I was very surprised to come across this post because I myself have been working on the same thing. Here is some good info for you: when another person other than the physician performing the therapeutic or diagnostic procedure administers the conscious sedation, it can be an anesthesiologist, resident, fellow, nurse anesthetist or even an RN. If a RN can administer it, I am sure a NP can too. As far as RVU...I was told to charge 1 unit or $100, whichever is higher. So for instance, if your office charges $110 per unit, charge that. If your office charges $80 per unit, go up to $100. Only an anesthesiologist can perform "MAC". Basically, a surgeon's way of billing "MAC" is by billing conscious sedation. They are very similar but "MAC" I believe is a little more involved. So because a surgeon cannot bill for "MAC", their way of billing it is by billing conscious sedation. Does this make sense? I hope all this helps. Oh, and another thing.. be careful of the medicines the physician uses. RNs and NPs are not qualified to administer Propofol. It is such a powerful drug that only anesthesiologists are qualified to administer. Versed is the drug most physicians use for conscious sedation.
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