Reimbursement

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 Summary of PA Reimbursement

Special Reimbursement Alerts:

Medicare Payment for COVID-19 Counseling
Telehealth & Telemedicine by PAs During the COVID-19 Pandemic

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The Essential Guide to PA Reimbursement thumbnail

The Essential Guide to PA Reimbursement

The Essential Guide to PA Reimbursement (PDF) provides a detailed summary and explanation of the key aspects of coverage and regulatory policies related to reimbursement for medical and surgical services delivered by PAs.

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Medicare

Follow these Medicare policies and regulations to maximize revenue and avoid allegations of fraud and abuse.

Medicaid

What is Medicaid and how does it cover PA services?

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.