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News & Press: SDPA News

Correcting Coldiron MisTruths, Again

Tuesday, January 2, 2018  
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The recent Dermatology News article "We have met the enemy and he is us" highlighted a problem the Society of Dermatology Physician Assistants has been aware of for some time: Some practices appear to put profit above the needs of the patients they serve. It should be noted that there is an incorrect assumption in this article, as with previous similar articles, that PAs billing for dermatological procedures using their own NPI are without supervision. According to CMS, in order to bill a service incident-to (that is under the NPI of the physician in order to receive 100% of the physician's fee schedule rather than 85% as a PA billed service would get), certain criteria must be met. One of those criteria is that the service is commonly rendered without charge or included in the physician's bill. Dermatologic procedures do not meet that criteria so that a surgery performed by the PA, (even if the physician were actually in gloves participating in the procedure as a form of oversight, much less simply present in the office) would still be billed using the PA's NPI. To do anything else is fraud and must not be tolerated. So one cannot make the assumption that a procedure billed by a PA was done with no physician on site. The procedure code used simply does not convey the necessary information. Practical Dermatology would be well served to ensure that correct information that is easily verified is being provided to it's readers.


SDPA Annual Summer Dermatology Conference 2018 - NOW OPEN!
June 28-July 1, 2018 – Westin Hotel – Seattle, WA
Pre-Conference June 27

16th Annual Fall Dermatology Conference 2018
November 1-4, 2018 – Loews Portofino –Orlando, FL

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