Anatomical chart - abdomen & hernia information (updated 9/7/20)
Anesthesia estimate calculator (This can be updated to use as a good faith estimate - make sure you take all anesthesia charges into consideration, including potential ancillary services such as post op pain, arterial lines, etc.)
ARNP protocol, State of Florida
ARNP protocol (non-medically directed), State of Florida
ARNP Protocol (changed 6/23/17 - updated 9/16/21) Link to changes below
https://floridasnursing.gov/forms/arnp-protocol-format.pdf
Audit template shared (for internal audits - edit to fit your practice needs)
Billing company list (Last Updated 1/24/24)
Billing company questions (Last Updated 2/13/24)
Column B procedures (Florida example)
Coding accuracy (template - edit to fix your practice needs)
Continuing Education Tracker (edit to fit your needs)
CVP Form (last updated 2009)
Denial tracking
Difficult intubation (dr. letter)
Difficult intubation (patient letter)
E & M worksheet (Firstcoast, Florida Medicare)
Internal audit form (simple)
Julie's Colonoscopy Coding Decision Tree
julies_colonoscopy_decision_tree.docx
Medi-Cal Calculations from YouTube video
youtube_medi-cal_example_062324.xlsx
Monitored anesthesia care (MAC) worksheet example (updated 9/14/22)
mac_worksheet_2022.docx
Office of Inspector General (OIG) Compliance plan elements
See December 2022 CPT Assistant for PECS information, or ask an anesthesia friend!
PEC I Example Procedure Notes (Shared by Twin Oaks Anesthesia - Thank you!) pecs_1_block_procedure_form.pdf
PEC II Example Procedure Notes (Shared by Twin Oaks Anesthesia)
pecs_2_block_procedure_form.pdf
Sample Usual Customary and Reasonable (UCR) Letter
When an employee leaves (example)
When an employee starts (example)
Thank you for sharing. If you have a fantastic form to share, let me know!
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