The following is a list of documents and resources gathered from different sources available for download.

They are meant for your information and if they are useful in your practice and/or employment please feel free to use them at your leisure. However, some of these documents are official documents from their respective authors/owners, if you are changing the information for your personal use you should contact the author directly to request permission. We are supplying the information of which documents do not require permission as they are distributed as open source.

Surgical First Assistant Resources
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This document is in PDF® format and the owner is the Surgical Assistant Association, it is a great resource document for those SAs that are thinking about going into private practice. (Copyright)
American College of Surgeons guidelines for Surgical Assistant need
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This extensive PDF® document belongs to the American College of Surgeons and reviews all the CPT codes and classifies them individually with "almost always", "sometimes" or "almost never" in regard to if the procedure uses an assistant. Insurance companies base their denials on this document and Medicare's policy manual, and Medicare's policies regarding SAs are largely based on these recommendations.(Copyright)
Commission on Accreditation of Allied Health Education Programs (CAAHEP) Standards and Guidelines for the profession of surgical assisting.
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This MS Word® document belongs to CAAHEP and as the title says, it is a useful document for individuals and/or educational institutions that are interested in starting a Surgical Assistant program. It was adopted by the American College of Surgeons, the Association of Surgical Technologists, the National Surgical Assistant Association and CAAHEP programs.(Copyright)
State of Illinois Health Care Professional Credentialing and Business Data Gathering Form
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This MS Word® protected form is for Surgical Assistants to have all their credentialing information saved in a file instead of filling by hand different long forms for each hospital every time they request privileges. It has the same information the hospitals require and more. It's 35 pages long, so make sure that you write down your name in each page or staple the packet together after printing. (Copyright)
Surgical Assistant Job Description
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This MS Word® document is the exact job description for a surgical assistant, it is useful when soliciting privileges in hospitals not familiar with our services and that do not have a SA job description in their policy manual.(Open source)
Surgical Assistant Services Consent Form
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This MS Word® form should be given to the patient prior to surgery, ideally it should be signed at admission. This form is for those facilities that do not have any form authorizing the use of Surgical Assistants.(Open source)
Surgical Assistant Medical Necessity
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This MS Word® protected for is for insurance companies that require the letter and/or the insurance has denied payment. Most insurance companies review their reimbursement decision after receiving this letter. (Open source)
Appeal Letter for Surgical Assistant Services
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This MS Word® protected form letter is to send to insurance companies to appeal their decision if the claim has been denied, it should be accompanied by the Medical Necessity letter, OP reports and Nurses notes. (Open source)
Surgical Assistant services patient bill
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This is a generic MS Word® protected form to send a bill to the patient if the insurance company has denied payment because of a non-covered service or if it applied to deductible, co-payment, etc. Do not send this letter if the insurance company has denied payment because it considers the service as a bundled service, this issue should be handled with the insurance company directly or the facility/surgeon that received the bundled payment.(Open source)

 

IMPORTANT

Most of the above documents were created as MS Word protected forms, that means that you will be able to type in only the parts of the document that needs information to protect the information that is static and prevent the document from being corrupted, just use your tab key to toggle from one field to another and fill in the information, after you are done, print the document. If you want to customize your document with your logo or company information go to tools and click on unprotected document.

To PDF files you need the Acrobat Reader® installed in your computer, click on the logo to get it:

Adobe acrobat and Microsoft Word are licensed trademarks of Adobe and Microsoft corporation respectively.

 

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508 N. Durkin Drive
Springfield, IL 62702
Phone (217)793-8635
Fax (217)793-0044
info@ilsaa.net