payment....

  1. Sorry for the rather obtuse subject line....
    My question is this:
    Are any of you RNs working in an ambulatory surgery center, doing conscious sedation? If so, how are you paid?
    I have an opportunity to do this, but the office is unclear of how to bill medicare, etc, for anesthesia. I cannot currently directly bill Medicare or third party payers as an ARNP, but I KNOW there are ASCs out there using RNs for sedation and monitoring, and they must be getting paid..........Can anyone direct me to a website or office where I can get this information?
    Thanks
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  2. 5 Comments

  3. by   Brownms46
    Originally posted by BRobison
    Sorry for the rather obtuse subject line....
    My question is this:
    Are any of you RNs working in an ambulatory surgery center, doing conscious sedation? If so, how are you paid?
    I have an opportunity to do this, but the office is unclear of how to bill medicare, etc, for anesthesia. I cannot currently directly bill Medicare or third party payers as an ARNP, but I KNOW there are ASCs out there using RNs for sedation and monitoring, and they must be getting paid..........Can anyone direct me to a website or office where I can get this information?
    Thanks
    Ummm...not sure why you are of the thinking that the RNs who are doing this....are being paid as anything other than as employees. I know several RNs who are doing sedation and monitoring..right there in the NW. As for the free standing centers ...such as Endoscopy/GI...the're paying a laughable rate....according to a friend who has been on a job search in the area! She at present works for a GI specialty unit attached to a area hospital....and a was recently offered $4.00/hr less than she is currently making to work in a freestanding center.
  4. by   BRobison
    Brownie:
    I am thinking/hoping some RNs out there are doing this and getting per diem or some such rate, because that's the unique situation I find myself in. I won't bore you with the details of why, but that's how it is.
    I am just looking, mainly, for medicare billing information, and coming up empty handed in all my web searches pertaining to Washington state. Found WONDERFUl info on Pennsylvania, however.....
    Thanks for your time on this almost-non-nursing issue.
  5. by   Brownms46
    Originally posted by BRobison
    Brownie:
    I am thinking/hoping some RNs out there are doing this and getting per diem or some such rate, because that's the unique situation I find myself in. I won't bore you with the details of why, but that's how it is.
    I am just looking, mainly, for medicare billing information, and coming up empty handed in all my web searches pertaining to Washington state. Found WONDERFUl info on Pennsylvania, however.....
    Thanks for your time on this almost-non-nursing issue.
    NO problem...my friend is in Washington State...so I will ask around....somebody has got to know the answer! Will check back soon!
  6. by   BRobison
    hey, THANKS!
    If it matters, the speciality is podiatry....
  7. by   Brownms46
    BRobison, You're welcome....I have emailed her, and will let you know her response as soon as she find out something. I hope we find out something in time to help...

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