I have been seeing a "psychiatrist" for about 4 months, who is actually a physician assistant that works for him. I thought, oh well, until I received my insurance papers that state that I'm seeing a man I've never met! I'm being charged to see the a psychiatrist and seeing the assistant! Is this common practice?
Its common practice to bill using the drs name. Its his practice after all. And PAS are under his supervision. Its possible that they don't charge as much as they would if you were truly seeing him. I've noticed that the docs I've been seeing are incorperated and the practice name is used then it doesn't state exactly who you've seen.
Hi, kaw! This IS common practice and it's to our advantage. Many insurance carriers won't cover charges for services rendered by a PA-C, or at least will raise a big stink about it. Medical facilities now routinely bill all services under the license of the primary provider or a PC partner.
I love my primary psychiatrist, but he's very busy and I only see him about once every two months for a med check. I see one of his PA-Cs regularly and she is absolutely great and spends quite a bit of time with me.
Hi, i had plastic surgery after an accident last year, and i had follow up appointments to keep progress on how i was doing, the appointments were made in my plastic surgeons name, but i only got to see his assistants. I was a bit disappointed to be honest, as i would have preferred to see the man himself, but they are so busy, so you get to see the next best thing. Shame : (
Dear kaw06, Yes that also happened to me quite a few yrs ago..8 to be exact.
I would see the PA, ask a ? for a specific medicine and she would say, "I
have to ask the DR. and we will talk next appt. I only went twice and then my insurance changed and I was relieved... Just my experience...
Every market is different and so are the fees. I don't think it's right for a psychiatric nurse practitioner to receive the same amount as a psychiatrist . It's just wrong. Because there's a shortage of psychiatrist, we get we can. I'm not home, so I can't look at the bills from both, but when I do, I'll get back with you. My psych charges $250. an hr. I'm not sure about the nurse practitioner.
This is a hot topic.
Faith, Hope and Love,
Most state laws do not allow certain clinical positions to bill directly while they are under supervision for their two thousand plus hours, when they get their approved licensing... They are under the direct order and supervision of the psychiatrist. The doctor has to be on site to bill properly. In our state, for example, an MSW must have a supervising psychiatrist to bill. However, it is always billed with the MSW name and signature. And the claim has the supervising physician signed on as well. Here the psychiatrist is billed at a far higher rate than the MSW, etc. I suggest that you contact your insurance, especially if Medicare or Medicaid and see if this is done correctly. It happens to be a common scam to missbill in small office groups. This may be in error or on purpose. I know, for almost fourteen years I billed for these groups and frequently found previous people were billing wrong.
If this is with Medicare, the fine is ten thousand dollars per day per charge for the doctor... Really worth checking out. Again, I stress your state laws may have their own laws structuring how this is presented. There is no such rule at state level with the two big federal programs who also have the big fines. Always call insurance when wondering what is wrong. If no insurance, call your state board.
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