If there is one thing every anesthesia billing program needs, it’s a reconciliation process. A reconciliation process for billing ensures that two different sets of records match up, or are in agreement. In other words, it matches billings to revenue – making sure you are getting paid for what you have charged. Without a reconciliation […]
“Surprise billing” is a phenomenon in which patients receive bills that are either higher than anticipated, or contain charges that they did not expect and were not informed of prior to treatment. Typically, this happens because a patient receives treatment, then finds out that one or more providers involved in treatment fell outside of the […]
Anesthesia medical billing can be complex – even daunting – at times. Practitioners are frequently faced with the challenge of not only billing and coding effectively, but also ensuring they comply with all relevant regulations and standards from several different payors. To get the most from your billing system, here are five tips you can […]
Every anesthesia practice depends on a team effort to serve its patients. One key part of this team effort is a practice’s Certified Registered Nurse Anesthetists (CRNAs), who perform essential (and often thankless) tasks to help patients with their healthcare needs. This week, it’s National CRNA Week – a time to commemorate the hard work […]
Revenue cycle management has always been important for hospitals, but the importance of RCM is even more apparent in today’s competitive – and growing – healthcare environment, especially as consumers start to take on more of the burden of paying for care. There are growing financial pressures on providers that require a shift in provider […]
The Centers for Medicare and Medicaid Services (CMS) operate something called the Physician Quality Reporting System, a quality reporting program that allows providers to submit information on quality of care to Medicare. As a part of the program, CMS can institute a negative payment adjustment to any provider who doesn’t “satisfactorily report data on quality […]
Negotiation may play more of an active role in bundled payments, one of the fastest-growing models of anesthesiology billing in the industry today. Here’s more on the role of negotiation in bundled payments in anesthesiology billing. Bundled Payments and the ACA Payment for services rendered by anesthesia providers fall into one of six categories: Fee-for-service […]
The “Veterans Health Care Staffing Improvement Act”, S. 2279, is a piece of legislation that could have extensive repercussions for veteran health care, according to the nation’s largest anesthesiology trade group. The American Society of Anesthesiologists (ASA) announced this month that they have exercised caution about passing S. 2279 because of one provision the Society […]
Blue Cross Blue Shield of Alabama just released its latest adjustments to anesthesia rates for anesthesia billing. Specifically, the insurer increased rates for two ASA codes: 00740 and 00810. The new rates are as follows: 00740 = $285 00810 = $315 Additionally, per communications with BCBSAL, the MAC anesthesia policy #470 and endoscopy anesthesia policy […]
If you could increase revenue for your anesthesiology practice, would you? And how would you do it? Anesthesiology practices across the country have all dealt with the issue of increasing funds in an increasingly-competitive market – primarily by keeping more of the revenue they already generate. By cutting costs and reducing wasteful practices, an anesthesiology […]
