Reimbursement
Reimbursement Alerts:
Hosted by the American Academy of PAs, American Association of Nurse Practitioners, and the American Nursing Association, representatives from the Centers for Medicare and Medicaid Services (CMS) recently held a webinar on a new primary care delivery model, the “Making Care Primary (MCP) Model.” MCP provides a pathway from fee-for-service payment to prospective, population-based payment that supports comprehensive primary care to improve quality, patient experience and population health outcomes. A link to the recorded webinar can be found HERE.
CMS Releases Proposed 2024 Physician Fee Schedule Rule
AAPA works with all public and commercial third-party payers to ensure coverage for the medical and surgical services delivered by PAs. A thorough understanding of PA payment policies is essential for demonstrating PA value, maximizing the collection of appropriate reimbursement and avoiding concerns about fraud and abuse.
Also see the Payer Reimbursement Policies for PAs and a Primer on PA Reimbursement.
Medicare
Follow these Medicare policies and regulations to maximize revenue and avoid allegations of fraud and abuse.
Commercial Payers
Commercial payer policies are often different from Medicare’s. Get information on their requirements for PAs.
Workers’ Compensation
Learn how PAs are covered under workers’ compensation claims and at what reimbursement rate.
Resources
Transparency
Learn about the importance of transparency for the medical and surgical services PAs deliver.
PA Productivity
Measuring PA productivity is important to move the profession forward. Learn about ways to measure PA value and calculate your contribution to care.
PA Practice Resources
Explore resources and tools for PAs about PA practice, competencies, and compliance.
Reimbursement Briefs
AAPA Reimbursement Briefs cover a wide range of reimbursement topics that are important to PAs and PA practice.
QPP Overview
Find out how the QPP and MACRA programs will affect your Medicare reporting activities and reimbursement.
Communications with Federal Executive Branch
Read the latest communications from AAPA to federal agencies and find out how AAPA works to promote the profession through regulatory advocacy.
EHR Toolkit
Learn about the importance of EHR systems that are designed, selected, and implemented with functionality considerations for PAs and explore resources for PAs, employers, and EHR vendors.
PAs should continue to use “physician assistant” or “PA” as their official legal title in a professional capacity, particularly in clinical settings and with patients. AAPA is transitioning to use “physician associate” when possible and when it does not present a legal or regulatory conflict. For more information, please visit FAQs.