phycisian's assistant

  1. S

    Wiki Code 11102 + 11103 Denying Under Physician's Assistant

    Medicaid plan through Banner University Family Complete Care is denying codes 11102 + 11103 with a PA on the claim stating "99353 AHCCCS P353: PROVIDER TYPE NOT ELIGIBLE." The claim pays however when we resubmit under an MD as opposed to the PA originally on the claim. This issue began in Jan of...
    • SamrPen
    • Thread
    • 11102 11103 ahcccs biopsy denial dermatology integumentary phycisian's assistant
    • Replies: 2
    • Forum: Billing/Reimbursement
  2. KStaten

    Wiki What Designates an "Active Involvement" in Plan of Care?

    Hello Everyone! 🙂 According to what I have read (in regards to incident-to billing), in order for a patient to be seen by the PA and still be billed under the doctor, the doctor must do the following: 1) Initiate the treatment 2) Continue to be "actively involved" in the patient's case/ plan...
    • KStaten
    • Thread
    • active treatment actively involved documentation frequency incident to billing medicare guidelines phycisian's assistant physician plan of care time
    • Replies: 2
    • Forum: Medicare Regulations
  3. KStaten

    Wiki Who Has Documentation Permissions per Medicare Guidelines?

    Hello Everyone! :) I am trying to put a table together to describe components of a medical document for a typical outpatient setting office visit and list who (per Medicare guidelines) has permission to document each one. In other words, in order to correctly bill under the physician, what...
    • KStaten
    • Thread
    • ancillary staff documentation e/m documentation established patient hpi incident to billing medical record medicare guidelines new patient phycisian's assistant
    • Replies: 6
    • Forum: Medicare Regulations
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