Episode 4: Now You Are in Practice: Show Us the Money (or Pay a PA)
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Episode 4: Now You Are in Practice: Show Us the Money (or Pay a PA)
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About this listen
Understanding how PAs get paid is crucial for new graduates entering practice. From documentation and billing to payer enrollment and reimbursement rates, these financial aspects of PA practice can feel overwhelming — but they don’t have to be. In this episode, we’re joined by Sondra DePalma, DHSc, PA-C, DFAAPA, an expert in healthcare policy, reimbursement, and PA practice. Dr. DePalma shares insights on how new PAs can master documentation, navigate payer enrollment, understand the infamous “85% rule,” and advocate for their full value in healthcare. Tune in to learn how smart reimbursement strategies can shape your career and financial future.
Dr. DePalma is the Vice President of Reimbursement and Professional Practice at AAPA. With over 20 years of experience in healthcare policy, reimbursement, and PA practice, she has served in leadership roles, including Assistant Director of Advanced Practice at Penn State Health. Dr. DePalma has practiced cardiology for nearly two decades and is also an adjunct professor at A.T. Still University.
Resources:
- Learning Central: claim your CME for this episode. https://cme.aapa.org/
- Reimbursement: https://www.aapa.org/advocacy-central/reimbursement/
- Essential Guide to PA Reimbursement: https://www.aapa.org/shop/essential-guide-pa-reimbursement/
- Electronic Health Records/ EHR Toolkit: https://www.aapa.org/advocacy-central/reimbursement/ehr-toolkit/
- PA Productivity: https://www.aapa.org/advocacy-central/reimbursement/pa-productivity/
- (00:00:00) - Ready Set Insight for New PAs
- (00:01:12) - An advocate for PA patients
- (00:02:46) - Billing and Payment Coverage, Documentation
- (00:05:01) - Billing and Coding Basics
- (00:10:34) - Physicians Billing and Reimbursement
- (00:11:25) - PAS-Reimbursement Rate
- (00:14:00) - What is Value Based Payment and Fee for Service for PAs?
- (00:15:42) - PAs on Value-based Care
- (00:16:38) - New PAs: How to Document effectively and get reimbursed
- (00:19:12) - Employment Agreements and Complaint
- (00:21:53) - Primary Care Physician: Compliance and Accountability
- (00:24:55) - Top Pa's Advice for Starting Your Career
- (00:25:54) - Ready, Set Practice