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Recent Developments in Medical Billing and Reimbursement for PAs
by ReachMD XM Radio - Partners in Practice - September 21, 2010   Bookmark and Share
ReachProvided by ReachMD

Recent Developments in Medical
Billing and Reimbursement for PAs
on Partners in Practice

 

Recently, Aetna, which is one of the largest insurance companies in the United States, announced it would reimburse PAs at 85 percent of the physician pay schedule. So what does this move mean for PAs? Michael Powe, vice president of health systems reimbursement policy for the American Academy of Physician Assistants, joins host Lisa Dandrea Lenell to look at the current reimbursement picture and how PAs can make sure they are being reimbursed for the care they provide. They also look at how this process could change in the future with healthcare reform.


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Michael Powe is vice president of health services and reimbursement policy for the American Academy of Physician Assistants in Alexandria, Virginia. He has also worked in government affairs for the AAPA. Mr. Powe is an adjunct professor in the division of health sciences at George Washington University in Washington, DC, and lectures extensively about financing, reimbursement and third party insurance coverage.

Lisa LenellLisa Dandrea Lenell is a physician assistant and the director of operations for an internal medicine practice in Illinois. She is passionate about bringing physician assistant and nurse practitioner issues into the spotlight, focusing on awareness and understanding of the professions.  Mrs. Lenell is a graduate of the Physician Assistant Program at Midwestern University in Downers Grove, Illinois. She has continued her relationship with Midwestern University, working as adjunct faculty.  She has published in the prestigious peer-reviewed medical journal Dermatologic Surgery and has been featured in several professional journals.





ReachMD, an innovative communications company, provides thought-provoking medical news and information to healthcare practitioners. Established to help increasingly time-constrained medical providers stay abreast of new research, treatment protocols and continuing education requirements, ReachMD delivers innovative and informative radio programming via XM Satellite Radio Channel 160 and online streaming developed by healthcare professionals for healthcare professionals.

The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.
 

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Lori Bowden FNP-C (Sacramento, California) on 25 Sep 2010 at 6:09 pm

NP and PA practices have been under the thumb of either physicians who are threatened by our practice, or those who exploit our services. NPs in California are reimbursed only 80% or less than the MD for the same service. We are generally paid by the hour at substantially less than we are worth. Why can't the NP or PA practice independently? Are we that much of a threat? I think there is room for all of us. The NP/PA is perfect for day to day management of most diseases and perfect for pedicatric pracitces, physical exams etc. The MD should be consulted when issues that are beyond the scope for NP/PA is needed. It could be the perfect marraige. Money and power seem to be in the way for this fine set up to occur. A sorry reality.

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