What is your signature worth?

[W222]

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Do the anesthesiologists get paid MORE for doing the case under regional? Sorry for all the billing questions. I'd just like to help out without putting my ***** on the line. Also wouldn't mind making a couple extra dollars to pay off my damn student loans.

This question makes it sound like you know nothing about anesthesia.

 

[Yo GabbaPentin]

I mentioned that I know nothing about anesthesia BILLING. I think I was pretty upfront about that. I have been 100% pain.

But thanks for your helpful contributions. I'm sure that insightful post will help hundreds of private practice physicians who are relatively fresh out of fellowship.

 

[Yo GabbaPentin]

Well thanks for the help everyone.

I will probably now make sure these CRNAs never see the inside of the ASC. If I don't supervise them, no one else will either. I'll HOPEFULLY teach the old dog anesthesiologists some new tricks. The finance/billing discussion was very helpful.

 

[periopdoc]

A couple of billing things if you are still interested.

You can only have one type of anesthetic for the case itself, either general or regional with MAC, take your pick. If you go regional with MAC then you cannot bill additionally for the block as it is part of the primary anesthetic.

The anesthesiologist gets paid the same whichever modality is chosen regional/MAC vs general.

If you want to bill additionally for the block it must be for post-operative pain, at the request of the surgeon and the primary anesthetic modality in the OR must be sufficient to get the patient through the surgery without the block (general anesthetic).

There are very specific rules regarding CRNA supervision and CRNA direction. Google it and it will take you five to ten minutes to figure out what they are. What you would be doing is neither. You are making a wise choice to not get involved with them.

You certainly could do a batch of blocks (single shot or continuous) and then hand them over to whatever OR crew (anesthesiologists or CRNAs) for the surgery. As long as the OR crew does a GA, you can bill for the blocks. If you did this and had no involvement with the operative care, you would not be liable for any intraoperative complications, but you would be named in any litigation anyway.

- pod

 

[Yo GabbaPentin]

A couple of billing things if you are still interested.

You can only have one type of anesthetic for the case itself, either general or regional with MAC, take your pick. If you go regional with MAC then you cannot bill additionally for the block as it is part of the primary anesthetic.

The anesthesiologist gets paid the same whichever modality is chosen regional/MAC vs general.

If you want to bill additionally for the block it must be for post-operative pain, at the request of the surgeon and the primary anesthetic modality in the OR must be sufficient to get the patient through the surgery without the block (general anesthetic).

There are very specific rules regarding CRNA supervision and CRNA direction. Google it and it will take you five to ten minutes to figure out what they are. What you would be doing is neither. You are making a wise choice to not get involved with them.

You certainly could do a batch of blocks (single shot or continuous) and then hand them over to whatever OR crew (anesthesiologists or CRNAs) for the surgery. As long as the OR crew does a GA, you can bill for the blocks. If you did this and had no involvement with the operative care, you would not be liable for any intraoperative complications, but you would be named in any litigation anyway.

- pod

Thanks. I do a lot of ultrasound guided injections in the clinic but obviously get to bill for them. This is why I asked about the way it works for OR blocks.

 

[imfrankie]

If the CRNAs are currently doing blocks, its sounds like the orthopod is picking up that money also.

 

[pjl]

Your butt seriously on the line in this set up, just make the price worth it (400 bucks is laughable). For me, there would not be a realistic price for that set up, I would rather do the cases/supervise them appropriately myself, as you could make a decent wage doing that.
See PM for details which are not appropriate for public forum.