Practice Requirements Can a new graduate who has a temporary license still practice as a PA if they failed the board certification exam? Can a retired PA with a lapsed license volunteer for patient care? Does a PA need a co-signature for orders or charts? Does a PA need to be certified to practice? Does a physician assistant need have their supervising physician on-site to practice? How many PAs is a physician allowed to supervise? Who can supervise a physician assistant? What are the requirements and documentation necessary for a practicing PA and the supervising physician? Scope-of-Practice Issues Can a PA order restraints and/or seclusion? Can a PA perform an abortion? Can a PA perform x-rays, ultrasound and other imaging procedures? Can a PA pronounce death? Sign a Death Certificate? Can a PA treat conditions related to the eye? Can a salaried PA be compensated for overtime when working beyond their agreed-upon hours? In a hospital or other institution where physicians and PAs have different shifts or if a PA is working in multiple private practices, who would be the PA’s supervising physician? In the above answer you said “most specialties”. Are there some exceptions? Is there any general statement in law about a PA’s scope-of-practice? What if a PA is between jobs, semi-retired or retired, etc. and has no supervisor, how should a renewal forms be filled out? Can a PA perform Physical Therapy? Make patient referrals to physical therapy? Controlled Substances Are there any restrictions for PAs ordering and administering controlled substances? Are there any restrictions on prescribing these drugs? Can a PA dispense controlled substances? Can a Physician Assistant prescribe controlled substances? Does a PA need to register with a federal or state agency to prescribe controlled substances? If a PA suspects that a new patient is “shopping around” for controlled substances, can a PA find out what prescriptions that patient has filled? What information do I need on the scripts I write? Michigan PAs Now Required to Register With DEA Change in DEA Registration Requirements Q&A Q: I work as a PA in the ER, can I write a prescription for Schedule II medications without a physician co-signature? Reimbursement Certain auto groups recognize physician assistant services BCBS of Michigan Reimbursement Policies on Mid-Level Providers Can a PA do consults for Medicare patients? Can a PA perform Osteopathic Manipulative Therapy? Can PAs prescribe wheelchairs and other medical equipment? Do PAs get reimbursed for the procedures they do for an inpatient? Does Medicare and Blue Cross Blue Shield of Michigan reimburse PAs for outpatient services? How do I sign up for a Medicare? Can the PA perform a procedure in the office (e.g. flexible sigmoidoscopy, skin lesion biopsy, colposcopy) and bill it under the “incident to” provision? I have a PA that practices in my office without me being present. I am available by phone and review all charts. Other than for Medicare is this acceptable? How does Medicare differ? I’ve heard that Aetna will now reimburse for PAs providing surgical first assistant (TSA) services - are there other third party payers that will also reimburse for these services? My administrator tells me PAs can no longer see new patients/ perform procedures/do consults/ bill for services, etc. What do I do? The PA sees an inpatient (admission, consult or subsequent day) and then performs or supervises a diagnostic test - can both be billed on the same date? Third Party Reimbursement for Physician Assistants in Michigan What is the law regarding PA billing for inpatient and outpatient procedures such as ultrasound guided paracentesis, thoracentesis, various kidney & liver biopsies, vascular access for PICC line placement, "port" insertions, fluoroscopic guided lumbar pun What is the status of reimbursement for surgical first assisting for PA's and Blue Cross? I heard that the launch date of 1/1/07 was delayed. What procedures require a first assistant?