decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Monitered Anesthesia Care / Documenting Monitored Anesthesia
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Article Overview
This brief article explains the documentation expectations associated with monitored anesthesia care in a Medicare context. It is aimed at billing and coding staff, anesthesiologists, and CRNAs who need to understand what information should be available when records are requested and what broad documentation elements are commonly noted.
Why This Topic Matters
Proper documentation helps support the medical record for anesthesia services and can affect how requests from Medicare carriers are answered. The article is relevant for practices that want to understand the general documentation focus for monitored anesthesia care without relying on the full premium text.
What You Will Learn
- The general documentation expectations for monitored anesthesia care
- What kinds of information may be needed in response to a Medicare carrier request
- Why anesthesia service records should be readily available
- The broader role of documentation in supporting medical necessity
Who Should Read This
- Anesthesiologists
- CRNAs
- Medical coders
- Billing staff
- Revenue cycle staff
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