Medical Assistance rules for Anesthesia Billing state that "when 2 or more surgical procedures are performed and anesthesia is provided by the same anesthesiologist during the same hospitalization, the anesthesiologist will be paid at 100% for the highest allowable payment for 1 procedure and 25% for the 2nd highest paying procedure and no payment for any additional procedures after that". We would like to know if you are aware of any information out there that would help get Medical Assistance to realize that all surgeries during that one hospitalization were necessary and should be reimbursed to the anesthesiologist. Is anybody else getting paid for multiple surgeries during one hospitalization by using a modifier or appeal process?