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Tue Dec 18 16:52:11 GMT 2007

In a message dated 18-Dec-07 10:40:46 Central Standard Time,  
Lorick at Lorick.org writes:

That is a fairly unusual requirement in this day and age.
In fact, I  didn't think any State still required that.
Louisiana does not nor does  Missouri (although it does have rather 
restrictive language) require the  physician to be present.

Interesting...this has changed in the last three years then, as I know of  
two docs who lost their licenses over allowing their PAs to work that  
independently in Louisiana prior to 2005.

Admittedly, those docs also lost their Care/Caid status for improper  billing 
(doc rates instead of PA rates), but IIRC, the write up in the BME  
newsletter was for 'improper supervision.'

And in areas where there have been PAs here in MO, I've had to read and  sign 
some pretty restrictive contracts to supervise group PAs, but that could be  
either hospital or billing restrictions as well.

ck
Charles S. Krin, DO FAAFP

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