Demonstrating PA Value: Without Data, It's Just an Opinion
Saturday, May 17, 2025
10:30 AM – 11:30 AM
CE: 1.00 AAPA Category 1 CME
Quantifying a PA’s full range of contributions to a particular practice can be challenging due to Medicare’s “incident-to” and shared visit billing rules and state Medicaid and commercial payer policies which submit claims under the NPI of a physician instead of the PA. Practice management is unable to “see” the value of the PA when the PA is rendered invisible in claims data. This session will provide attendees with practical tips for accessing and tallying work relative value units (RVUs) and discuss tools PAs can use to demonstrate their financial contribution and contribution margin to their organizations. Strategies for using the electronic medical record reporting function will also be discussed.
Learning Objectives:
At the conclusion of this session, participants should be able to:
Access the Physician Fee Schedule to determine work RVUs and reimbursement rates using inpatient, outpatient, and ED CPT® codes
Calculate the PA’s financial contribution to the practice for "unbillable" work provided to surgical patients in the global period
Recognize that demonstrating value can positively impact the PA’s compensation and/or bonus structure, but negatively impact the physician/PA working relationship
