• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki medicare and anesthesia concurrency

Create Wiki
K

khill

Contributor
Messages
10
Location
Lexington, SC
Best answers
0
I'm wondering if anyone can tell me the proper way to bill for an anesthesiologist who runs over 4 concurrent cases when it comes to billing medicare. Is the charge then given to the crna? Or is it charged normally at a reduced billing rate?
 
More than 4 concurrent cases becomes "medical supervision". See below excerpt from the Medicare Provider Manual. I have attached the link for full information. See Section 50.

D. Payment at Medically Supervised Rate
Carriers may allow only three base units per procedure when the anesthesiologist is involved in furnishing more than four procedures concurrently or is performing other services while directing the concurrent procedures. An additional time unit may be recognized if the physician can document he or she was present at induction

http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf

Julie, CPC
 
You must log in or register to reply here.
Top