Can a Physicians Assistant (PA) bill a service in the ER as incident to an attending group number?
No. In order for a service to be payable as a physicians professional service to a hospital patient, i.e., a hospital inpatient or hospital outpatient, the service must be personally furnished to an individual patient by the physician. Incident to services are not allowed in these places of service. For more information, please refer to Medicare A/B Reference Manual, Chapter 12, Medicare Reimbursement” and Medicare Report, March 2006, page 95.
No. In order for a service to be payable as a physicians professional service to a hospital patient, i.e., a hospital inpatient or hospital outpatient, the service must be personally furnished to an individual patient by the physician. Incident to services are not allowed in these places of service. For more information please refer to the CMS IOM PUB 100-02, Chapter 15, Covered Medical and Other Health Services, Section 60.
Related Questions
- Does a Medi-Cal provider group need to register their rendering providers’ NPIs or the Physician Assistant’s (PA) NPI?
- Can a Physicians Assistant (PA) bill a service in the ER as incident to an attending group number?
- May a physician assistant (PA) see a new Medicare patient and bill the service "incident to?
