• A & A case reports · Apr 2016

    Anesthesiologists Are Affiliated with Many Hospitals Only Reporting Anesthesia Claims Using Modifier QZ for Medicare Claims in 2013.

    • Thomas R Miller, Amr Abouleish, and Nicholas M Halzack.
    • From the *American Society of Anesthesiologists, Schaumburg, Illinois; and †Department of Anesthesiology, The University of Texas Medical Branch, Galveston, Texas.
    • A A Case Rep. 2016 Apr 1; 6 (7): 217-9.

    AbstractWe examined hospitals that exclusively used the billing modifier QZ in anesthesia claims for a 5% sample of Medicare beneficiaries in 2013. We used a national Medicare provider file to identify physician anesthesiologists and nurse anesthetists affiliated with these hospitals. Among the 538 hospitals that exclusively reported the modifier QZ, 47.5% had affiliated physician anesthesiologists. These hospitals accounted for 60.4% of the cases. Our results illustrate the challenges of using modifier QZ to describe anesthesia practice arrangements in hospitals. The modifier QZ does not seem to be a valid surrogate for no anesthesiologist being involved in the care provided.

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