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Are any PA's billing as a surgical first assist on their own?


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I am intrested in doing the billing on my own. I currently using a billing company right now and I figure I could just do it on my own. I just can't seem to figure out exactly how the billing companies do it? I am confused!

 

From Medicare: I can't bill on my own, I have to bill under my SP and they will pay him and he will pay me....

 

From Texas Medical Board: A PA who works in surgery can bill first assist fees.

 

I haven't contacted the billing company I contract with currently. I will if I can't get help here. Somehow I don't think they will be exactly forthcoming on the information.

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  • 2 weeks later...

There are reimbursement courses available all over. You can also contact individual insurers and get on their list of practitioners. You can do that and still stay out of network.

 

Just make sure you use the same codes as the MD. If I could have an MD bill for me then pay me that's what I'd do.

 

As a favor can you please give me the name of the billing company you use? I am looking for one.

 

Thanks

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You can learn to do your own billing, but why? A better use of your time is to stay at the table participating in billable procedures, and leave the billing for experts and coding specialists. What do you pay your biller? I give them 10% of payments and they earn their money. Many times, they have captured significant additional payments for my surgeon and me as they have special software tools that screens the claims for consistency and accuracy. My situation is a little different as my surgeon and I use the same biller which helps to keep the claims consistent. You have to bill exactly what the surgeon does, with the appropriate modifiers.

 

I really don't think its worth your time to try to bill yourself. If you are paying too much for billing, shop around. 10% is the average here in my community.

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I found a company to do the billing. It took 7 months and I finally got paid for my first case. It took 7 months for this to happen because it took 4 months to figure out the first company hadn't done anything for me despite telling me differently. The new company (ProAssist) took care of me right away and has been helpful. I am the first PA in my community to be doing this. I first-assist for a few surgeons in the community as a "part-time" job. I have had a few hiccups along the way and I hope it ends up being worth my while. I am sure it will because I am learning so much. Thanks for the information.

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ProAssist is a fraudulent company that will steal your money. Their recent practice manager has had multiple charges for check fraud and ultimately stole $165,000 from the assistants. The owner didn't even do a background check prior to handing over our SSN and livelihoods to her. Stay away.

The owner is also under federal probation for fraudulent billing practices.

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