Billing Question

Hello fellow PAs!

I am new to WV, relocated from KY. I am in the process of job searching and I have a question.

I’m considering taking a position in an urgent care. I asked about thier billing practices. The office manager has told me that my services will be billed under the physician because I cannot be credentialed with Medicaid in this state. Even when I ask about private insurance she says they will bill under the physician. She explained to me that as long as the physician is within 25miles of the clinic, it is within the law to bill this way.

I thought that our services couldn’t be billed under the physician unless the physician also sees the patient, period. Am I wrong? I want to make sure I'm doing the lawful thing, whatever that is.

Please help. Thanks!



West Virginia Association of Physician Assistants

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