decisionhealth Newsletters, Answer Books - 2009 Issue 9 (September)
Medical Direction-Supervision Reimbursement / Medicare Reimbursements for Anesthesia Care Teams
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Article Overview
This article discusses Medicare reimbursement for anesthesia care teams when an anesthesiologist medically directs CRNAs and/or AAs. It explains the general payment structure, participating versus nonparticipating physician reimbursement, and how services may be reported on claims for medically directed anesthesia care. The content is aimed at anesthesia billing and coding professionals who need a high-level understanding of Medicare payment handling for these services.
Why This Topic Matters
Correctly understanding anesthesia care team reimbursement affects claim submission, payment allocation, and coordination between anesthesiologists, CRNAs, AAs, hospitals, and other billing entities.
What You Will Learn
- How Medicare reimbursement is structured for anesthesia care teams
- What broad factors affect payment when an anesthesiologist medically directs anesthesia services
- How participating and nonparticipating physician status relates to reimbursement
- How claim reporting is described for medically directed anesthesia services
Who Should Read This
- Anesthesia coders
- Medical billing staff
- Revenue cycle professionals
- Anesthesiologists
- CRNAs
- AAs
Modifiers Discussed
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