Our CRNA’s are employed the hospital and while working under Medical Direction of our attending Anesthesiologist, they may need to perform supplemental procedures such as Aline insertion or CVP’s, which I understand fall under the medical direction guidelines as part of the entire anesthesia plan. But it has come up from an external auditing company that we should be billing for these procedures under the CRNA’s name and not the attending even though the attending was present in the OR at the time of the procedure and has met all other "medical direction" requirements.

My group does not agree with this, so I am trying to find out how everyone else bills for such circumstances. Do you pull those procedures off the attending’s claim and submit a claim for the CRNA’s services? Or do you submit it all under the attending as part of the full scope of anesthesia services?