tci Medicare Compliance & Reimbursement - 2010 Issue 12

Reader Question: No Way Around Carrier's Standby Policy

Question: One of our anesthesiologists monitored a patient's vital signs during excision of a tumor from the patient's back. The monitoring was done from 7:47 p.m. to 8:07 p.m. The surgeon, not our anesthesiologist, was the one who administered the anesthetic at 7:48. The patient's carrier (NGS Medicare) does not allow billing for standby services. Is there any way to be reimbursed for the anesthesiologist's time?Answer: In the situation as you describe it, the anesthesiologist is not actively participating in the case, so unfortunately there is no reasonable claim that can be made for this time...

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