physician billing

we have a PA starting in our practice on Monday. I would like to know how we bill for her services. Do we bill under a provider # or under her NPI? I have several different answers from different website. There is not clear cut answer from Medicare either. It's is ver confusing. Does anybody have any experience billing for PA?

look in the database

use the search box and try incident to and physician assistant and nurse practitioner

PA starting monday?

Be prepared to NOT GET PAID if the PA is not enrolled with Medicare. You may not bill all of the PA's services under the MD's provider number.

Look at the articles on incident to services. You may only bill under the MD for **Established patients** for **established problems**. The MD must have seen the patient, established the plan of care and said "Follow up with my PA for this problem."

You need to do the enrollment and don't bill for services until the PA is enrolled unless the service meets the very strict incident to guidelines.

When you type the words "incident to" into the search box, you'll find three articles on the topic. There is nothing gray about these rules. THere is a citation on the first article for the MedLearn Matters article.