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

Medical Billing

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

Restored Work GPCI Floor Means More Money — and Hassle — for Medicare Providers

One provision of the Bipartisan Budget Act of 2018, enacted February 9, 2018, will give Indiana providers a little extra revenue under the Medicare Physician Fee Schedule. It might also give them an extra little headache as WPS-GHA, Indiana’s Medicare Administrative Contractor, applies the changes retroactively to the first few weeks of the year. READ MORE

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