College responds to Medicare physician payment issues. Part III: Assistants at surgery and physician participation in Medicare.
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This final rule implements section 9307 of Pub. L. 99-272, the Consolidated Omnibus Budget Reconciliation Act of 1985, as amended by section 1895(b)(16) of Pub. L. 99-514, the Tax Reform Act of 1986, by providing the imposition of civil monetary penalties (CMPs) and exclusions against physicians billing the Medicare program or program beneficiaries for services of an assistant at surgery for cataract operations where prior approval has not been granted. The purpose of these regulations is to strengthen existing OIG penalty and exclusion authorities, and to prevent specific abusive and fraudulent practices against the Medicare program with regard to the use of assistants at surgery where not medically necessary.
While PAs, surgical PAs, and SAs share many of the same characteristics, their two representative organizations, the American Academy of Physician Assistants (AAPA) and the American academy of Surgeon's Assistants (AASA), still remain separate entities. SAs originated in the mid-1960s, soon after the first PAs began to practice, yet they initially faced difficulties being accepted by the AAPA, the NCCPA, and the medical community in general. In recent years, however, the AASA and the AAPA have drawn more closely together, sharing and working for many of the same goals. In addition, now that SAs are eligible for NCCPA certification, which was originally denied them until 1976, they have a greater opportunity to become accepted members of the medical profession. The history of the AASA and the SA profession are discussed, as well as the AASA's growing alliance with the AAPA, the differences between the two groups, and their similarities.
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