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Physician in the Office to do Procedures.


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I am in the middle of a physician forum discussion. Someone started by stating that a physician must be in the office when a PA does a procedure . . . or that procedure is not reimbursed.  I know that is not true in my state and pointed out that the only situation where the physician must be in the office is with incident to billing. Now a physician from Massachusetts states that in her state physician assistants are not allowed to do procedures unless a physician is in the office. Before I make a fool of myself, is there any way this is true?  I know that Massachusetts has their own system but I would like to see that in writing.

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I am in MASS

 

no such law exists

 

I do house calls and procedures

 

(and my doc is no where around)

 

PA can not do "major surgery" with out doc there - but not even sure this is state law or just reality.....

 

 

 

 

 

Doc's are sometimes ill advised - had a department director that stated I could not do a trigger point, knee injection, shoulder injection or anything with a needle unless she was in the department - I suspect this was more a trying to bill everything under the doc PIN then law.  N
never passed the sniff test to me

 

 

 

 

Feel free to tell the MASS doc that they are wrong.....

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I am in MASS

 

no such law exists

 

I do house calls and procedures

 

(and my doc is no where around)

 

PA can not do "major surgery" with out doc there - but not even sure this is state law or just reality.....

 

 

 

 

 

Doc's are sometimes ill advised - had a department director that stated I could not do a trigger point, knee injection, shoulder injection or anything with a needle unless she was in the department - I suspect this was more a trying to bill everything under the doc PIN then law.  N

never passed the sniff test to me

 

 

 

 

Feel free to tell the MASS doc that they are wrong.....

Yes, I was finally able to convince the group, with the law linked, that they were wrong. I'm just glad I was part of that list serve, otherwise this wrong information would be perpetuated.  After I was able to convince them that was not the law, then the physicians started to claim that the problem was that no insurance would pay for procedures done by a PA if the doc was not in the office . . . if not the room.  I was able to call them on that as well. I look at every EOB generated by our office and never, ever has a procedure been rejected because a PA (me) did it or because the PA works alone.

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Yes, I was finally able to convince the group, with the law linked, that they were wrong. I'm just glad I was part of that list serve, otherwise this wrong information would be perpetuated.  After I was able to convince them that was not the law, then the physicians started to claim that the problem was that no insurance would pay for procedures done by a PA if the doc was not in the office . . . if not the room.  I was able to call them on that as well. I look at every EOB generated by our office and never, ever has a procedure been rejected because a PA (me) did it or because the PA works alone.

 

BUT they have to bill under the

PA and this only gives the practice 85% instead of 100% if the doc is in the office (but this is REALLY REALLY stretching)

 

The bean counters have likely started this myth to get paid more....

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