Federal Centers For Medicare And Medicaid Services Essay

1383 Words Mar 6th, 2015 null Page
Prior to 2001, CRNA’s were required to be supervised directly by anesthesiologists. When providing medical reimbursement, the federal Centers for Medicare and Medicaid Services (CMS) required CRNA’s to be supervised by physicians. Changing laws and regulations have allowed CRNA’s to have more responsibility in their job settings. As states individually determine nurse anesthetist regulations-- allowing CRNA’s to replace anesthesiologists in hospitals-- the issue may be more about the power of decision rather than patient outcomes. Many CRNA’s are working directly with patients and staff unsupervised. In a Health Affairs web article, Brian Dulisse and Jerry Cromwell explain that, “In 2001 the Centers for Medicare and Medicaid Services (CMS) allowed states to opt out of the requirement for reimbursement that a surgeon or anesthesiologist oversee the provision of anesthesia by certified registered nurse anesthetists.” This action requires a state’s governor to present the opt out as being beneficial and necessary for the state’s citizens. This is determined by examining the availability of anesthesiologists in rural areas. Becker’s ASC Review says, “New Hampshire Gov. Jeanne Shaheen opted out of the federal requirement in June 2002, saying that failure to do so ‘may severely limit the ability of rural hospitals to treat emergencies and provide other services that require anesthesia care’” (Fields). Anesthesiologists are less common in rural areas than in urban areas.…

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