tci Part B Insider - 2014 Issue 6

Documentation: Meet All 7 Criteria Before Claiming Medical Direction

Plus: Know when exceptions might apply. Before appending modifiers QY (Medical direction of one certified registered nurse anesthetist [CRNA] by an anesthesiologist) or QK (Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals) to your anesthesiologist’s claim, verify that he or she meets all seven criteria  necessity. Also know that certain services can be performed without interrupting medical direction, keeping your reimbursement at a higher level. The seven criteria for claiming medical direction are: Perform a pre-anesthesia evaluation Prescribe an anesthesia plan Personally participate in the key components of the case, including procedures as...

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