5 Star Billing Services delivers precision-driven physician assistant billing by combining certified coding expertise with advanced AI-powered claim validation and denial prevention. Our intelligent workflows proactively identify documentation gaps, optimize CPT and E/M coding accuracy, and accelerate clean claim submissions—reducing revenue leakage at every stage. With payer-specific compliance controls and real-time performance insights, we help PA-led practices improve cash flow, minimize administrative burden, and achieve consistent, scalable reimbursement outcomes with confidence.
Unique billing rules, reimbursement structures, and compliance requirements demand specialized expertise—not generic medical billing.
Physician Assistant services may be billed under the PA’s NPI or the supervising physician’s NPI, depending on payer policy, place of service, and level of physician involvement—directly impacting reimbursement rates.
Medicare reimburses Physician Assistant services at 85% of the Physician Fee Schedule when billed under the PA NPI, requiring strategic billing decisions to avoid revenue loss.
Shared visit billing requires clear documentation of both the PA’s and physician’s contributions, with payer-specific rules that differ across inpatient, outpatient, and hospital settings.
Incorrect or missing modifiers (such as those indicating shared services or supervising provider involvement) can trigger denials, downcoding, or post-payment audits.
Claims will deny automatically if PA credentialing, enrollment, or supervising physician linkage is incomplete or misaligned across payers and facilities.
Commercial payers apply different PA billing policies than Medicare, making one-size-fits-all billing approaches ineffective and financially risky.
Given this complexity, many Physician Assistant turn to billing specialists to protect their revenue and reduce administrative burden.
From claim submission to payment posting, handled with PA billing precision.
Every claim is reviewed for correct PA NPI usage, supervising physician linkage, place-of-service rules, and payer-specific billing requirements to prevent rejections at submission.
Our certified coders apply PA-appropriate CPT, HCPCS, and E/M levels based on documented medical decision-making and time, ensuring compliant reimbursement.
We align PA billing with Medicare guidelines and individual commercial payer policies, including reimbursement limitations and coverage rules.
Denied PA claims are analyzed for root causes such as NPI errors, modifier issues, or documentation gaps, then corrected and resubmitted efficiently.
We verify active PA credentialing, payer enrollment status, and supervising provider associations to prevent eligibility-related denials.
All PA payments are accurately posted, underpayments are identified, and discrepancies are addressed to ensure correct reimbursement capture.
Holmes Chiropractic
5 Star Billing Services applies PA-specific billing workflows that account for NPI usage, supervising physician requirements, place-of-service rules, and payer reimbursement policies to ensure claims are submitted accurately and compliantly.
Yes. We handle Physician Assistant billing across Medicare and commercial payers, aligning each claim with the appropriate payer guidelines, reimbursement limits, and documentation requirements.
Our team reviews PA claims for common denial triggers such as incorrect NPI billing, missing supervision details, modifier errors, and eligibility issues before submission, reducing preventable denials.
Yes. We verify active PA credentialing, payer enrollment status, and supervising provider associations to help prevent claim rejections related to eligibility or enrollment gaps.
Practices receive clear reporting on claim status, payments, denials, and reimbursement trends related specifically to PA services, enabling informed financial and operational decisions.
Reduce errors, improve turnaround times, and maintain payer compliance.
Specialized PA billing experts ensure correct NPI usage, CPT/E/M coding, and payer alignment—reducing errors that lead to denials or underpayments.
Outsourced billing teams submit clean PA claims quickly and consistently, helping shorten reimbursement cycles and improve cash flow.
PA-specific claim reviews identify common billing issues upfront, minimizing resubmissions and administrative follow-ups.
Outsourcing ensures PA billing stays aligned with Medicare and commercial payer rules, even as policies change.
External billing support eliminates the need to train, manage, or scale in-house billing staff for PA-specific requirements.
Accurate payment posting and reconciliation provide a reliable view of PA billing performance and reimbursement trends.
Join hundreds of healthcare providers who trust us to handle their medical billing with precision and care.
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optimize your revenue cycle. Reach out today for a free consultation.
+1-480-999-0180
info@drbillingservice.com
2150 W Cheyenne Dr, Chandler, AZ 85224, United States
Open 24 hours