Comments on: When do mid-levels help in the ER? http://www.kevinmd.com/blog/2008/12/when-do-mid-levels-help-in-er.html medical blog Sun, 22 Nov 2009 19:59:44 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: ERMurse http://www.kevinmd.com/blog/2008/12/when-do-mid-levels-help-in-er.html/comment-page-1#comment-88920 ERMurse Tue, 30 Dec 2008 21:31:00 +0000 http://clients.emmense.com/kevinmd/2008/12/when-do-mid-levels-help-in-the-er.html#comment-88920 I think the practice of using Midlevels in Fast Track is a plus but have a billing question perhaps someone can answer.<br/><br/>My Hospital the PA's see the patients triaged to Fast Track and in their dictation name the "Supervising Physician" who is the on duty doc on the other side of the dept who only sees the patient when requested, which is rare. The PA gets $50 per hour and some sort of productivity bonus if they qualify. The patient is billed for a ED visit under the Supervising Physicians number and pays the same rate as if they were seen by the Physician both for ED and Physician charges. Can someone answer this question, Is there not a Face to Face requirement to bill under the Physicians number when seen by the PA? It sounds fishy to me and the message I get is dont go there. I think the practice of using Midlevels in Fast Track is a plus but have a billing question perhaps someone can answer.

My Hospital the PA’s see the patients triaged to Fast Track and in their dictation name the “Supervising Physician” who is the on duty doc on the other side of the dept who only sees the patient when requested, which is rare. The PA gets $50 per hour and some sort of productivity bonus if they qualify. The patient is billed for a ED visit under the Supervising Physicians number and pays the same rate as if they were seen by the Physician both for ED and Physician charges. Can someone answer this question, Is there not a Face to Face requirement to bill under the Physicians number when seen by the PA? It sounds fishy to me and the message I get is dont go there.

]]> By: Anonymous http://www.kevinmd.com/blog/2008/12/when-do-mid-levels-help-in-er.html/comment-page-1#comment-88886 Anonymous Sun, 28 Dec 2008 21:44:00 +0000 http://clients.emmense.com/kevinmd/2008/12/when-do-mid-levels-help-in-the-er.html#comment-88886 In this day and age of the lawsuit, I certainly can understand why this MD has a concern. As long as the hospital keeps the midlevels within scope, it does really benefit all parties involved. As a PA student, I am certainly glad I chose this path if not for all the debt, but the cost of malpractice and liability. In this day and age of the lawsuit, I certainly can understand why this MD has a concern. As long as the hospital keeps the midlevels within scope, it does really benefit all parties involved. As a PA student, I am certainly glad I chose this path if not for all the debt, but the cost of malpractice and liability.

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