jusgatr Posted August 5, 2015 Share Posted August 5, 2015 I wanted to reach out and see if anyone has any information on GI PAs doing EGDs and colonoscopies. I have been in GI for 4 years now and work currently in Greenville, NC. My supervising physician and I have been discussing lately about PAs doing EGD and colonoscopies as well, specifically the more straight forward cases with minimal sedation requirements (conscious sedation). The physician has shown interest in teaching me. I was told to research some information about limitations, billing, requirements, and any additional information. I have been able to find that Johns Hopkins trained 3 NPs in the past few years to do EGD and CLNs with the same adenoma miss rate as the physicians. Does anybody have anyone they know or any information in general to help me? The other option I have considered is contacting one of the medical schools in NC to consider taking a PA in an altered fellowship set up to teach me. I do plan to look at the GI fellowship requirements and tailor my requirements to be around the same before I start solo. I have already reached out to the President of GIPA for information nationwide. Thank you Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 5, 2015 Moderator Share Posted August 5, 2015 kaiser permanente uses pas at multiple sites to run colorectal clinics. basically they do colonoscopies and hemorrhoid procedures all day long. Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted August 5, 2015 Administrator Share Posted August 5, 2015 There was one PA at my Group Health site who did flex sig's... before they decided to outsource the whole practice. Link to comment Share on other sites More sharing options...
rpackelly Posted August 5, 2015 Share Posted August 5, 2015 It is definitely legal in many states if it is a delegated task, whether it is reimbursible is the bigger question. kaiser does not generally have to deal with that on a patient by patient basis, nor would the VA or the DOD. Finding out whether the Medicare carrier for you state would reimburse is the bigger issue. I would think that the GI doc would be on site, if she were there for part of the procedure and/or reviewed tapes might it meet incident to criteria? Billing experts could chime in. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 5, 2015 Moderator Share Posted August 5, 2015 It is definitely legal in many states if it is a delegated task, whether it is reimbursible is the bigger question. kaiser does not generally have to deal with that on a patient by patient basis, nor would the VA or the DOD. Finding out whether the Medicare carrier for you state would reimburse is the bigger issue. I would think that the GI doc would be on site, if she were there for part of the procedure and/or reviewed tapes might it meet incident to criteria? Billing experts could chime in. at kaiser the GI docs reviewed a % of the tapes for QA. Link to comment Share on other sites More sharing options...
Joelseff Posted August 5, 2015 Share Posted August 5, 2015 I did flex sigs in GI a few years ago. I also was able to do some colons and EGDs with my SP... He let me "drive" a few times. Lol Sent from my S5 Active...Like you care... Link to comment Share on other sites More sharing options...
Guest Paula Posted August 6, 2015 Share Posted August 6, 2015 I had a PA educator who taught one of my GI classes during school. He was in GI and had done a GI residency. He did flex sigs, liver biopsies, colonoscopies and EGD's. He taught all the residents how to do them too. So, yes, PAs can do them. Go for it. PA scope of practice expansion is a good thing. Link to comment Share on other sites More sharing options...
jusgatr Posted August 6, 2015 Author Share Posted August 6, 2015 Thank you everyone so far for the provided insight. Does anyone have any of the contact information of the above mentioned people or groups? If you could personally message me their info that we be great. I want to obtain a good guideline for requirements before I present all the information to my supervising physician. Thanks again. Link to comment Share on other sites More sharing options...
jer_sd Posted August 6, 2015 Share Posted August 6, 2015 If you just need a course to help with credentialing, NPI ofers cme workshops for col!onoscopy and egd this may be enough to start your process. Not low cost though Jeremy Link to comment Share on other sites More sharing options...
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