US · guidance
CMS Pub. 100-04, ch. 12, § 140.4.1
An Anesthesiologist and Qualified Nonphysician Anesthetist
Work Together
(Rev. 3747; Issued: 04-14-17; Effective: 01-01-17; Implementation: 05-15-17)
A/B MACs will distribute educational releases and use other established means to
ensure that anesthesiologists understand the requirements for medical direction of
qualified nonphysician anesthetists.
A/B MACs will perform reviews of payments for anesthesiology services to identify
situations in which an excessive number of concurrent anesthesiology services may
have been performed. They will use peer practice and their experience in developing
review criteria. They will also periodically review a sample of claims for medical
direction of four or fewer concurrent anesthesia procedures. During this process
physicians may be requested to submit documentation of the names of procedures
performed and the names of the anesthetists medically directed.
Physicians who cannot supply the necessary documentation for the sample claims must
submit documentation with all subsequent claims before payment will be made.
History
(Rev. 3747; Issued: 04-14-17; Effective: 01-01-17; Implementation: 05-15-17)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
b12e96b5e1840a370629925208e49dd4e36087450c0c4caf76e9a51e9e78d6fe
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