tci Part B Insider - 2014 Issue 27

Anesthesia Medical Direction: Work With Your Carrier to Define 'Short Duration' and Meet Criteria

Know whether extra services help or hurt your claim Your anesthesiologist is medically directing three cases when he’s asked to step out and assist with a service for another patient. Is he still able to report the initial cases as medically directed? Here’s how to decide. Count These ‘Extra Services’ Toward Medical Direction - If They’re Quick Determining whether cases can be coded as medically directed is challenging for almost every coder. Some coders blame the vague terms CMS chose for its seven rules for reporting medical direction. Then CMS muddied the waters even more...

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