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Take advantage of your member benefits. This Timely Topic provides relevant information and background for these revisions. A, FASA RVG : Anesthesia time begins when the anesthesiologist begins to prepare the patient for anesthesia care in the operating room or in an equivalent area, and ends when the anesthesiologist is no longer in personal attendance, that is, when the patient is safely placed under post-anesthesia supervision. It starts when the anesthesia practitioner begins to prepare the patient for anesthesia services in the operating room or an equivalent area and ends when the anesthesia practitioner is no longer furnishing anesthesia services to the patient, that is, when the patient is safely placed under postoperative care.
Anesthesia time is a continuous time period from the start of anesthesia to the end of an anesthesia service. In counting anesthesia time for services furnished, the anesthesia practitioner can add blocks of time around an interruption in anesthesia time as long as the anesthesia practitioner is furnishing continuous anesthesia care within the time periods around the interruption. Payments for anesthesia services are determined by totaling base units, time units, and modifying units and multiplying that sum by a conversion factor.
However, total anesthesia time has inherent variability since it is dependent on each unique surgical episode. It is important that we as physician anesthesiologists are vigilant in accurately reporting anesthesia time to avoid overbilling and costly audits.
In addition, just as crucial, is the prevention of underbilling resulting in lost revenue to the detriment of anesthesiologists and their practices. When reporting time on claims, CMS and many private payers allow for reporting of discontinuous time. The medical record should be documented so that a medical record auditor can see the continuous and discontinuous periods and that the reported total anesthesia time sums to the blocks of continuous time.
The revised definition is intended to educate and ensure that all anesthesiologists and their respective anesthesiology practices are aware of this option and how to properly and compliantly make use of it. Discontinuous periods occur when there is an interruption in anesthesia services and the anesthesiologist is temporarily not in attendance for direct monitoring and care of the patient, despite not having completed the surgical procedure.
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