Melissa*Ever*Evolving
Networker
Hello, My provider is asking me for an example of when it would be appropriate to bill for the full Anesthesiologist's charge (AA modifier) and also the CRNA's full charge (QZ modifier) for one case.
I have found that this is possible, but I do not see any examples anywhere.
Everything I see only says things like:
Office of Worker's Compensation Programs (OWCP) Anesthesia Service and Reimbursement Policy (section 3.7.4)~
"In unusual circumstances, when it is medically necessary for both the Anesthesiologist and the anesthetist to be completely and fully involved during a procedure, full reimbursement for the services of each provider is allowed. Each provider must submit documentation to support payment of the full fee. The physician would bill OWCP using modifier AA and the anesthetist would bill OWCP using modifier QZ as referenced in section 2.2"
My provider wants an example. I cannot think of when it would be appropriate.
Please help, anyone?
~Melissa, CPC
I have found that this is possible, but I do not see any examples anywhere.
Everything I see only says things like:
Office of Worker's Compensation Programs (OWCP) Anesthesia Service and Reimbursement Policy (section 3.7.4)~
"In unusual circumstances, when it is medically necessary for both the Anesthesiologist and the anesthetist to be completely and fully involved during a procedure, full reimbursement for the services of each provider is allowed. Each provider must submit documentation to support payment of the full fee. The physician would bill OWCP using modifier AA and the anesthetist would bill OWCP using modifier QZ as referenced in section 2.2"
My provider wants an example. I cannot think of when it would be appropriate.
Please help, anyone?
~Melissa, CPC