Q. I have graduated from Anesthesia School, but have not taken my certification examination, can I still bill for my services since I have completed my required anesthesia program?

A. No, you should not commence to bill for your professional -or should your employer- anesthesia services until you have taken and passed your certification examination. The National Committee for Quality Assurance (NCQA) requires all participating providers to be properly certified and licensed within their specialty prior to granting a participating status. Therefore, often times new graduates will have the date of their certification examination as their effective date of participation. The only exception here would be with the Federal Medicare Program. In some states depending upon state by state laws, Medicare will setup your Medicare participation date prior to your certification examination date. A qualified anesthetist is one that is prepared and ready to sit for, or has completed the proper accreditation examination.

Q. How are we certain we are maximizing CRNA reimbursement within our facility?

See Answer.

Q. What is the necessity of obtaining an NPI -National Provider Identifier?

See Answer.

Q. Does an entity as well as an individual provider need an NPI?

See Answer.

Q. What does the term "most favored nation" mean as it appears in many third party payer reimbursement agreements and participation agreements?

See Answer.

Q. What is an RFP?

See Answer.

Q. Does it make any difference if I select CPT-4 codes from the Surgical or Anesthesia Sections?

See Answer.

Q. Since the Medicare Modifier -QS is not valid for actual reimbursement calculation, does it really need to be used?

See Answer.

Q. How long will it take to develop a cash flow from a new practice opportunity?

See Answer.

Q. I have graduated from Anesthesia School, but have not taken my certification examination, can I still bill for my services since I have completed my required anesthesia program?

See Answer.

Q. In evaluating a practice opportunity what questions or data should I be requesting from the practice?

See Answer.

Q. I plan to do all of my own procedure and diagnosis coding, -CPT-4 and ICD9-CM coding) is this a good idea?

See Answer.

Q. Is it necessary to have type of contract with a facility/hospital before I commence providing anesthesia services?

See Answer.

Q. Why would I use an ABN-Medicare Beneficiary Advance Benefit Notification document?

See Answer.

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