jwells78 Posted October 14, 2016 Share Posted October 14, 2016 As the title states- recently took a job on trauma/ICU as an employee of the hospital. The surgeons I work with are sub-contracted, not considered "hospital employees." So I learn that they (our service) are not billing for me or my colleague (NP). There is no answer from directors, as I suspect they dont want to dig enough to find a solution, or dont know how. Anyone have experience with anything like this? Is this typical? We are busy; we need more people; seems this money flowing out the door may be an answer for that. Big non-profit in California. -J Link to comment Share on other sites More sharing options...
Moderator ventana Posted October 14, 2016 Moderator Share Posted October 14, 2016 if a PA is employed by the hospital, they must be paid out of overhead and NOT billed for their services. You need to talk to HR to bring this up Solution is to be an employee of the physician group but 'leased' to the hospital... Link to comment Share on other sites More sharing options...
jwells78 Posted October 14, 2016 Author Share Posted October 14, 2016 This was what I was looking for. Thank you Sir. Link to comment Share on other sites More sharing options...
loliz Posted October 15, 2016 Share Posted October 15, 2016 You should be doing your own billing as a hospital employee. I work in a similar situation. Everyone bills for their own work, only one person from the service can bill a progress note for each day. Link to comment Share on other sites More sharing options...
AshleyJackson12 Posted January 14, 2018 Share Posted January 14, 2018 Hi jwells78, I read your post. You mentioned you are an employee of the hospital, that's why surgeons are not paying to you. Thanks!! Link to comment Share on other sites More sharing options...
coloradopa Posted January 24, 2018 Share Posted January 24, 2018 On 1/14/2018 at 7:22 PM, AshleyJackson12 said: Hi jwells78, I read your post. You mentioned you are an employee of the hospital, that's why surgeons are not paying to you. Thanks!! It depends on how the physician contract is structured. Essentially both the PA and the surgeon need to be paid by the same entity. If the hospital is paying the physicians a salary and then billing for them they can bill for your services since both are employed by the same entity. Alternatively if they are given a stipend but then billing for their services then the hospital cannot bill for your services. In addition your assistance in managing their patients may be considered a Stark violation. In this case the surgeons can pay the portion of your salary dedicated to their patients and then bill for your services. Don't forget for Trauma you can also bill critical care if indicated. Contrary to whats posted above you should not be included in the hospitals cost report. Prior to 1998 PAs were included in the cost report but after 1998 with the ability to bill for our services Medicare rules state the hospital must bill for your services. https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R1168CP.pdf Link to comment Share on other sites More sharing options...
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