Jump to content

scrubbing and billing as first assist

Recommended Posts

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. 

Link to comment
Share on other sites


This topic is now archived and is closed to further replies.

  • Similar Content

    • By BJessee
      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!
    • By CPacheco
      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.
    • By darkavenger
      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 there?
    • By OrthoPA1
      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 find 0.97 for 99213, which is a common office visit code ...I'm more curious about the procedures
      3. Is this a workable plan for orthopedics?  Is it possible to thrive financially within an RVU -based system?  I am aware that it would be important to avoid seeing a lot of postop patients within their global billing period, as those visits award 0 RVUs.  Correct?
      Any insight you can provide, would be appreciated!
    • By roemen2
      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!
  • Create New...

Important Information

Welcome to the Physician Assistant Forum! This website uses cookies to ensure you get the best experience on our website. Learn More