Medscape August 13, 2024
Kayt Sukel

When the Centers for Medicare & Medicaid Services announced it would implement direct payment to physician associates (PAs) as part of its 2022 Physician Fee schedule, many PAs rejoiced.

Sondra DePalma, DHSc, PA-C, vice president of Reimbursement and Professional Practice at the American Academy of Physician Associates (AAPA), said that prior to that ruling, Medicare allowed nearly every type of healthcare professional to directly bill and receive reimbursement for services — including nurse practitioners and physical therapists. PAs, she said, were the “notable exception.”

“Medicare often sets the gold standard for payment within healthcare — and it’s often followed by Medicaid programs and commercial payers,” she explained. “That change was important to the PA community, particularly for PAs who want...

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