CMS Requires Surgeon to Document Reason for Post-op Pain Block

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turnupthevapor

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Curious how Y'all are accommodating CMS with this request? Are you having them right an order? Put it in their dictation?, etc?

thanks peeps



CMS Requires Surgeon to Document Reason for Post-op Pain Block


Chapter 2 of the National Correct Coding Initiative states, “Postoperative pain management services are generally provided by the surgeon who is reimbursed under a global payment policy related to the procedure and shall not be reported by the anesthesia practitioner unless separate, medically necessary services are required that cannot be rendered by the surgeon. The surgeon is responsible to document in the medical record the reason care is being referred to the anesthesia practitioner.”

"it is the responsibility of the surgeon to document in the medical record the reason that he has referred to an anesthesiologist for assistance with postoperative pain management."

Of course, this is utter nonsense since it assumes the anesthesiologists are either incompetent and can't make that determination themselves, or alternatively, that they will defraud the government by ordering blocks where they are not medically necessary, neither of which is true.
 
We tell pacu nurses to put in a nursing communication order from the surgeon. Agreed, this is preposterous
 
Nothing new. Been doing this for years.
 
Us too. We write a note documenting that the surgeon requested the block and utilized our "unique expertise" and have the surgeon co-sign it.


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As soon as I hear someone utter the word "Y'all" I immediately think their intelligence is low.
 
As soon as I hear someone utter the word "Y'all" I immediately think their intelligence is low.

I'm hoping this comment was a joke but it's pretty offensive and ignorant to suggest all Southern people and African Americans are less intelligent because of their vernacular.
 
nothing wrong with yall. in my current area, people use "guys" instead.

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Y’all is a contraction of you-all which is how I meant it. Consigliere I am sorry you assume I am stupid guess that just speaks volumes about you. Thanks to all that replied in a helpful manner. Thanks!
 
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