Experience. Integrity. Advocacy.
Experience. Integrity. Advocacy.

Emergency Medicine

Indiana Medicaid Now Fully Enrolling All PAs, Reimbursing at 75%

According to recently clarified guidelines by Indiana Medicaid, all physician assistants must now enroll as Indiana Health Coverage Providers and can no longer be billed under a supervising physician’s NPI. This change, which brings billing for PAs into alignment with billing for other Mid-Level, or Non-Physician Providers, also reduces reimbursement for PA services to 75 percent of the Medicaid allowed amount. READ MORE

Medicare Denies Payment for Add-on Conscious Sedation Code

Physicians taking advantage of new unbundled codes for billing moderate or conscious sedation are receiving denials from Medicare for one of them. That code, 99153, which is the add-on code for additional time spent administering conscious sedation by a provider who’s also performing the primary service, has been denied by Medicare when the service was performed in a facility setting. READ MORE

© Copyright 2018