Documenting Anesthesia Services Handout

90 Pages·2017·1.65 MB·English

by  Railroad Medicare

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DOCUMENTING
ANESTHESIA SERVICES
Railroad Retirement Board

Specialty Medicare Administrative Contractor (RRB SMAC)

Provider Outreach and Education

March 21, 2017
DOCUMENTING
ANESTHESIA SERVICES
Railroad Retirement Board

Specialty Medicare Administrative Contractor (RRB SMAC)

Provider Outreach and Education

March 21, 2017
March 2017 3
Using On24 Widgets
 Adjust volume using your computer
speakers, headset or the ON24 Media Player
 Use your mouse to point, click, and open a widget
March 2017 4
Adjusting Your ON24 Screen View

Sometimes  you  may  want  to  

minimize  or  maximize  one

screen  to  view  another.
Some  computers  are  set  up  to  open  new  windows  in  the  Full 
Screen  view. This  view  disables  all  the  ribbons  and  toolbars  and  
only  provides  you  with  minimal  options.  If  you  are  unable  to  see  
portions  of  today’s  session,  press  the  F11  key             to  switch  from 
Full  Screen  Viewing.
March 2017 5
Disclaimer
 The information provided in this presentation was current as of 3/21/2017. Any
changes or new information superseding the information in this presentation will
be provided in articles and resources with publication dates after 3/21/2017
posted on our website at www.PalmettoGBA.com/RR. Medicare policy changes
frequently so links to the source documents have been provided within the
document for your reference.
 This presentation was prepared as a tool to assist providers and is not intended to
grant rights or impose obligations. Although every reasonable effort has been
made to assure the accuracy of the information within these pages, the ultimate
responsibility for the correct submission of claims and response to any remittance
advice lies with the provider of services .
 The Centers for Medicare & Medicaid Services (CMS) and the Railroad Retirement
Board (RRB) employees, agents, and staff make no representation, warranty, or
guarantee that this compilation of Medicare information is error-free and will bear
no responsibility or liability for the results or consequences of the use of this guide
.
 This publication is a general summary that explains certain aspects of the
Medicare Program, but is not a legal document. The official Medicare Program
provisions are contained in the relevant laws, regulations, and rulings.
CPT codes, descriptors and other data only are copyright 2016 American Medical Association.

All rights reserved.
March 2017 6
What is Railroad Medicare?

 Railroad Retirement Acts of the 1930s
 First retirement system for nongovernmental workers
 Provisions created in 1965 to provide the benefits of the Medicare
program to railroad employees and their dependents
 The Railroad Retirement Board (RRB) works with CMS to ensure
Railroad beneficiaries receive the same benefits as their SSA
Medicare counterparts
 Part B claims for Railroad Medicare beneficiaries are processed
nationally by Palmetto GBA in Augusta, Georgia as the Railroad
Retirement Board Medicare Specialty Administrative Contractor
(RRB SMAC)
 Part A and DMEPOS claims for Railroad Medicare beneficiaries are
processed by jurisdictional Medicare Administrative Contractors
(MACs)
March 2017 7
Objectives
 At the end of this presentation you will be familiar with:

• Medicare Part B coverage guidelines for anesthesia
services related to CPT codes 00810 and 00670
• Medicare’s documentation requirements for anesthesia
services related to moderate sedation and general
anesthesia
• Medical review of anesthesia services on CPT codes
00810 and 00670
CPT codes, descriptors and other data only are copyright 2016 American Medical Association.

All rights reserved.
March 2017 8
Agenda
 Overview of Medical Review Program
 Medicare Coverage of Anesthesia Services

 Anesthesia Billing Requirements
 Documentation of Anesthesia Services
• CPT 00810
• CPT 00670
 Review Results
 Resources
CPT codes, descriptors and other data only are copyright 2016 American Medical Association.

All rights reserved.
March 2017 9
MEDICAL REVIEW