Medical Direction
Modifiers
PQRI
Time
Payment
100
Where the anesthesiologist must be when a CRNA is performing a service under his/her direction.
What is immediately available?
100
The modifier a CRNA uses when billing for a case in which s/he was medically directed.
What is QX?
100
The year PQRI was born.
What is 2006?
100
The point in time which anesthesia time begins.
What is when the patient is prepared for anesthesia?
100
ASA assigns this to most anesthesia CPT codes.
What is base units?
200
The number of steps of medical direction.
What is seven?
200
The modifier a CRNA uses when providing care without medical direction by a physician.
What is QZ?
200
The only payer that recognizes PQRI.
What is Medicare?
200
The point in time in which anesthesia time ends.
What is when the patient is released safely to recovery?
200
Base units are calculated based on these.
What is complexity, risk and skill?
300
The supervising anesthesiologist must be present for induction and what?
What is emergence?
300
The modifier used to indicate a moribund patient who is not expected to survive without the operation.
What is P5?
300
The percentage a provider might expect to receive in incentive after reporting PQRI measures.
What is 2%?
300
The unit of time in which anesthesia is reported.
What is minutes?
300
The rate in which a CRNA is paid for providing a non-medically directed service.
What is full base unit rate?
400
The number of cases an anesthesiologist can medically direct at one time.
What is four?
400
What a CRNA can provide to justify billing for an emergency case.
What is good documentation!
400
The acronym given to providers meeting the criteria to participate in PQRI.
What is EP?
400
Time units are not recognized for this.
What is regional IV administration of local anesthetic agent (or daily hospital management of epidural or subarachnoid continuous drug administration)?
400
Percentage in which a CRNA will be paid when medically supervised.
What is 50%?
500
The number of cases an anesthesiologist can medically direct if one of those cases involves a student CRNA?
What is two?
500
Physical Status modifier P6 would be assigned for this patient.
What is a brain dead patient?
500
The frequency in which PQRI measures change.
What is every year?
500
Divide the actual anesthesia time by this to find time units.
What is 15 minutes?
500
A variable value based on geographic location.
What is conversion factor?
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