A General Guide To Anesthesia Billing

A General Guide To Anesthesia Billing

A Physician, a Certified Registered Nurse Anesthetist (CRNA) or Anesthesiologist Assistant under the medical supervision of a physician, may provide anesthesia services.

What Is A Physician?

Physician is defined as a doctor of medicine who is legally authorized to practice in the State in which he/she performs services. The issuance of a license by a State to practice constitutes legal authorization.

If the State licensing law limits the scope of practice of a particular type of medical practitioner, only the services within these limitations are covered.

Anesthesiologist Assistants And Certified Registered Nurse Anesthetists

For payment purposes, qualified anesthetists are Anesthesiologist Assistants and Certified Registered Nurse Anesthetists (CRNAs).

An anesthesiologist assistant is a person who:

  • is permitted by state law to administer anesthesia; and
  • has successfully completed a six (6) year program for Anesthesiologists Assistants of which two (2) years consist of specialized academic and clinical training in anesthesia.

An CRNA is a person who:

  • is a registered nurse who is licensed by the state in which the nurse practices;
  • is currently certified by the Council on Certification of Nurse Anesthetists or the Council on Re certification of Nurse Anesthetists; or
  • has graduated within the past 18 months from a nurse anesthesia program meeting the standards of the Council of Accreditation of Nurse Anesthesia Educational Programs and awaits initial certification.

CRNAs and AAs may bill Medicare directly for their services or have payment made to an employer or an entity under which they have a contract. This could be a hospital, physician or Ambulatory Surgical Center.

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