| NOTE: | The following proposals are subject to change and will not become effective until further notice by the North Carolina Industrial Commission. |
PUBLIC NOTICE OF RULE-MAKING
BY THE NORTH CAROLINA INDUSTRIAL COMMISSION
REVISION IN THE REIMBURSEMENT METHODOLOGY FOR PHYSICIAN ASSISTANTS PERFORMING EVALUATION AND TREATMENT SERVICES IN AN OFFICE, CLINIC OR FACILITY SETTING
The Commission proposes the following fee schedule change:
The North Carolina Industrial Commission will allow reimbursement of evaluation and treatment services performed by a physician assistant that are considered within the physician assistants’ scope of practice. These services will be reimbursed at the rate of eighty-five percent (85%)* of the fee schedule allowance. Reimbursement will be allowed only when a supervising physician is on site at the office, clinic or facility or other place of treatment.
*This rate would equal the same as that applied by the Health Care Finance Administration (HCFA).
PUBLIC NOTICE OF RULE-MAKING
BY THE NORTH CAROLINA INDUSTRIAL COMMISSION
REVISION IN THE REIMBURSEMENT METHODOLOGY FOR PHYSICIAN ASSISTANTS PERFORMING THE SERVICES OF A MINIMUM SURGICAL ASSISTANT
The Commission proposes the following fee schedule change:
The North Carolina Industrial Commission will allow reimbursement of physician assistant services, when assisting in surgery, as a minimal surgical assistant at the rate of seventeen percent (17%) of the fee schedule allowance.
The seventeen percent (17%) is based on eighty-five percent (85%) of the assistant surgeon’s fee of 20 percent (20%). This rate would equal the same as that applied by the Health Care Finance Administration (HCFA).
The surgical procedure code should include modifier 81 (used to identify a minimum assistant surgeon). The name of the physician assistant should appear in Field 31 of the HCFA Form 1500.
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