July 11, 2019
I heard you speak at the recent AANS coding course – you were awesome and the course was fantastic…everyone should go. The surgeon I work with has a question regarding billing. Some of the hospitals in the area have a Nurse Practitioner or Physician Assistant on staff that see Neurosurgery consults for us. My neurosurgeon will see the consult too. The mid-level writes the note but my neurosurgeon goes in afterwards and attests to the note and signs off. Is he still able to bill for the consult?
Thank you for your kind words! I’m so glad you thought the course was worthwhile. To answer your question, no, the neurosurgeon may not bill for what the hospital-employed PA/NP does and documents. Rather, the neurosurgeon will bill for the service that s/he personally performs and documents.
*This response is based on the best information available as of 07/11/19.