You are hereAnesthesia Guidelines
Links have been reviewed and are working properly. 7/8/2012
Anesthesia Center - From CMS
Anesthesia Specialty Guide For Medicare Part B, From Highmark Medicare (2008)
ASA's Fluoroscopy Letter - updated 3/19/2007
ASA Analysis of New Anesthesia Interpretive Guidelines for Hospitalsa - Definition of CMS's rules re: "Immediately Available"; updated on 12/09/2009
ASA's Letter to CMS re: new supervision guidelines on 01/18/2010
ASA's Position on Monitored Anesthesia Care updated on 9/02/2008.
CMS - 12/11/2009 - Hospital Anesthesia Services Interpretive Guidelines details from CMS - look for new anesthesia guidelines regarding physician supervision and definition re:"Immediately Available"; New MAC (monitored anesthesia care) guidelines; guidelines for CRNAs providing regional anesthesia for labor & delivery.
CMS Web-based Training specific to CRNA billing guidance. Have you seen this yet? Hit the >> at the bottom of the page & view more info. Of interesting note - this also gives authoritative reference to CMS IOMs regarding this subject.
Continuum of Depth of Sedation> - A definition of the levels of depths of anesthesia - from ASA, this is an excellent chart to help determine the levels of sedation, from moderate sedation to Monitored Anesthesia Care (MAC) to General Anesthesia
Critical Care by Anesthesiologists - Guidelines from ASA.
CRNA or Anesthesiologist's Assistant Services Basic rules and definitions - See: Part 410.69
Conditions of Participation from the Federal Register
CRNA Opt-out StatesIf you have any updates - please share!
Distinguishing MAC (Monitored Anesthesia Care) from Moderate Sedation (aka: Conscious Sedation) updated by ASA on 9/02/2008
Documentation Guidelines of Anesthesia Care; from ASA, updated 10-22-2008
Federal Register, Jan 2001 - "State laws determine which professionals are permitted to administer anesthetics & the level of supervision required."
Guidelines for Office-based Anesthesia - from ASA
MAC Description by ASA from 1998
Moderate Procedural Sedation: The Nuts & Bolts from ACEP (American College of Emergency Physicians), provides documentation guidelines for coding/billing Moderate Sedation - aka: Conscious Sedation - in an emergency department setting. Interesting read.
NCCI Chapter 2 - Anesthesia Services - National Correct Coding Policy Manual for Part B Medicare Carriers
Payment for Anesthesia Services Internet Only Manuals from CMS, Chapter 12, Section 50
Post Op Pain Procedures in Conjunction with Anesthesia Services - from the ASA, revised & updated 9/02/2008/ Excellent article on what, when & how certain CPT codes can be reported for post-op pain and invasive monitoring (ie: Swan-Ganz).
Safe Use of Propofol from ASA
Standards for PostAnesthesia Care from ASA
Standards for PreAnesthesia Care from ASA
Statement on Anesthesia Care Team from ASA. Of particular interest, see page 3 about the Supervising of CRNA by the Surgeon
Statement on NonOperating Room Anesthetizing Locations from ASA, updated 10/22/2008
American Medical News - Gov't
OIG Criminal & Civil Enforcement
- Cenla Community Action Committee's Financial Management Practices and Systems Did Not Always Meet Federal Requirements
- Rhode Island Hospice General Inpatient Claims and Payments Did Not Always Meet Federal and State Requirements
- Massachusetts Medicaid Payments to Calvin Coolidge Nursing and Rehabilitation Center for Northampton Did Not Always Comply With Federal and State Requirements
- Wyoming Incorrectly Claimed Enhanced Reimbursement for Medicaid Family Planning Sterilization Costs
- The Medicare Contractor's Payments to Maryland Providers in Jurisdiction 12 for Full Vials of Herceptin Were Sometimes Incorrect