Signing a CRNA’s insurance application

Greenbayslacker

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Hi team, I am an MD with a new anesthesia job that I haven’t started yet. I was contacted by my new employer to see if I would sign a new CRNA’s insurance application as a supervision physician.
Is this something I should do for them? What does this mean for the future, would I be liable for this CRNA even if they are not under my supervision? What would be the reason to ask me, a new grad, rather than one of the more senior attendings already there?

I have attached the part they asked me to sign, thank you for your input!
 

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deleted171991

Hi team, I am an MD with a new anesthesia job that I haven’t started yet. I was contacted by my new employer to see if I would sign a new CRNA’s insurance application as a supervision physician.
Is this something I should do for them? What does this mean for the future, would I be liable for this CRNA even if they are not under my supervision? What would be the reason to ask me, a new grad, rather than one of the more senior attendings already there?

I have attached the part they asked me to sign, thank you for your input!
Have your employer sign it, as the form requires.You are not the primary employer of that CRNA. You cannot certify how the CRNA will work without committing fraud.

Anyway, HUGE red flag for your employer. If you have another job offer, take it.
 
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BIGphysician

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Hi team, I am an MD with a new anesthesia job that I haven’t started yet. I was contacted by my new employer to see if I would sign a new CRNA’s insurance application as a supervision physician.
Is this something I should do for them? What does this mean for the future, would I be liable for this CRNA even if they are not under my supervision? What would be the reason to ask me, a new grad, rather than one of the more senior attendings already there?

I have attached the part they asked me to sign, thank you for your input!

Sounds like things might not start off on the right foot if you don’t. That being said, never heard of such a thing. You commonly sign something for CMS billing I think but I’ve never signed any insurance premium documents. That’s something the more senior members should be dealing with id imagine? Or if everyone signs it, would make me personally feel better if my name was at the bottom of list of colleagues. Am I wrong?


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marr65

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A more general question, are these forms normal for supervision practices? Have others who supervise signed similar forms?

I supervised for one year at an academic place and never saw anything similar.

I have a feeling that what the OP is showing us is the CRNA’s malpractice insurance application. My own insurance company asked max supervision ratio and if I’m doing my own cases while supervising before insuring me. Guessing that insurance companies have seen shenanigans related to supervision ratio, who is supervising who and if there is an actual anesthesiologist in house. This is a great way to boogie out of a lawsuit by the insurance company if the CRNA practiced independently, was supervised by a surgeon or in a 1:20 supervision ratio practice. Regardless, the OP doesn’t/shouldn’t sign this and I’m worried that the owner is trying to set up the OP as a fall guy.
 
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Greenbayslacker

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I have a feeling that what the OP is showing us is the CRNA’s malpractice insurance application.

That's correct. I have asked them for more clarification regarding the issues everyone here has brought up. I would also feel more comfortable if more senior faculty were involved rather than myself.
 
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marr65

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That's correct. I have asked them for more clarification regarding the issues everyone here has brought up. I would also feel more comfortable if more senior faculty were involved rather than myself.

I have signed attestation in supervision practice regarding adequately supervising Crnas before but never for their malpractice insurance application. It’s odd for sure. Since you aren’t starting there yet technically you aren’t their supervising physician; hence, you can’t sign the document. Your signature at this point just means you committed fraud and that can come back to you in the future.
 
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jwk

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I have to say I haven't seen anything like that before. It's a little strange to have to do that for individuals. Our policy is a blanket policy for our entire group. I have no doubt it has language in it pertaining to medical direction. What's interesting about this particular document is that it gives a max ratio of 1:3, even tighter than the CMS regulations specifying to higher than 1:4.
 
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chocomorsel

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I have to say I haven't seen anything like that before. It's a little strange to have to do that for individuals. Our policy is a blanket policy for our entire group. I have no doubt it has language in it pertaining to medical direction. What's interesting about this particular document is that it gives a max ratio of 1:3, even tighter than the CMS regulations specifying to higher than 1:4.
1:3 is much better than 1:4 running around like a chicken w my head cut off can’t remember a damn thing of what’s going on in each OR BS.
 

Greenbayslacker

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1:3 is much better than 1:4 running around like a chicken w my head cut off can’t remember a damn thing of what’s going on in each OR BS.

I actually took this job because it is mostly doing my own cases. Adding a few CRNAs is good for my overall supervision skill set but I still wouldn't want to do 1:4 or even 1:3
 
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ProRealDoc

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Hi team, I am an MD with a new anesthesia job that I haven’t started yet. I was contacted by my new employer to see if I would sign a new CRNA’s insurance application as a supervision physician.
Is this something I should do for them? What does this mean for the future, would I be liable for this CRNA even if they are not under my supervision? What would be the reason to ask me, a new grad, rather than one of the more senior attendings already there?

I have attached the part they asked me to sign, thank you for your input!


I'd find out what my new boss' name is and sign his name :laugh:
 
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IMGASMD

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Learning how to be useless, mastering how not to piss off CRNAs, fixing messes that you didn't cause, among others :rofl: :shifty:

You forgot, if they aren’t employed by you, you need to learn how to be an dingus to tell them to actually work.
Or dumb down the case, so they are comfortable to do the case, because they’re valued employee just like you.
 
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