How would you bill the following: An Anesthesiologist had two rooms running concurrently with residents. On one of the cases the resident was present for the majority of the time but was given a short break (30min or less) by an Anesthetist. The payer is Medicare.
1) Anesthesiologist is billed with an AA, even though the Anesthetist was on the case for a short duration since the majority of the time the resident was on the case OR
2) Anesthesiologist is billed with the QK (or QY) reporting total minutes for the case and the Anesthetist is billed with a QX reporting only the time that he/she was on the case (i.e. 15 minutes)
3) OR do you only allow like providers to break like providers?
4) Or another manner that isnt listed here
Any input would be greatly appreciated.
Thank you for your time.
Beth