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Assistant surgeon accounts processing in Medicare 011-43010160



This page contains information about how to process accounts/invoices for assistant surgeons.

On this page:

Process surgeon and assistant surgeon accounts/invoices where assistant surgeon bills patient directly

Process assistant surgeon accounts/invoices where assistant surgeon bills patient directly and the surgeons account/invoice has not yet been submitted

Process surgeon or assistant surgeon accounts/invoices where the surgeon bills on behalf of the assistant

Process surgeon and assistant surgeon accounts/invoices where assistant surgeon bills patient directly

Table 1: This table describes how to process an account/invoice for an assistant surgeon and surgeon where there is one surgeon and one assistant surgeon and the assistant surgeon bills the patient on a separate account/invoice.

Step

Action

1

Items for surgeon + Read more ...

Process items for surgeon.

2

Process items for assistant surgeon + Read more ...

Process items for assistant surgeon using details on assistant surgeon's account/invoice.

Message 3-ASSIST is displayed.

3

Key stroke + Read more ...

Key AST in RSN field on assistant’s item line and press [Enter].

If the account/invoice is unpaid the assistant’s benefit is paid to the assistant surgeon.

Process assistant surgeon accounts/invoices where assistant surgeon bills patient directly and the surgeons account/invoice has not yet been submitted

Table 2: This table describes how to process an account/invoice for an assistant surgeon when the surgeons account/invoice has not yet been submitted.

Step

Action

1

Process items for assistant surgeon + Read more ...

Process items for assistant surgeon.

The message 7- No SURG is displayed

The item being claimed cannot be automatically processed as there is no corresponding item on history.

2

Action warning message + Read more ...

Review and apply assessing restrictions by following warning messages.

Warning message must be actioned.

Further explanations can be viewed by placing the cursor at the beginning of the return message and pressing [F1].

Process surgeon or assistant surgeon accounts/invoices where the surgeon bills on behalf of the assistant

Table 3: This table describes how to process an account/invoice for an assistant surgeon where there is one surgeon and one assistant surgeon and the surgeon bills on behalf of the assistant (both on the same account/invoice).

Step

Action

1

Items for surgeon + Read more ...

Process items for surgeon.

2

Process items for assistant surgeon + Read more ...

Process items for assistant surgeon using details on surgeon's account/invoice.

Note: ensure that the assistant surgeon's provider number is used for the assistant items.

Message 3-ASSIST is displayed.

3

Key stroke + Read more ...

Key SRG in RSN: field on assistance item line and press [Enter].

If the account/invoice is unpaid the assistant’s benefit is paid to the surgeon.