tci Part B Insider - 2007 Issue 8

Two At A Time Doesn't Count As 'Continuous,' Court Rules

An anesthesiologist who routinely billed for sedation and nerve-block services for two patients at the same time violated the -continuous presence- requirement of the anesthesia codes, ruled the U.S. District Court for New Jersey. That decision came in response to anesthesiologist Kenneth Zahl-s appeal of an Administrative Law Judge (ALJ) ruling that he owed thousands to Medicare. Anesthesiologists in Zahl's practice would supervise two patients at once--one received sedation and nerve block in the pre-operative area; the other received these services in the operating room. ...

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