I would think that your facility/facilities can clarify this for you. They have to meet the CMS documentation guidlines therefore they pass those requirements onto the providers that they have issued privileges to practice within their facility. We re-vamped our anesthesia forms a couple years ago and had to go through a "Forms Committee" at the facility for approval as the anesthesia records are part of the permanent hospital medical record.
It would be necessary to complete a pre-anesthesia and intra-operative record, at a minimum, in order to meet the requirements for base units and capture information necessary for billing. As far as the post-op note, documentation of an anesthesia postop round is required by Joint Commission for accreditation. I have attached the CMS guidelines....page 341 has some minimum documentation requirements.
So I don't have a definite answer but, I hope, at least pointed you in the right direction.
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