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.
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!
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!
Hello! I am looking into starting a House Calls Service in Maryland/DC metro area - I would like to be an independent contractor to extend the services of existing private internal/geriatric medicine practices and see only their Medicare home-bound patients. I currently have been working 3 years as a House Calls PA seeing Medicare pts. But recently our very cool private practice was sold to a large company and i was forced to go W2 and the whole place is a corporate mess. I want to return to my independent 1099 status which works out very well for me. I am in love with what i do! I fervently believe this is the future of health care and the right thing to do. Just getting started in discovering its feasibility/ in the R&D phase. Is what i want to do feasible??
Have a lot of info from attending the recent AAHCM conference but still much, much more to do... Any advice would be appreciated.
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.