Vicki Posted Thu 23rd of February, 2017 08:53:09 AM
For OBA (office based anesthesia), anesthesia performed in POS 11. The Anesthesiologist has an RN (employed by the Anesthesiologist) after the surgery,monitor the patient in recovery while the Anesthesiologist begins another case, is that considered overlap or can the Anesthesiologist bill for the time that the RN is recovering the patient since the patient has not been turned over to the office staff, the anesthesiologist is still responsible for that patient.
SuperCoder Answered Mon 27th of February, 2017 08:42:56 AM
As per documentation above Anesthesiologist can bill for the time that the RN is recovering the patient. As:
- Anesthesiologist is in constant attendance since the patient has not been turned over to the office staff.
- The anesthesiologist physical presence is there and patient is still under observation of anesthesiologist. Hope it helps.
Vicki Posted Fri 03rd of March, 2017 13:12:38 PM
But can he start another case even though the time will overlap?
SuperCoder Answered Mon 06th of March, 2017 14:17:09 PM
It is correct that an individual providing anesthesia care cannot be providing direct care to two patients at the same time.
However, it is not correct that time starts when the drug is introduced. Time starts when the anesthesiologist (or CRNA) begins preparing the patient for anesthesia. This might include a quick exam immediately before induction, placement of an IV for drug delivery, etc. If the anesthesiologist (or CRNA) prepares the patient and then leaves the patient to care for another patient, there is a break in anesthesia time but that doesn’t mean that the preparation time cannot be counted toward the total time of the case. Similarly, anesthesia time will stop only when patient is handed over to office staff, or PACU in facality setting. o he can start with another patient. Thank you.