- Joined
- Apr 16, 2005
- Messages
- 255
- Reaction score
- 44
If an office wants to hire an anesthesiologist to do moderate-deep sedation for minor procedures below the neck:
1. what kind of regulatory requirements does the office have to satisfy before they can hire anesthesiologist to do this?
2. how should the anesthesiologist go about billing - by 15min increments? by case? how do they choose how much to charge?
a. if procedures covered by insurance
b. if procedures entirely "fee for service" (out of pocket - no insurance company involvement)
3. the office is willing to purchase necessary equipment and drugs (monitors including CO2, infusion pump, whatever airway stuff needed, IV stuff, etc)
a. OPA/NPA, laryngoscope, LMAs in case of emergency; ambu bag for ventilation good enough in case ventilation needed?
b. what anesthetics and emergent drugs would you have them stock? prop, midaz, fent, ketamine, phenylephrine, epi... vaso feels like definitely overkill but would make me feel safer somehow. would office have to get MH cart if they carry succ? or is that just an ASC rule? roc?
c. stock kits for emergency aline/central line?
4. does anesthesiologist have to let their insurance carrier know they'd be doing anesthesia at this location?
5. should anesthesiologist keep their own records (H&P, consent, intraop) or let the office hold onto these?
what other considerations are important?
1. what kind of regulatory requirements does the office have to satisfy before they can hire anesthesiologist to do this?
2. how should the anesthesiologist go about billing - by 15min increments? by case? how do they choose how much to charge?
a. if procedures covered by insurance
b. if procedures entirely "fee for service" (out of pocket - no insurance company involvement)
3. the office is willing to purchase necessary equipment and drugs (monitors including CO2, infusion pump, whatever airway stuff needed, IV stuff, etc)
a. OPA/NPA, laryngoscope, LMAs in case of emergency; ambu bag for ventilation good enough in case ventilation needed?
b. what anesthetics and emergent drugs would you have them stock? prop, midaz, fent, ketamine, phenylephrine, epi... vaso feels like definitely overkill but would make me feel safer somehow. would office have to get MH cart if they carry succ? or is that just an ASC rule? roc?
c. stock kits for emergency aline/central line?
4. does anesthesiologist have to let their insurance carrier know they'd be doing anesthesia at this location?
5. should anesthesiologist keep their own records (H&P, consent, intraop) or let the office hold onto these?
what other considerations are important?