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Ultrasound-Guided Procedures by Anesthesia Providers

Summary This article is intended to inform readers of the increased utilization of ultrasound services within the specialty of anesthesia and to forecast future payer policy concerning its reimbursement.Recently, the American Medical Association (AMA) revised its regulations to allow for the billing of ultrasound guidance (USG) with arterial lines...
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Essentials for Anesthesia Groups on Hierarchical Condition Categories

Summary: The Centers for Medicare and Medicaid Services uses a risk adjustment model based on a set of hierarchical condition categories for Medicare Advantage beneficiaries to make appropriate and accurate payments for enrollees with differences in expected costs. We encourage anesthesia practitioners to be aware of these categories, whi...
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The ‘Whys’ and ‘Hows’ of Starting an Anesthesia Quality Program, Part 2

As we noted in last week's eAlert on developing an anesthesia quality program, the need for anesthesia practices to demonstrate quality to their facilities has become virtually as important as getting paid for services.We touched on some of the key points from the talk by Spiro G. Spanakis, DO, at PRACTICE MANAGEMENT™ 2019 regarding the reasons why...
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Strength Means Service, Not Scale, in Today’s Anesthesia Market

A recent analysis of the financial information of 104 leading health systems (more than 2,200 hospitals) found that size and profitability do not necessarily go hand in hand. The report, by Navigant, throws into question the common wisdom that scale is required to deliver the effectiveness, cost efficiency, care coordination, physician recruitment ...
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A Self-Diagnostic for High-Performing Anesthesia Group Leaders

Mark F.Weiss, JD The Mark F. Weiss Law Firm, Dallas, TX, Los Angeles and Santa Barbara, CAAlthough the editor, bless her heart, steadfastly refused to let me have a sneak, pre-publication peek at the other articles that appear alongside this one, my educated guess is that each of them purports to give you answers.I know that's why you usually read ...
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