Anesthesia Services – Claim Documentation Requirements

(NOTE: Clinical information must document the rationale for the use of anesthesia on high-risk patients.)

Catheter Placement by Anesthesia Providers – Claim Documentation Requirements

Anesthesia Procedures – Claim Documentation Requirements

In addition, HMSA may require submission of clinical records before or after payment of claims for the purpose of investigating potential fraudulent, abusive or other inappropriate billing practices, but only as long as there is a reasonable basis for believing such investigation is warranted.

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