3 Resources for Understanding PA Billing and Compliance

Guides Updated Annually (and Free to AAPA Members!)

April 2, 2024

By Sondra DePalma and Stephanie Radix

The Essential Guide to PA Reimbursement, Guide to PA Regulations, Compliance, and Professional Practice, and PA Laws and Regulations are updated annually and available free of charge to AAPA members.

In this ever-changing healthcare environment, understanding PA billing and compliance is crucial to maximize appropriate collections, demonstrate PA value, and avoid regulatory and accrediting violations.

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The Essential Guide to PA Reimbursement provides PAs and other stakeholders with a detailed summary and explanation of the critical aspects of coverage and policies related to reimbursement for the medical and surgical services provided by PAs. The book contains nearly 100 pages of description, analysis, and implications of reimbursement policy affecting PAs in all settings. It also provides a glossary of reimbursement terms and references to regulatory guidelines governing PA reimbursement. The 2024 edition has important updates, including the current Medicare policy for split (or shared) billing and new payment for opportunities for patient assistance in addressing social determinants of health, caregiver training, and other care management.

The 2024 Essential Guide to PA Reimbursement includes information on:

• Medicare (including “incident-to” and split [or shared] billing policies)
• Medicaid
• Commercial payers
• Telehealth
• The Quality Payment Program
• Electronic health records
• And much more!

The Guide to PA Regulations, Compliance, and Professional Practice includes over 100 pages of information and resources. The book is a definitive guide to PA practice, policy, and compliance considerations, including text and analysis of Medicare’s Conditions of Participation and The Joint Commission accreditation standards. Information contained in the book can be used to ensure compliance, promote optimal utilization of PAs, and eliminate perceived barriers to PA practice.

The Guide to PA Regulations, Compliance, and Professional Practice includes information on:

• PA education and training
• PA certification and licensure
• Credentialing and privileging
• PA value and contribution
• PA competencies
• Regulations and accreditation standards for hospital-based and surgical PAs
• Medical staff governance and the inclusion of PAs

The 2024 PA Laws and Regulations contains a wide-ranging compilation of key provisions in PA laws and regulations, including the 50 states, the District of Columbia, and the U.S. territories. This resource depicts general requirements for PA licensure and other aspects of PA laws and regulations including:

• Scope of Practice
• Collaboration/Supervision
• Prescriptive Authority
• CME/Renewal Requirements
• PA Title/Practice Protection
• Identification
• Fee/Renewal Schedule

The books are perfect for practicing PAs, PA leaders, administrators, employers, educators, billers and coders, and others in healthcare!

The 2024 edition of PA Laws and Regulations is available to AAPA members for $100 and $250 for non-members. AAPA members have FREE, complimentary access to individual state law and territorial profiles in PDF format.

Contact [email protected] for more information.

Stephanie Radix, JD, is the Senior Director of State Policy at AAPA.

The Essential Guide to PA Reimbursement and the Guide to PA Regulations, Compliance, and Professional Practice are available in PDF format FREE to AAPA members and $50 per publication for non-members.

Contact [email protected] for more information.

Sondra DePalma, DHSc, PA-C, DFAAPA, is the Senior Director of Regulatory & Professional Practice at AAPA.

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