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Wiki Aetna Medicare Mid-Level E/M

Our office is having problems with Aenta Medicare (specifically Aetna Medicare Elite and Premier) denying our Physician Assistant E/M charges stating the provider type is ineligible to bill/perform the service (PI-170). They will pay other services on the claim, if any, (like a UA, EKG, etc) but...
- jennifer.r.wake
- Thread
- Jul 7, 2020
- aetna e/m evaluation & management midlevel physician assistant
- Replies: 1
- Forum: Billing/Reimbursement
T
Wiki PA Co-Signature Requirement on E/M Consults

Our PA's are performing inpatient consults (99251-99255 & 99221-99223). We are billing under the PA's NPI#. Is the supervising physician required to co-sign the consult report for billing purposes? And where can I find documentation to support this?
- ttompsett
- Thread
- Dec 21, 2017
- app co-signature midlevel physician signature
- Replies: 3
- Forum: Compliance General Discussion
M
Wiki Ultrasound Supervision/Billing

I need some advice regarding ultrasound billing in our office when our physician is on vacation. We have a certified ultrasound tech that is contracted to perform the scans. We also have 2 midlevel providers in the office at the time (just the MD is out). How do we/can we bill for this? We...
- melheffley
- Thread
- Nov 15, 2016
- midlevel supervision ultrasound
- Replies: 0
- Forum: Billing/Reimbursement

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