tci Medicare Compliance & Reimbursement - 2007 Issue 21

ANESTHESIOLOGISTS: Don't Cast Away Cast-Application Money

Gain an extra 5 anesthesia units by noting catheter placement.Are you reporting all the services your physician is performing? If not, you could be jeopardizing the extra revenue your practice needs.For example, many coders fail to bill for ultrasound guidance associated with 36556 (Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older), says Scott Groudine, professor of anesthesiology with Albany Medical Center in Albany, NY. The American Society for Anesthesiology (ASA) assigns four units of value to that procedure in its Relative Value Guide, but the physician should document the need for ultrasound...

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