Ep 170: The History of TEFRA and How It Changed Anesthesia

Forty years have passed since the Tax, Equity and Fiscal Responsibility Act (TEFRA) became law and this piece of federal legislation changed the way payment and reimbursement was tracked. Today we’ll look back on the history of TEFRA with Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, to learn more about the reasons behind it, how the AANA responded, and what revisions have been made through the years.   Read more: http://beyondthemaskpodcast.com    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf   What we discuss in this episode:  3:00 – What we’re talking about today 5:05 – Why was TEFRA implemented? 8:04 – Quality of care standard 9:33 – What the practice used to look like? 14:27 – Preparing practitioners 15:36 – What the original rules said 20:32 – Medical supervision and direction 26:56 – 7 conditions of payment 28:49 – AANA’s reaction to TEFRA 31:23 – Concerns between 1993 to 1998 34:32 – Proposed revisions 37:45 – What is immediately available 40:44 – Current TEFRA rules 44:20 – Any updated revisions? 47:15 – Physicians starting schools 51:15 – A book recommendation 52:02 – Final thoughts