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Fee for service remote consultation services


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Hello, 

 

I am a relatively new PA in the area of neurology, having graduated from Midwestern Chicago in 2012. My knowledge of legal boundaries of a PA in colorado (and in general) have been somewhat limited based on my being the first PA in my private practice. 

 

I have a specific question and was hoping you can steer me in the right direction. There is a Primary care office in our area who recruits specialists (e.g. endocrinologists, neurologists) to provide a "curbside" type consult for cases remotely. They will have specialists review charts and give recommendations for these patients on a fee for service basis.

 

My question is simple. Can Physician Assistants provide this kind of service from a legal standpoint, if I have a supervising physician sign off on my work? I have a very specific niche in headache (though I do see general neurology patients), and this specific field could be a useful tool to provide additional stream of income. This practice would use a secure server to allow me to review the charts of the patients, read over their history medications, etc... and provide recommendations for treatment of their headache syndromes (or, in theory, other neurologic disorders). This is without seeing the patient at all. I would charge a flat fee for providing this service, and my supervising physician in my office would sign off on my work. 

 

Is this possible, and who could I talk to more about this from a logistical standpoint? 

 

Thank you for your time. 

 

Jordan

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