It’s Time to Say “Thank You” to CRNAs!

Medical Business Management would like to join with the American Association of Nurse Anesthetists (AANA) in honoring Certified Registered Nurse Anesthetists during National CRNA week. The week of January 22-26 has been set aside to show appreciation for CRNAs and to raise awareness for the important work that they do. CRNAs and Patients CRNAs represent […]

Palmetto GBA Selected as Medicare Administrator for Jurisdiction J

The federal Centers for Medicare & Medicaid Services (CMS) has selected Palmetto GBA as the Medicare Administrative Contractor for Jurisdiction J. This jurisdiction, covering Alabama, Georgia, and Tennessee represents 7% of the national Part A/Part B claim-volume workload. This change is having a dramatic impact on anesthesia practices across this 3 state regions. These practices […]

The Top 5 Things Anesthesia Providers Need to Know About Medicare Beneficiary Identifiers

The Medicare Access and CHIP Reauthorization Act of 2015, commonly known as MACRA is bringing dramatic changes for Medicare beneficiaries and the providers that serve them. MACRA is bringing big changes for anesthesiologists and CRNA’s. Could these changes result in rejected claims and unpaid charges? The answer is YES! We are watching this transition closely […]

Anesthesia MACRA Measures Cheat Sheet

It can be tough to learn all the ins and outs of MACRA, but 2017 is the time to do just that – and with a little help from Medical Business Management, you can get all the details a little easier with our cheat sheets (under the MACRA tab on our website). Keep reading to […]

Anesthesia MACRA Compliance Cheat Sheet

If you work in the medical field, you know all about MACRA – the Medicare Access and Chip Reauthorization Act that instituted the Quality Payment Program (QPP). QPP brings three programs together under one umbrella: PQRS, Meaningful Use, and Value Payment Modifier. Under the new system, there are quality reporting requirements that come along with […]

$68 Billion in Medical Billing Errors Creates High-Risk Situation for Providers

When it comes to medical billing errors, the numbers are staggering: as many as 80% of all medical claims submitted to insurance carriers contain errors costing approximately $68 billion. Additionally, the incorrect coding of about 55% of evaluation and management (E/M) claims has resulted in roughly $6.7 billion worth of erroneous Medicare payments.   Physicians […]

The ABCs of Qualifying Circumstances

Modifier codes are sometimes used to signal abnormal circumstances related to anesthesia care. These 5-digit qualifying circumstances codes are recognized as modifiers when they are billed as separate line items in order to report services that were provided under unusually difficult circumstances (i.e. unique operative conditions, extenuating issues with the patient’s condition, etc.). Read on […]

The ABCs of Calculating Anesthesia Time Units

It’s essential to stay vigilant when it comes to calculating anesthesia time units. Not properly doing so can result in delayed or denied claims, decreased revenue, and audits – which can have a negative impact on your practice’s reputation. Take a moment to look over this guide on the basics of calculating anesthesia time units […]