UCR 182: Clarifying Split or Shared Visits
February 9, 2024
Ray, Mark, and Scott discuss questions that came in about split or shared Visits.
Our questions are:
When our doctors cover hospital patients, we often have Physician Assistants in the hospital rounding on new and follow up patients. Recently there is an Incident-to policy change, but I don’t think that applies to the hospital PAs since hospital charges cannot be billed incident-to. Regardless, what do you think of the following:
- Are our physicians able to bill for those visits at 100 percent?
- If yes, could they still bill via supervisory role to the PAs (i.e., the PA see the patient and discuss the patient’s case with the on call physician. The physician then formulates a follow up plan and communicate it directly to the PA without physically seeing the patient)? Or do the physicians have to physically see the patient to be able to bill?
- Are physicians able to bill for procedures done by the PAs at the hospital?
Thank you so much for your assistance and guidance on this matter.
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