1. Pain Management & Anesthesia. What you center needs to know
Presented by John Mak, MD
Surgery Center Coalition 10/4/18

2. Premier Pain Centers
Specialty Anesthesia Associates
No disclosures

3. Intervetnional pain management at ASC
Board certified and fellowship trained
Full spectrum of procedures
Qualified interventional pain management physician
Quick turnover
Experienced and well trained staff
Efficient operation/equipment
Wait times
Patient comfort post procedure.
Patient experience
Precertification
Contract for implantable devices
Payor issues specific to IPM
Efficient- 15 min procedures. Staff trained in IPM. Pre-op expectations to alleviate anxiety. PACU discharge instructions.
Patient experience- Keep patient and family informed on wait times. PACU post op pain control. Look out for possible complications.

4. Anesthesia for interventional pain
Local anesthesia by pain management MD
Local
IV sedation administered by sedation nurse under guidance of pain management MD
IV Sedation
Sedation provided by Anesthesiologist
MAC Anesthesia

5. Anesthesia for interventional pain
Local Anesthesia
Quick recovery
Limited amount of procedures
Poor patient satisfaction
No additional billing

6. Anesthesia for interventional pain
IV Sedation
Broader procedures performed
Increased risk for anesthetic complications
No Additional Billing

7. Anesthesia for interventional pain
MAC Anesthesia
All procedures
Increased patient satisfaction
Safest anesthetic
Additional billing by anesthesiologist

8. Monitored Anesthesia billing
Precertification
Advance Beneficiary Notice
Self Pay

9. Medical Necessity for MAC anesthesia
Morbid obesity >45
Sleep Apnea
Inability to follow commands
Comorbidities for ASA 3
Spastcity disorder
Failed attempt at performing procedure with sedation or under local

10. John Mak, MD jmak@treatingpain.com (732) 930-2434
?Questions?
John Mak, MD
(732)