Uncategorized

By Tricia Marriott

Global Visits:

Work that must be done and would otherwise have to be handled by a physician if the practice did not employ Physician Assistants.

The problem with global visits for the PA:

Unfortunately, global visits have no monetary value. By performing the global work, the pa enables a physician to schedule revenue-generating encounters, such as new patients, consultations and procedures, in time slots that would have been otherwise closed out by the non-revenue-generating global visits.

Tracking Global Visits:

Global visits are designated by CPT code 99024 and typically are not included in the billing system because they do not generate a bill. By putting 99024 into the billing system, the office can track the volume of those visits for each provider. If, for example, at the end of the fiscal year, the pa has handled 500 global visits and the physician has handled 20, you might be able to extrapolate that the pa enabled the physician to cover 480 revenue-generating encounters. Another way to look at it is to take those 480 encounters, split the revenue for the encounters in half and attribute 50 percent to the pa, subtracting 50 percent from the physician’s revenue line. Remember, if the pa had not seen those patients, the physician would not have had open slots for the new patients/new problems/consultations. the pa’s work contributed to the physician’s revenue numbers.

Calculating Global Visits:

Medicare fee breakdown

11 percent for pre-op work

76 percent for intra-op work

13 percent for post-op care

Thus, 24 percent of the global payment is for non-OR services. Confused? Let’s look at the example of a total knee (27447), payable at $1,769, with the final figure affected by the geographic index).

Here’s a breakdown of the payment when the above formula is applied, with the final figures affected by geographic index:

Pre: $194.59

Intra: $1,344.44

Post: $229.97

If a pa does the pre-op exam and post-op global rounding/office visits, $424.56 could be “credited” or “allocated” to the pa. a separate payment of $240.58 could be officially credited to the pa for the first assist (13.6 percent of a surgeon’s fee). a true measure of pa “value” might be a first assist payment of $240.58, plus a share of the global payment of $424.56. That’s a total of $665.14. If you are using claims data only, it is still difficult to get at the office e/M performed by the pa when it is billed under the physician’s name. Tracking encounters, CPT codes, and RVUs by provider can help mitigate that hole in the data. Applying these concepts can help physician pa teams assess the pa’s contribution to the practice.

TRICIA MARRIOTT is the director of reimbursement policy for AAPA.

4,195 Comments

  1. Please let me know if you’re looking for a article writer for your weblog. You have some really good posts and I believe I would be a good asset. If you ever want to take some of the load off, I’d really like to write some material for your blog in exchange for a link back to mine. Please shoot me an email if interested. Cheers!

  2. Greetings, I think your website could be having internet browser compatibility issues.

    Whenever I take a look at your site in Safari, it looks fine but
    when opening in I.E., it has some overlapping issues.
    I just wanted to give you a quick heads up! Other than that, fantastic
    site!

  3. I know this if off topic but I’m looking into starting my own blog and was wondering what all is needed to
    get set up? I’m assuming having a blog like yours would cost a pretty penny?
    I’m not very internet savvy so I’m not 100% positive. Any recommendations or advice
    would be greatly appreciated. Many thanks

  4. Hello there! This article could not be written any
    better! Reading through this post reminds me of my previous roommate!
    He constantly kept preaching about this. I’ll send this article to him.
    Pretty sure he’ll have a great read. Many thanks for sharing!

  5. Thanks , I have just been looking for information about this subject for ages
    and yours is the greatest I’ve found out so far. However, what about the bottom line?
    Are you sure concerning the supply?

  6. At this time it looks like Movable Type is the best blogging platform available
    right now. (from what I’ve read) Is that what you are using on your blog?

  7. hello!,I like your writing very a lot! percentage we keep up
    a correspondence more approximately your post on AOL? I need a specialist on this area to
    solve my problem. Maybe that’s you! Having a look ahead to see you.

  8. Hi i am kavin, its my first occasion to commenting anywhere, when i read this paragraph i thought i could
    also create comment due to this sensible paragraph.

  9. Hello, i think that i saw you visited my weblog so i came to “return the favor”.I’m
    attempting to find things to improve my site!I suppose its ok to use a few of your
    ideas!!

  10. naturally like your website however you have to take
    a look at the spelling on quite a few of your posts.
    Several of them are rife with spelling problems and I in finding it very troublesome to inform the truth then again I will definitely come back again.

  11. I spent four years trying EVERYTHING in Online Dating, and through a huge amount of trial and error, I produced a system that I will share for you. This book will take you, step by step, through everything you need to know to double, triple or even quadruple the number of women you meet online.

  12. I was curious if you ever thought of changing the page layout
    of your blog? Its very well written; I love what youve got
    to say. But maybe you could a little more in the way of content so people could connect with it better.

    Youve got an awful lot of text for only having one or
    2 images. Maybe you could space it out better?

  13. Amazing! This blog looks exactly like my old one! It’s on a totally different subject but it has pretty much the same page layout and
    design. Wonderful choice of colors!

  14. I seriously love your blog.. Excellent colors & theme.
    Did you create this web site yourself? Please reply back as I’m attempting to create my own site and would like
    to learn where you got this from or exactly what the theme is named.
    Many thanks!

  15. Today, while I was at work, my sister stole my apple ipad and tested to see if it can survive
    a 25 foot drop, just so she can be a youtube sensation. My iPad is now destroyed and she has 83 views.
    I know this is completely off topic but I had to share it with someone!

  16. I’m extremely inspired together with your writing
    skills as well as with the layout on your blog.
    Is that this a paid subject or did you customize it yourself?
    Either way stay up the excellent high quality writing, it is uncommon to look a
    nice weblog like this one these days..

  17. Hi! I could have sworn I’ve visited this website before but
    after looking at many of the posts I realized it’s new to me.
    Nonetheless, I’m certainly delighted I came across it and I’ll be book-marking it and checking back regularly!

  18. I love your blog.. very nice colors & theme. Did you create this website yourself or did
    you hire someone to do it for you? Plz respond as
    I’m looking to design my own blog and would like to know where u got this from.
    thanks a lot

  19. Good post. I learn something totally new and challenging on websites I stumbleupon every day.

    It’s always helpful to read through articles from other authors and practice
    a little something from other websites.

  20. I travel all around the world for work, and it used to be really lonely. Now I can go onto Tinder and have a date lined up in a new city before I even get out of the airport!

  21. Descargar facebook
    I blog often and I seriously appreciate your content.

    This great article has truly peaked my interest.
    I’m going to take a note of your website
    and keep checking for new information about once per week.
    I subscribed to your Feed too. Descargar facebook

  22. I believe everything said was very logical. But, what about this?
    suppose you were to write a killer post title?
    I am not suggesting your content isn’t good., however what if you added a title
    that makes people want more? I mean Compensation – Global Visits
    – ProviderMatching.com is kinda boring. You ought to glance at Yahoo’s front page and see how they create article headlines to grab people to open the links.
    You might add a related video or a related pic or two to grab readers
    excited about what you’ve written. Just my opinion, it might bring your posts
    a little livelier.

  23. I’m truly enjoying the design and layout of your blog.
    It’s a very easy on the eyes which makes it much more pleasant for me to come here and visit more often. Did you hire out a designer to
    create your theme? Great work!

  24. I think that what you published made a ton of sense.
    But, consider this, what if you wrote a catchier title?
    I am not suggesting your information is not good., but what if
    you added a post title that makes people desire more?
    I mean Compensation – Global Visits – ProviderMatching.com is a little
    plain. You should glance at Yahoo’s home page and watch how they create post
    headlines to grab viewers interested. You might
    add a related video or a picture or two to get readers
    excited about everything’ve got to say. Just my opinion, it would
    bring your posts a little livelier.

  25. I’ve been exploring for a little for any high-quality articles or weblog posts in this sort of house .
    Exploring in Yahoo I ultimately stumbled upon this site.
    Studying this information So i’m satisfied to exhibit that I
    have a very excellent uncanny feeling I found out exactly what I needed.

    I most for sure will make sure to don?t omit this website
    and give it a glance regularly.

  26. Quest bars cheap fitnesstipsnew1 quest bars cheap 516999410492780544 quest bars cheap
    Howdy just wanted to give you a quick heads
    up and let you know a few of the pictures aren’t loading correctly.

    I’m not sure why but I think its a linking issue.
    I’ve tried it in two different web browsers and both show the same results.
    Quest bars cheap fitnesstipsnew1 quest bars cheap 516999410492780544 quest bars cheap

  27. Hello there! This is my first visit to your blog!
    We are a group of volunteers and starting a new initiative in a community in the same niche.

    Your blog provided us useful information to work on. You have done a wonderful job!

  28. I am really loving the theme/design of your blog. Do you ever run into any web browser compatibility issues?
    A couple of my blog readers have complained about my blog not
    operating correctly in Explorer but looks great in Chrome.
    Do you have any suggestions to help fix this problem?

  29. Its like you read my mind! You seem to know so much about this,
    like you wrote the book in it or something. I think that you could do with some pics to drive
    the message home a little bit, but instead of that, this is fantastic blog.
    A great read. I’ll certainly be back.

  30. Wonderful blog! Do you have any recommendations for
    aspiring writers? I’m hoping to start my own site soon but I’m a little lost on everything.
    Would you propose starting with a free platform like WordPress or go for
    a paid option? There are so many choices out there that I’m totally confused ..
    Any tips? Many thanks!

  31. It is the best time to make some plans for the future and it is
    time to be happy. I have read this post and if
    I could I wish to suggest you few interesting things
    or tips. Maybe you can write next articles referring to this
    article. I want to read more things about it!

  32. Hey There. I discovered your blog the use of msn. This is a very well
    written article. I will be sure to bookmark it and return to learn extra of your
    helpful information. Thanks for the post. I’ll
    definitely return.

  33. I believe everything posted was actually very logical.
    But, what about this? suppose you typed a
    catchier post title? I am not suggesting your content isn’t solid., however
    suppose you added a title that makes people
    desire more? I mean Compensation – Global Visits – ProviderMatching.com is a little vanilla.
    You could look at Yahoo’s home page and see how they create article titles to grab people to click.
    You might try adding a video or a related picture or
    two to get readers interested about everything’ve got to say.
    In my opinion, it might bring your posts a little livelier.

  34. I’m really loving the theme/design of your website. Do you ever run into any web browser compatibility problems?
    A few of my blog visitors have complained about my blog not
    working correctly in Explorer but looks great in Safari.

    Do you have any tips to help fix this issue?

  35. I like the helpful information you provide on your
    articles. I will bookmark your blog and test once more here regularly.
    I’m rather sure I’ll learn many new stuff proper right here!

    Good luck for the next!

  36. Fantastic blog! Do you have any recommendations for aspiring writers?
    I’m hoping to start my own website soon but I’m a little
    lost on everything. Would you advise starting with a free platform
    like WordPress or go for a paid option? There are so
    many choices out there that I’m totally overwhelmed .. Any ideas?

    Thank you!

  37. If you would like to improve your knowledge simply keep visiting this website and be updated with the
    most recent news update posted here.
    kamagra jellies
    [url=http://kamagrainus.com/]buy Kamagra[/url]