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Anesthesia Drug Market Growth: Riding the Crest of the Wave

Despite the challenges to the general anesthesia drug market precipitated by COVID-19, its market share is projected to hit $2.4 billion by 2025. That’s a robust compound annual growth rate of 3.4%. But how did we get here? Who’s controlling this market? And how do we ride the crest of this wave without wiping out?  […]

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The Only Constant is Change: Trends Impacting Healthcare Revenue Cycle Management in 2021

“It is not the strongest of the species that survives, nor the most intelligent that survives. It is the one that is most adaptable to change.”  Charles Darwin said this about the natural world, but it’s a truism that could also apply to healthcare revenue cycle management in 2021. Changes to protocols and standards happen […]

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Update: Epidural Procedures For Pain Management And A Note On Anesthesia For These Services

As healthcare providers, it’s important to be aware of upcoming changes that could impact your practice through billing, claims, and insurance. Below is an important update on a proposed Local Coverage Determination (LCD) relevant for practices that perform epidural steroid injections (ESIs) to treat low back and neck pain. See our previous blog regarding potential […]

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Alert: Potential Changes to Reimbursement for Anesthesia Sedation in Pain Management Injections

According to the American Society of Anesthesiologists and the International Spine Intervention Society, minor pain management procedures require only local anesthesia under most routine circumstances, these include: Epidural steroid injections Epidural blood patch Trigger point injections Sacroiliac joint injections Bursal injections Occipital nerve block Facet injections Because of this, general anesthesia and moderate sedation services […]

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To Bill or Not to Bill: Field Avoidance is the Question

Back in 2019, there was a significant change to the ASA RVG in regards to field avoidance. We discussed it back when the ASA made this change, but it’s always a good time to brush up on the details. The RVG can seem like an arbitrarily moving target, but the changes are intended to evolve […]

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Understanding the Difference Between TIVA & MAC: Tips for Easy Reimbursement

Anesthesia care and billing doesn’t fall on a spectrum from “easy to hard” in terms of levels of care. In fact, it’s a diverse Venn diagram of interactions between existing conditions, procedures, modifiers, and services. The distinctions on this Venn diagram become very important, however, when it comes time to reimburse for these complex types […]

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Everything You Need to Know About the “No Surprises” Act

Each year, millions of Americans are affected by surprise medical bills ranging from hundreds of dollars to hundreds of thousands of dollars. This so-called “surprise billing” can be devastating to patients and their families, but the good news is this unfair practice is coming to an end.    What Is Surprise Billing? Surprise bills -- […]

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Understanding the Pros and Cons of Anesthesiologist and CRNA Employment Options for Your Facility

by Joe Gribbin, Sr.  Hospital and facility administrators are challenged by the inability to control their revenue cycle when anesthesia services are outsourced. If you aren’t aware of how much revenue is being generated, it’s difficult to maximize cash flow.  This is our third post in this series highlighting the challenges hospital administrators face and […]

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The Future of Anesthesiology: How Anesthesiologist and CRNA Shortages Are Making an Impact

Anesthesiologists and CRNAs are among the most sought-after specialties in the medical field. As healthcare demands are increasing and the supply of qualified physicians decreases, the future of anesthesiology is fraught with discussions surrounding the direction of the industry. As with many other healthcare professionals, the pandemic of 2020 has also provided another degree of […]

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Anesthesia Billing 101: Everything You Need to Know

Anesthesia billing is more complicated than billing for most other specialties. Between coding specifications and the differences in time billed, it can be challenging for facilities to understand how to leverage these complexities to maximize eligible revenue. In breaking this down into “Anesthesia 101,” we’ve highlighted some of the unique features of anesthesia billing in […]

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