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PA performed procedures in IR

  • 1.  PA performed procedures in IR

    Posted 09-13-2018 13:58
    Hello,

    Does anyone have their PA's performing minor procedures in hospital IR (ex. modfied barium swallows, paracentesis)?  If so, who dictates the report and I am assuming you bill under the PA's NPI?

    Thanks,
    Andrew Farah

    ------------------------------
    Andrew Farah
    Director of Operations
    Drs. Harris, Birkhill, Wang, Songe & Associates
    Dearborn MI
    ------------------------------


  • 2.  RE: PA performed procedures in IR

    Posted 09-13-2018 20:59
    We do not.



    Original Message


  • 3.  RE: PA performed procedures in IR

    Posted 09-14-2018 09:42
    We have both an NP and PA and both dictate their work, which is then signed off by a supervising IR doctor for all reports. The services are billed under the NP and PA names/NPI.

    Thanks,

    ------------------------------
    Scott Fortson
    Practice Administrator
    Radiology Associates of Clearwater
    Clearwater FL
    (727) 441-3711
    ------------------------------

    Original Message


  • 4.  RE: PA performed procedures in IR

    Posted 09-14-2018 08:10

    Hello Andrew,

    We do have our PAs perform such procedures and do indeed charge under their NPI (as this is a reduced rate, compared to the radiologists).

    Thanks,

    Craig



    ------------------------------
    Craig Carter
    Chief Operating Officer
    Radiology Associates of North Texas
    Fort Worth TX
    (817) 321-0313
    ------------------------------

    Original Message


  • 5.  RE: PA performed procedures in IR

    Posted 09-14-2018 10:06

    Craig-

     

    Thanks for the response. Two quick follow up questions on your process:

     

    1. Have you found that the reimbursement for the PA is generally 80-85% of the physician payment?
    2. Does the PA add a supervision statement to every final report?

     

    Feel free to respond to me directly if you prefer; email is below.

     

    Thanks,

     

    Zaid

    Zaid Kazzaz - Chief Executive Officer

    Radiology Partners Management Group

    2190 North Loop West, Suite 250 l Houston, TX 77018

    Direct: 281-206-9033 l Fax: 281-206-9018 l Cell: 713-385-0174

    zaid.kazzaz@radpmg.com | www.radpmg.com

     




    Original Message


  • 6.  RE: PA performed procedures in IR

    Posted 09-14-2018 11:04
    Thank you everyone who responded.  This was extremely helpful.

    Andrew

    ------------------------------
    Andrew Farah
    Director of Operations
    Drs. Harris, Birkhill, Wang, Songe & Associates
    Dearborn MI
    ------------------------------

    Original Message


  • 7.  RE: PA performed procedures in IR

    Posted 09-14-2018 11:42
    Re the question asked by Mr. Kazzaz:

    1. Does the PA add a supervision statement to every final report?
    Please note that PA's  and NPs are subject to general supervision of a physician. And PAs and NPs are not permitted to supervise technologists.  They may "perform" those tests and procedures that are within the scope of their licensure and hospital privileges, but they may not "supervise."  That may consistent with the question above, but just wanted to add that clarification about the act of supervision. So if a statement is added to to the report, it would not that the PA or NP was under the general supervision of a particular radiologist. 


    ------------------------------
    Thomas Greeson JD, FRBMA
    Partner
    Reed Smith LLP
    Mc Lean VA
    (703) 641-4242
    ------------------------------

    Original Message


  • 8.  RE: PA performed procedures in IR

    Posted 09-14-2018 12:02

    Thanks, Thomas.

     

    I am aware that PAs & NPs are not permitted to supervise technologists. My question below re supervision was in the context of a PA performing a procedure under the supervision of a physician. I was curious to know if a statement to that effect was added to their report.

     

    ZK  

     

    Zaid Kazzaz
    Radiology Partners Management Group (RPMG)

    Office: 281.206.9033 | Mobile: 713.385.0174

     




    Original Message


  • 9.  RE: PA performed procedures in IR

    Posted 09-14-2018 12:25

    Zaid,

    I assumed you understood, but wanted it to be clear to the forum. As I said, if a statement is added to to the report, it would note that the PA or NP was under the general supervision of the particular radiologist responsible to to so to maintain the practitioner's licensure. That would not be another physician who is somehow participating or observing, necessarily.  Since this is a physician procedure performed and billed solely by the PA or NP, I don't see any reason to reference any physician other than the general supervising physician. And for tests performed personally by PAs or NPs who may not supervise technologists in connection with the test in conformance with the supervision rules at 42 CFR 410.32 , I see no reasons for the interpretive report to reference the PA or NP at all. 

    Tom



    ------------------------------
    Thomas Greeson JD, FRBMA
    Partner
    Reed Smith LLP
    Mc Lean VA
    (703) 641-4242
    ------------------------------

    Original Message


  • 10.  RE: PA performed procedures in IR

    Posted 09-14-2018 12:14

    Tom, is a note stating general supervision by Dr. X required in the PA's note?  Does the Dr. have to co-sign any interpretation?

     

    Donna Richmond, BA, RCC, CIRCC, CPC
    Senior Healthcare Consultant

    P 651-292-3400 x3017  / C 337-412-2272
    www.panaceainc.com

    /Volumes/Shares/Marketing/1 - Asset Library/Logos/Continuing Education/Panacea/Panacea Logo-05.png

     




    Original Message


  • 11.  RE: PA performed procedures in IR

    Posted 09-14-2018 12:30
    Donna, I'd answer "no" to both. It's not non-compliant to do so, but unnecessary. For tests, my understanding is that only the radiologist performs and bills for the interpretation of the tests, since PAs and NPs do not have hospital privileges to interpret diagnostic tests.

    ------------------------------
    Thomas Greeson JD, FRBMA
    Partner
    Reed Smith LLP
    Mc Lean VA
    (703) 641-4242
    ------------------------------

    Original Message


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