Wash. Physician Assistant Billing Procedure

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How do physician assistants get paid in the State of Washington?

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Billing for physician assistant services will be paid at ninety 90% of the value listed in the fee schedules. Payment will be made directly to the supervising physician.

Itemization. Bills must be itemized on department or self-insurer forms, as the case may be, specifying: The date, type of service and the charges for each service.

Required numbers. The bill form must be completed in detail to include the claim number. All bills must be submitted under the physician assistant's account number. Bills will be accepted when signed by other than the practitioner rendering services. When bills are prepared by someone else, the responsibility for the completeness and accuracy of the description of services and charges rests with the supervising physician.

Deadlines. For a bill to be considered for payment, it must be received in the department or by the self-insurer within one year from the date each specific treatment or service was rendered or performed. Whenever possible, bills should be submitted monthly.

Closed claims. Bills cannot be paid for services rendered while a claim is closed.

Denials. The department or self-insurer may deny payment of bills for services rendered in violation of the medical aid rules or department policy. Workers may not be billed for services rendered in violation of these rules.

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