Hi,
In my new location and state, the ASC requires me to have a "comprehensive H&P" on record within 30days of doing all procedures. In most cases, this is not an issue, we do the procedure within 30 days of the H&P.
The issue is for procedures like SIJ injections that utilize steroid. Often times a patient has excellent relief for the duration of the anesthetic, but only partial relief with the steroid. I am used to scheduling them for a second procedure two weeks after the first injection routinely, without an office f/u in between.
The time frame when the second SIJ injection is scheduled can run over the alotted 30days since the last H&P. In my new environment, new to practicing in an ASC, and new to the state of Maine, if I go over the 30 day mark, it's required of me to do a new "comprehensive H&P", according to the ASC's citation of the medicare guidelines.
Do you practice with such a requirement? How do you fulfill the requirement to have an H&P within 30days for procedures? What is your standard? Assume its for a procedure that only uses local.
Thanks,
In my new location and state, the ASC requires me to have a "comprehensive H&P" on record within 30days of doing all procedures. In most cases, this is not an issue, we do the procedure within 30 days of the H&P.
The issue is for procedures like SIJ injections that utilize steroid. Often times a patient has excellent relief for the duration of the anesthetic, but only partial relief with the steroid. I am used to scheduling them for a second procedure two weeks after the first injection routinely, without an office f/u in between.
The time frame when the second SIJ injection is scheduled can run over the alotted 30days since the last H&P. In my new environment, new to practicing in an ASC, and new to the state of Maine, if I go over the 30 day mark, it's required of me to do a new "comprehensive H&P", according to the ASC's citation of the medicare guidelines.
Do you practice with such a requirement? How do you fulfill the requirement to have an H&P within 30days for procedures? What is your standard? Assume its for a procedure that only uses local.
Thanks,
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