CMA Today Referenced in Part B News

As many readers of this blog know, I write at length about legal issues affecting the medical assisting profession in each issue of CMA Today, the official publication of the American Association of Medical Assistants. Recently, one of those articles was referenced in a question-and-answer piece in Part B News. (Note: Subscription required.)

The write-up discusses CPT code 69209 (Removal of cerumen using irrigation/lavage) and whether the procedure can be billed if a medical assistant performs it. The author notes several important considerations—for example, the differences in state law and the vagaries of some CPT language—in addition to discussing the CPT definition of “clinical staff” as it relates to medical assistants. Ultimately, the author states the following:

In aggregate, when it comes to medical assistants being eligible to perform services incident to a physician, the answer is “generally yes,” according to recent guidance from the American Association of Medical Assistants (AAMA).

The language the author cited was from my article “‘Incident-to’ billing: Medical assistants’ services under the Medicare CCM program,” which can be found on the AAMA website.

About Donald A. Balasa

Donald A. Balasa, JD, MBA, chief executive officer and legal counsel for the American Association of Medical Assistants, keeps his eye on what is happening in the profession.
This entry was posted in CPT, CPT codes, delegation, Eligible Professionals, On the Job, Scope of Practice and tagged , , , , , . Bookmark the permalink.

2 Responses to CMA Today Referenced in Part B News

  1. Arlene Wivell-Kozar says:

    Dr. Balasa,
    Your expertise is greatly appreciated and much needed. I enjoyed reading your article “‘Incident-to’ billing: Medical assistants’ services under the Medicare CCM program”. I’m wondering if you will be writing anything specific to medical assistants (MA) and specific non-face-to-face services they can perform under Medicare’s TCM program? For example, can a MA (who practices in Pennsylvania) perform the required initial interactive contact that falls under TCM?

    • You are welcome and thank you for your kind words. Your question is actually a scope of practice question under Pennsylvania law. I will send my legal opinion letter for Pennsylvania and other pertinent documents to your e-mail address. This information should provide you direction.

      Donald A. Balasa, JD, MBA
      Chief Executive Officer, Legal Counsel
      American Association of Medical Assistants
      Ph: 800/228-2262 | Fax: 312/899-1259 | http://www.aama-ntl.org
      The CMA (AAMA): Health Care’s Most Versatile Professional®

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