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Found 11 results

  1. I am looking for some insight from any PA practicing in outpatient psychiatry, especially is TN or VA I heard from a colleague that there has been some issue with reimbursement in the outpatient psychiatry realm that is specific to PA services I wondered if anyone currently practicing in this specialty or anyone with knowledge about the situation could weigh in. Are PAs reimbursed at the normal rate or at a decreased rate? Are there discrepancies between reimbursement for medicare/Medicaid and commercial insurers? Thank you all in advance!
  2. When it's all said and done, how much of the cash I'm bringing in should I expect to get back in wages, productivity, etc.? I'm seeing ~10 patients a day on average in family practice and my current wages/productivity represent about 1/3 of everything I bring in. The problem is that I still don't feel like I'm compensated very well. I really need to be seeing 15-20 peeps a day, I know, but how much more can I ask for in the mean time? 40% of what I bring in? 50%?
  3. I work as a physician assistant at an orthopedic urgent care center where we offer Neuromuscular Electric Stimulation (NMES) as a therapy to aid in recovery and healing. We have a therapist here 3 days a week for that. As a PA, are we able to bill a therapy code for that therapy on the days therapist is not here and I provide the therapy? Any help with this issue is greatly appreciated.
  4. I had posted on another thread that I am looking to renew my contract and maybe go to a straight production contract for my derm job. When I joined the practice, I was told that they had good collections, around the 80% mark. That seemed to be excellent. However, yesterday I had them pull my charged amount for the year and it showed that I had charged (or billed?) about $900K but the net received, which I am assuming is collected monies, was only about $360K. That's a collection rate of 40%. That didn't seem right. What are typical collection rates you guys are seeing out t
  5. Hello, I am an orthopedic surgery PA with > 10 years experience, and am looking to learn about RVU -based reimbursement, for a potential job change. The RVUs would be awarded based upon billing, not collections, as it is an underserved area with poor payer mix. It would be clinic-based; no surgical assisting or hospital work. My questions: 1. Does anyone know what the typical $ per RVU value would be, for an orthopedic PA? 2. Does anyone have access to a list of RVU per CPT code for typical orthopedic office procedures? (injections, fracture care, splinting, etc). I was able to
  6. Annual wellness exam. Getting old so occasional ectopic beat (isolated about every 6-8 weeks apart I'd guess) noted on pulse check w/o run of tachyarrhythmia over past couple of months. FH of AF with parents and younger brother. EKG done (this provider even does them if asx. for the $$$ only I suspect). Nurse comes in to tell me that it's ok and that we're done. "Uh, I don't think it was normal. There's a new LAD and LAHB but at least I know it's there now." Saw EKG on computer display and not on paper. For those who are new to the profession a quick EKG tip. If lead I is positive, le
  7. Does anyone have any good CME or other educational references to help me expand my knowledge of billing/coding? I do family practice with ER/hospital coverage in a rural health facility. Clinic is my main concern as the hospital charges are all reviewed by the coders. Thanks!
  8. Hello! I am looking into starting a House Calls Service in Maryland/DC metro area - I would like to be an independent contractor to extend the services of existing private internal/geriatric medicine practices and see only their Medicare home-bound patients. I currently have been working 3 years as a House Calls PA seeing Medicare pts. But recently our very cool private practice was sold to a large company and i was forced to go W2 and the whole place is a corporate mess. I want to return to my independent 1099 status which works out very well for me. I am in love with what i do! I fervently
  9. question - is there a guideline, or even an ethical % of time a first assist must be scrubbed? I've caught wind of some PA's at some places scrubbing for just the timeout, and then coming back to close, and billing for a first assist. while this is isn't on my list of things to aspire to - is it ethical to scrub out during a longer case, to prep the next patient in holding, and then come back to finish up, yet still bill for first asssit? Was doing some digging, and didn't see anything.
  10. certified diabetic educator (CDE) certification - lucrative or not? My manager approached me today to excitedly inform me that she suggested me when a diabetes rep came in and mentioned her company will provide free CDE training for a provider in our office. I do really like endocrinology but don't want to work in Endo due to the lower salaries (kind of burnt out right now on long hours and low compensation as it is in family med). I'm trying to read between the lines and see if this is something that would actually benefit me or only benefit the hospital and my workplace. I have a very busy
  11. Im a new PA and I was wondering if anyone has a favorite book for pharmacology? I have all the good Phone Apps, but I wanted to do more general reading. I tend to use the CMDT for pharm reference. I don't Like my text from school as it is excessively detailed. Any recommendations would be appreciated.
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