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The Practices - Anesthesia tab is used to control a number of anesthesia-specific functions :
Providers of Record
Anesthesiologist
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Select how the provider of record will be determined for anesthesiologists when there are multiple anesthesiologists on a case:
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Anesthetist
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Select how the provider of record will be determined for anesthetists when there are multiple anesthetists on a case:
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Concurrency Edits
The following are are default editing indicators used when running the concurrency report:
Physicians
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Perform Physician Edits:
Personally Performing on more than on case simultaneously
Personally Performing and Medically Directing simultaneously
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Assistants
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Perform Assistant Edits:
Personally Performing on more than on case simultaneously
Personally Performing and Medically Directed simultaneously
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Surgeons
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Perform Surgeon Edits:
Performing on more than on case simultaneously
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Facilities
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Perform Facility Edits:
Physician is performing in multiple facilities simultaneously
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Locations
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Perform Location Edits:
Physician is performing in multiple locations simultaneously
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O/R Suites
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Perform O/R Suite Edits:
O/R is being used for multiple cases simultaneously
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Miscellaneous
Perform Concurrent Time Audit in Batch
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Indicates if the Concurrent Case Audit will be performed in the nightly Close Out.
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Release Batches w/Concurrency Errors
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Indicates if Visit Batches with Concurrency Errors can be released for the Close-Out and posting.
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Require Case Times on Visit
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Indicates if start and stop times must be entered on anesthesia visits.
Required
If the time is required, the user must enter a start or stop time that is not equal to 0:00. Both times cannot be 0:00. In addition, if a physician is present on the case, then there must be a time segment on the case for the physician where either the start or stop time is not 0:00. If an assistant (CRNA, AA, etc) is present on the case, then there must be a time segment on the case for the assistant where either the start or stop time is not 0:00
Not Required
If the time is not required, the user will receive a warning message if both the start and stop times are 0:00. In addition, a warning mesage will be generated if a physician is present on the case, and there is no time segment for the physician or there is a time segment from the physician and both the start and stop times are 0:00. A warning mmessage will be generated if an assistant (CRNA, AA, etc.) is present on the case, and there is no time segment for the assistant or there is a time segment from the assistant and both the start and stop times are 0:00.
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Lock Date on Posted Anesthesia Visit
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Indicates if the Visit Date will be a modifiable field after a Visit is posted.
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Anesthesia Procedures
99100 - Extreme Age
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Select the procedure that will be billed for the Extreme Age anesthesia risk factor for the practice
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99116 - Hypothermia
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Select the procedure that will be billed for the Hypothermia anesthesia risk factor for the practice
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99135 - Hypo tension
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Select the procedure that will be billed for the Hypo tension anesthesia risk factor for the practice
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99140 - Emergency
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Select the procedure that will be billed for the Emergency anesthesia risk factor for the practice
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Physical Status Procedures
Include Bundled Units in Charge Journal Hash
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Indicates if the bundled units for the respective physical status values are to be included in the hash total on the Visit Worksheet/Journal
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P1 Procedure -
P6 Procedure
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Select the procedure that will be billed for each of the applicable physical status values
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Batch Concurrency Audits
If the Concurrent Time Audit is to be run during the nightly CloseOut, select which audit errors it should perform and report. If none are selected, the report will run but not report any errors.
In addition, when the "stand-alone" Concurrent Case Audit is run, it will default in the settings from this screen, unless nothing is selected on this screen. In that case, the "stand-alone" Audit will default to Physician and Assistant audits.
Physicians
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Warning if the anesthesiologist is personally performing one case and medically directing another case simultaneously.
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Assistants
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Warning if the anesthetist is performing two cases simultaneously.
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Surgeons
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Warning if the surgeon is performing two cases simultaneously.
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Facilities
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Warning if the physician is directing cases in more than one facility simultaneously. This audit is optional as the "facility" as defined in MedSuite may not directly correspond to a physically separate building. In some cases it may be a physically separate building, making medical direction an impossibility.
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Locations
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Warning if the physician is directing cases in more than one location simultaneously. This audit is optional as the "location" as defined in MedSuite may not directly correspond to a physically separate building. In some cases it may be a physically separate building, making medical direction an impossibility.
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O/R Suites
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Warning if the physician is directing cases in more than one O/R Suite simultaneously. This audit is optional as the "OR Suite" as defined in MedSuite may not directly correspond to a physically separate building. In some cases it may be a physically separate building, making medical direction an impossibility.
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