15.2 ReimbursementA CRNA is reimbursed the lesser of either the CRNA's billed charges or 92 percent of the reimbursement for the same sevice paid a physician (doctor of medicine [MD] or doctor of osteopathy [DO]) anesthesiologist in accordance with 1 TAC §355.8221. The current CRNA fee schedule is available on the TMHP website at www.tmhp.com/file library/file library/fee schedules. To request a copy, call the TMHP Contact Center at 1-800-925-9126. The formula to calculate anesthesia reimbursement can be found in the cover letter section of the CRNA Fee Schedule. The formula includes base units, time units, and a conversion factor. Refer to: "Reimbursement" for more information about reimbursement. |
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Texas Medicaid & Healthcare Partnership CPT only copyright 2007 American Medical Association. All rights reserved. |
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