This category is dedicated to the advancement of research in all topics related to Anaesthesia and Intensive Care.

Report From the Front Lines: Study Probes Anesthesia Providers’ Role in Improving Combat-Related Outcomes

A study published in the July issue of the Journal Anesthesiology could be the impetus behind future prospective research exploring the hugely untapped potential of anesthesia providers (i.e., anesthesiologists and nurse anesthetists) to improve outcomes in wounded military personnel.

The HHS Office of the Inspector General has issued a policy statement that assures Medicare providers, practitioners, and suppliers affected by retroactive increases in payment rates under the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 that they will not be subject to OIG administrative sanctions if they waive retroactive beneficiary cost-sharing amounts attributable to those increased payment rates, subject to the conditions noted in the policy statement.

Reviewed by Ramaz Mitaishvili, MD

H.R. 6331 includes SGR fix, Teaching Rule reform

In a historic triumph for ASA, a law has been enacted that will reverse Medicare payment cuts for 2008, provide a 1.1% positive update for 2009, and permanently restore full Medicare payment to anesthesiology teaching programs beginning in 2010!

Earlier today President Bush vetoed H.R. 6331.  This afternoon, however, both chambers of Congress voted overwhelmingly to override the veto--the House by a vote of 383-41 and the Senate by a vote of 70-26—meaning that the legislation has now become law.

As of May 23, Medicare FFS will require and send NPI-Only in ALL provider identifier fields for all HIPAA and paper transactions where a provider identifier is required.  If you send Medicare a transaction with a Medicare legacy identifier in any of the provider fields, your claim will be rejected.  These transactions include all electronic and paper claims (837I, 837P, NCPDP, DDE and paper CMS-1500 and UB-04), the 276/277 claims status transaction, the 270/271 eligibility transaction, 835 remittance advice and SPR paper remittance.    

If your billing software is set up to continue to send both the NPI and the legacy identifier, and your clearinghouse or billing service will not be stripping the legacy identifier from your claim as of May 23, the responsibility falls to the provider to send in the Medicare claim with NPI-only, i.e., NO legacy identifiers.