JH Election of Cost Reimbursement for CRNA Services

Rural hospitals and critical access hospitals (CAHs) or hospitals/CAHs reclassified to a rural area can qualify for reasonable cost reimbursement of anesthesia services performed in the hospital or CAH by a qualified non-physician anesthetist if they meet certain criteria and obtain approval for the CRNA/AA cost reimbursement. Non-physician anesthetists are defined as certified registered nurse anesthetists (CRNAs) and anesthesiologist’s assistants (AAs). The written requests for CRNA status evaluation must be submitted to our office prior to January 1, 2014. This deadline is mandated in the law and we cannot make exceptions for late receipt of information. Manual reference for election of cost reimbursement for CRNA services can be found at CFR 42 Section 412.113(c).

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