Following physician outrage, the insurer has rescinded its controversial new policy denying certain anesthesia claims.
to pay for anesthesia only up to a certain time limit that sparked outrage among anesthesiology professionals and state officials.it would deny claims for anesthesia that exceeded time limits set by the insurer, with exceptions for maternity care and patients younger than 22 years. The policy was set to begin February 1 for commercial plans and Medicaid managed care plans in Colorado, Connecticut , New York , and Missouri.
At that time, the ASA position was “how dare you do this and stop,” Donald Arnold, MD, ASA president, told“It’s just another example of an insurance carrier trying to prioritize their profits over safe patient care,” said Jonathan Gal, MD, professor of anesthesiology, perioperative and pain medicine at Icahn School of Medicine at Mount Sinai, New York City. Gal chairs ASA’s Committee on Economics and attended the meeting.
Even though Anthem said it would only apply the policy to the healthiest patients — those with an ASA Physical Status Score of 1 or 2 — it would still affect many procedures, Stone said. The ASA president noted that the anesthesia start and stop times are almost always automatically recorded through the electronic medical record and then directly integrated into a hospital’s billing system.Gary S. Schwartz, MD, vice chair of the Department of Pain and Anesthesiology at Maimonides Medical Center, Brooklyn, New York, said that everything in an electronic medical record is time-stamped.
Revenue Acute Pain Pain Management Anesthesia Anesthetic Anesthaesia Anaesthetic Connecticut New York Electronic Health Records Electronic Health Record EHR Electronic Medical Record EMR Electronic Health Record EHR Computerized Medical Records Systems Computerized Patient Records Digital Personal Health Record PHR Computerised Medical Records Systems
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