Billing Updates for Physician Assistants for 2025

Physician Assistants (PA) have an increased presence in the medical community.  They help ease the shortage of physicians, not just in primary care, but in many specialties as well.

For practices considering adding a PA to their staff, those who have just added one and those who already have had a PA in their practice, the information provided in this lecture will be invaluable to you in having a compliant provider.  This is both from their documentation of services but from a billing perspective.

The end of the Public Health Emergency (PHE) meant the end to waivers and other exceptions to levels of supervision of PAs and billing rules.  Some were extended and still are.  Which of these will affect your practice? 

Where does your PA provide the majority of their services and how are those billed?  Under their NPI or under a physician?  Do you know the requirements for billing that way?  Significant changes occurred to Split or Shared visits in the past two years

There are significant changes that may occur with telehealth visits.  If your office has a PA that is providing these audio-video calls to patients, you need to be aware of the potential changes coming on April 1, 2025.

The varying rules of incident to or indirect billing need to be understood and their differences from visits that are split shared.  All these topics are important when you have a PA in your employ.  Listen in to get the most comprehensive and up to date information. 

Webinar Objectives

• In this post-PHE era, what are the supervision allowances for PA services by a physician?
• How is my office classified by Medicare and what does that mean for split shared and telehealth billing?
• What information is required on a claim form when billing incident to services? 
• Are you including the supervising physician AND the referring physician on it?
• What is the latest on telehealth services?  Who can perform them and where?

Webinar Highlights

• What locations are allowed to use split shared billing concepts?
• What are Split Shared guidelines from CPT for 2024?
• What is CMS/Medicare’s guidelines for Split Shared visits in 2024?
• What information goes in boxes 17 and 33 for incident to services?
• What are the documentation requirements of the supervising physician for incident to services
• What documentation does the PA need to include in the patient’s record when billing incident to services
• What can an PA’s role be in surgery and with procedures
• Can PAs supervise residents?

Who Should Attend

Coders, Billers, Auditors, Office Managers, Office Administrators, Physician Assistants, Physicians