Entities - Medical Providers: Assistant in Surgery
Understand Assistant Billing
Assistant is setup in Contact Management - Assistants
There are two ways to invoice for the assistant fee:
Invoicing where the Assistant is the Billing Entity. If transmitting this claim to Medicare/Health Fund, you must do this
Invoicing where the Surgeon is the Billing Entity and includes the Assistant Fee. Only for manual claims.
Assistant is the Billing Entity
Enter the Assistant details in Utilities - Entities
Select Can be an Assistant?
Ensure you add the Surgeon as a Referrer/Surgeon
Select the correct category (discipline) for the surgeon as on calculating the Assistant Item Code, if the Referrer is O&G, the correct Assistant Code (51306 or 51309) will be billed instead of the 51300 or 51303.
On invoicing, the Entity is the Assistant
Check the Assistant Box
The Zero Non Assistant Items button appears on the bottom right-hand side of the invoice above the Comments / Notes field
Enter the Surgeon's Item Codes and other relevant detail on the invoice
The correct Assistant Item Code appears and calculates the correct fee
Select Zero Non Assistant Items button to zero the values from the Surgeon's Items
If wanting to charge an OOP, select Charge OOP
You can now either transmit this electronically or print or email
If you just want to bill the assistant code without referencing the Surgeon’s item codes, just type the Assistant code on the invoice and enter the value in the Fee Column.
Surgeon is the Billing Entity
Medicare no longer accept an assistant and primary surgeon claim on the same invoice. These must be submitted separately.
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