Physician Assistant Billing in 2025: Navigating Post-PHE Rules and Split-Shared Guidelines

Essential updates on supervision allowances, telehealth policies, and billing protocols for PAs in the post-PHE era

Physician Assistants (PA) play a dynamic role in the medical field. Their role is crucial with the shortage of physicians not only in primary care but in many specialities as well.

This session by industry expert Jill M. Young will provide insights for practices considering adding a PA to their staff, those who have just added one and those who already have had a PA in their practice.  This is both from their documentation of services and from a billing perspective.

During this session, Jill will provide answers to many questions related to physician assistant billing including but not limited to:

With the end of Public Health Emergency (PHE) waivers and other exceptions to levels of supervision of PAs and billing rules were also ended, however, some were extended and still are. Which of these will affect your practice? 

Where does your PA typically provide their medical services and what are the usual billing protocols? Under their NPI or under a physician? Do you know the requirements for billing that way?  Significant changes occurred to Split or Shared visits in the past two years

The expansion of telehealth visits may result in significant updates to existing policies. If your office has a PA that is providing these audio-video calls to patients, you need to be aware of the potential changes coming on April 1, 2025.

Jill will help Understand the varying rules for incident-to or indirect billing and how they differ from the visits that are split-shared. Join us for an in-depth knowledge of these critical topics and stay up to date with the required information. 

Webinar Objectives

• In this post-PHE era, what are the supervision allowances for PA services by a physician?
• How is my office classified by Medicare and what does that mean for split shared and telehealth billing?
• What information is required on a claim form when billing incident to services? 
• Are you including the supervising physician AND the referring physician on it?
• What is the latest on telehealth services?  Who can perform them and where?

Webinar Highlights

• What locations are allowed to use split shared billing concepts?
• What are Split Shared guidelines from CPT for 2024?
• What is CMS/Medicare’s guidelines for Split Shared visits in 2024?
• What information goes in boxes 17 and 33 for incident to services?
• What are the documentation requirements of the supervising physician for incident to services?
• What documentation does the PA need to include in the patient’s record when billing incident to services
• What can an PA’s role be in surgery and with procedures
• Can PAs supervise residents?

Who Should Attend

Coders, Billers, Auditors, Office Managers, Office Administrators, Physician Assistants, Physicians