Hospital and Surgical Reimbursement: Rules, Reality, and Risks

Reimbursement related to the professional services provided by PAs in hospitals can be complex and often misunderstood. This course is designed for PAs practicing in (or interested in) hospital-based and surgical specialties, and it will focus on coding and documentation guidelines, billing policies (e.g., direct payment, split/shared, "incident to," global surgery, etc.), and fraud and abuse.

Learning Objectives

At the conclusion of this activity, participants should be able to:

  • Describe key billing concepts (e.g., direct payment and split/shared billing)
  • Summarize coding, documentation, and billing guidelines
  • Recognize the implications of fraud and abuse