On Diversion, Depression and Emergency Department Visits: An Update on Opioids for Pain Specialists and Anesthesia Providers

SUMMARY A data analysis offers eye-opening findings about opioid prescriptions and the most common mental health disorders. Nurse anesthetists find benefits in a beta blocker as an opioid-sparing technique for shoulder surgery patients. Two major pharmacy groups zero in on the waste stream as a source of drug diversion. We present these and several...
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Anesthesiologists in the ICU: Economics and Other Considerations

Very few private anesthesia practices provide services in their hospitals' intensive care units (ICUs). The lack of enthusiasm for staffing the ICU relates directly to a perception that ICU coverage is not as profitable as operating room (OR) coverage. The entire Anesthesia Business Consultants client database only yields a few examples of private ...
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CMS Releases MACRA/QPP Year 2 Proposal: Highlights for Anesthesiologists and Nurse Anesthetists

SUMMARY Proposed guidelines for the second year of the Quality Payment Program (performance year 2018, payment year 2020) would exempt many (but not all) anesthesia providers from the requirement to participate by increasing the low-volume thresholds for Medicare Part B from $30,000 in allowed charges or 100 beneficiaries to $90,000 or 200. We...
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What Are Comparative Billing Reports and Why Should Anesthesia Groups Care About Them?

SUMMARY CMS has sent approximately 8,000 anesthesia practitioners a CBR on anesthesia for lower endoscopy. These data-driven reports show clinicians how their billing patterns compare with those of their peers at the state and national levels. We request that our clients send ABC a copy of this CBR or any other CBR that they receive so that we can ...
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Why Your Compliance Efforts May Be Worthless

It's a riddle almost as inscrutable as that of the Sphinx: How can a physician or pharmacist or facility owner be convicted of a federal crime for violating a state law? The answer is, unfortunately, quite simple, quite questionable and quite dangerous. It turns what many think about federal healthcare law compliance on its head.It signals that man...
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