Originally Posted by
datlas
We have to do our own billing and my understanding is that the vast majority of third party payors reimburse MD/DO the same as NP/PA. There are a few that reimburse them at 85% but I think that is when they are alone and not working "under" a physician. The whole thing is a dysfunctional scam IMHO.
Strange, here in NY I’m 99.99% positive that they have to be working under the supervision of a physician by law.
One of the primary reasons I never go to urgent care is that they’re typically staffed with NPs and PAs, I’d rather get a same day sick visit with my PCP, I get better care and it costs me less out of pocket.
Does your practice participate in any full risk models? I’ve seen family practice physicians making specialty surgery money under those models. It’s tough to get going and requires a pretty heavy up front investment in case management, but usually pays dividends. Who’s the big payer in your area? Highmark?