Pennsylvania Society of Physician Assistants

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Pennsylvania Society of Physician Assistants

Member Login Join or Renew
  • Home
  • About
    • Our Purpose
    • Officer Directory
    • Officer’s Responsibilities
      • President
      • President Elect
      • Immediate Past President
      • Treasurer
      • Secretary
      • Directors at Large
      • Student Directors at Large
  • News
    • Blog
    • Newsletters
    • PSPA News Brief
  • Contact
  • Why PSPA
    • Overview
    • For Practicing PAs
    • For Students
    • For Employers
  • Membership
    • Reasons to Join PSPA
    • Join PSPA
    • Membership Levels
    • Benefits of Membership
      • Insurance Benefits
    • Member Directory
    • Renew Membership
    • Keystone Cash
    • Gift Memberships
  • Career Center
    • Overview
    • Job Seekers
      • Find a Job
      • Interviewing Tips
      • Pre-Employment Checklist
      • Anatomy of a Contract
      • New Graduate Info Sheet
      • Obtaining State License
      • Employment Exit Checklist
    • Employers/Recruiters
      • Employer Career Center
      • How to Find a PA
      • Benefits of Hiring a PA
      • Reimbursement for Services
      • Advertising and Fees
    • Resources
      • Salary and Demographics
      • Physician PA Team
      • Summary of PA Regulations
      • Amending Hospital Bylaws
      • Research Grant
  • Student Affairs
    • Overview
    • Potential Students
    • Active Students
    • Graduating Students
    • Pennsylvania PA Programs
    • Challenge Bowl
    • Student Leader Philanthropic Endowment
    • Student Awards/Scholarships
    • Links
  • Advocacy
    • Overview
    • Governmental Affairs
      • Action Center
      • State Boards of Medicine and Osteopathic Medicine
      • State Board of Osteopathic Medicine
      • Regulatory Activity
      • Legislative Activity
      • Political Action Committee
      • About PSPA PAC
      • Tools
      • SBM Regulations
      • SBOM Regulations
      • Archives
    • Workplace
      • Leadership
      • PSPA Annual Awards
        • How it Works
        • Fellow Awards
        • PSPA Award Winners
    • Community
      • Annual Charity
      • 10 Ways to Make a Difference
    • Committees
      • Committee Information
      • Committee Annual Reports
      • AAPA House Delegates
      • Awards Committee
      • Conference Planning Committee
      • Election Committee
      • Finance Committee
      • Governmental Affairs Committee
      • Health Disparity Committee
      • Historian
      • Leadership & Mentoring Committee
      • Membership Committee
      • Newsletter Committee
      • PSPA Liaison
      • Public Relations & Education Committee
      • Regional Affairs Committee
      • Reimbursement Committee
      • Social Media
      • Standing Rules & Policy Committee
      • Student & Faculty Affairs Committee
      • Technology Committee
      • Website Committee
    • Public Relations
      • Spread the Word
      • Addressing Specific Audiences
      • Concepts to Convey
      • Publications & Products
      • Resources
  • Events & CME
    • Calendar
    • Annual Conference
      • 2021 CME Conference Rates & Registration
      • General Information
      • Schedule and Speakers
      • Hotel Information
      • CME Workshops
      • Professional Sessions
      • Corporate Sponsors
      • Special Events
      • Conference Faculty
      • Committee Interest Form
      • Exhibitor Form
      • Speaker Application
      • Future Conference Locations
      • Posting of Conference Lectures
    • Deadlines
    • Regional Affairs
      • Map of Regions
      • Get Involved
      • Regional Representatives
      • Meeting Information
    • Courses
    • CME Announcements
  • Resources
    • Professional Organizations / Liaisons
    • AAPA Links
    • Helpful Links
    • Reimbursement
      • Medicare
      • Medicaid
      • Workers Compensation
      • Private Payers
    • Form Library
    • Prescription Drug Card
    • Surveys
Resources

Medicare

Medicare is a government-administered program providing health insurance to 43 million Americans. The Centers for Medicare and Medicaid Services (CMS) implements laws and establishes policies affecting Medicare and contracts with health care professionals to process Medicare claims.

Medicare rules require that services provided by physician assistants (PAs) be reimbursed at 85 percent of the physician fee schedule unless in specific billing exceptions (“incident to” and “shared visits billing”) . A PA must enroll in the Medicare program by submitting the 855I form, and use his or her National Provider Identifier (NPI) number to alert the carrier to implement the 15 percent discount.

Click here for more information and NPI numbers

CMS BRIEF EXPLAINING “INCIDENT-TO”

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