tci Medicare Compliance & Reimbursement - 2007 Issue 12

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

Plus: Why most seniors aren't seeking generic alternatives.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. Your Older Patients Aren't Talking...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.