lotsofquestions Posted June 12 Share Posted June 12 I am looking for some insight into surgical first assist for an OBGYN private practice. For background information, I am currently paid a relatively low based salary and the remaining of my income comes based off of a percentage of the revenue/collections I bring into the clinic. I am going to start having one OR day first assisting my SP. We are about to discuss compensation, but since I will only be doing 1 OR day (maybe 2), I am wondering if it would be better to set a straight fee per case with my SP or just be paid based off insurance reimbursement. I am new to the OR and have attempted to do some research on the matter, but it has been difficult. Could anyone provide me some insight on payment as a first assist? I am wanting to make it worth my time if I am going to be giving up a clinic day. Thank you! Quote Link to comment Share on other sites More sharing options...
Moderator ventana Posted June 20 Moderator Share Posted June 20 Issue is rather the insurance cover FA services. only scrub in on ones you get paid. 1 Quote Link to comment Share on other sites More sharing options...
CornellSPA Posted June 25 Share Posted June 25 Ask your billing department --there are THREE possible options 1. Classic first assistant modifier (AS) billed to surgeons code (where a PA functions as first assist- PA bills at 13.6% of MD surgeon rate --85% of MD FA rate)--advantage is you can clearly track how much you BILL and later BRING IN! For example appendectomy- noncomplicated (CPT code 44950), the facility-only reimbursement is $664, surgeon bills 500-100 based on zip code- you bill $136. 2. "Bundled service" The surgeon is given a 'set fee' for a diagnosis (appendicitis, hysterectomy, etc) and there is no additional payment for a FA --the advantage here is Surgeons w PAs 'do more bundles' lots of data on aapa & aaspa websites 3. Insurance does not recognize any assistant- no payments, so your arguments would be based on #2 1 Quote Link to comment Share on other sites More sharing options...
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