Click here for more sample CPC practice exam questions with Full Rationale Answers

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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

CRNA Billing

I’m reviewing CRNA services for Anthem, Medicare and Medicaid; could anyone share some information on CRNA billing for in- and outpatient services for Anthem, please? Does BCBS Anthem require that CRNAs bill their services on a UB or 1500? I’m seeing it done both ways and it appears inconsistent with their policy that these should be billed on Form 1500s.

Additionally, if the type of anesthesia administered is MAC, then converted to general, would you only code the general anesthesia?

Any guidance will be helpful; thank you for your time.

Regards,
hlutes:o

Medical Billing and Coding Forum

MD DDS with CRNA

I need some guidance/help. We have a CRNA that comes in and does some cases with my DDS, MD. We pay her an agreed amount per case based on the contract we have with her. Can I bill her services since we have a contract with her? Does this make her an employee? if so how does this get billed? I am willing to have a phone conversation with anyone who can help me. Thanks in advance
Tracy

Medical Billing and Coding Forum

MD DDS with CRNA

I work for a DDS/MD. We have a CRNA that comes in on occasion and does our anesthesia services. We have a contract with this individual to pay her a flat fee for each case. Am I able to bill the insurance companies for her services since we have contract with her? does having a contract with her make her an employee? Can I bill 99155-99157 with the QZ modifier and her NPI # and her as the rendering for these lines?

Thank you in advance,
Tracy:

Medical Billing and Coding Forum

Moderate Sedation by CRNA during MRI

Hello. Anyone know if Moderate Sedation provided by a CRNA is payable if performed during an MRI? The CRNA would bill separately for his/her services (99155-99157). I’ve only billed anesthesia for general or MAC during surgical cases and not sure if insurance companies will pay for Mod Sed during MRI’s. Previously the radiology practice used RN’s for this service but now are looking for an outside anesthesia company to provide sedation. I’m in Michigan if that makes any difference.
If this is payable does the bill go out with any anesthesia modifiers? Thanks in advance for any advice.

Medical Billing and Coding Forum

Supervised CRNA

Hi, How should we bill for CRNA that was supervised by the Anesthesiologist for a TEE in 2 Room? It Conscious Sedation (QS) but we also have modifier QK, QX for the CRNA. The Attending is attempting to bill under him but should the CRNA have her name under the service provider and also, what documentation should we be looking for? We only have signature for the CRNA. Thank you for your help. This is a new type of cases for us.

Medical Billing and Coding Forum

CRNA does not stay for the entire case – can I still bill for them?

Good Morning, Everyone

Here is the scenario: MD1 and the CRNA began the case. CRNA left after 46 minutes. MD 2 appears to have given MD 1 a break midway through the case – my question is do I ONLY bill for MD1 with the AA modifier, or do I bill for MD1 (QY) AND the CRNA (QX) ?

Name: MD 1
Start Time: 02/26/18 14:10:00 Stop Time: 02/26/18 15:59:00 Total Time: 109
Name: MD 2 Activity: Supervisor Concurrency/Res: 1/0
Start Time: 02/26/18 16:00:00 Stop Time: 02/26/18 16:18:00 Total Time: 18
Name: CRNA
Start Time: 02/26/18 14:10:00 Stop Time: 02/26/18 14:56:00 Total Time: 46
Any and all help is greatly appreciated!!
M

Medical Billing and Coding Forum