Physician Assistnts

Our Physicians are using Physicains Assistants in place of a quilifying resident because there was none available at time of service. We are adding a 82 modifier on both the primary physician and the PA's claim ex:we billed a 49505/50 & 54640 both primary and PA the insurance will pay the primary but they are deniying the PA's. Our facility is a teaching enviroment and a PA's can be used, when we appeal it is added as part of our documentation so my question what do we need to do.

re: Physician Assistnts

We use modifier "as" for the pa's claim

re: Physician Assistnts

In NJ for Medicare patients we have to use 82-AS for all other carriers just AS.