2015, physician B took over the post-operative care, which was administered in the office.

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    • [Document header]

      The provision of critical care services must be within the scope of practice and licensure requirements for the State in which the qualified NPP practices and provides the service(s). Collaboration, physician supervision and billing requirements must also be met. A physician assistant shall meet the general physician supervision requirements.

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    • [DOCX File]Rule 16 Utilization Standards - Colorado

      https://info.5y1.org/physician-assistant-billing-rule_1_fdb608.html

      Billing Party – a service provider or an injured worker who has incurred authorized medical costs. ... Physician Assistant (PA) – licensed by the Colorado Medical Board; Practical Nurse (LPN) – licensed by the Colorado Board of Nursing; ... When an injury or occupational disease falls within the purview of Rule 17, Medical Treatment ...

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