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 […]
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 […]
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 -- […]
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 […]
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 […]
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 […]
On Monday, December 21, Congress passed legislation that included another COVID-19 relief package worth $900 billion. On Sunday, December 27, President Trump signed this legislation into law. Among its many provisions, the package includes payments up to $600 per adult and child to qualifying Americans, an increase in weekly unemployment benefits and funds for small-business […]
Each year provides new challenges and lessons, but these also lead to many opportunities for positive change. As you plan for the future, one thing you should ask yourself is, “Am I getting the results I want from my vendors?” That is certainly true for those who work with medical billing companies. If you have […]
As next year approaches, we expect to see many changes - in how we do business, how we plan for the future, and how we code our pain management services. That’s right, the CPT® 2021 code book has been released. It details coding additions, revisions, and deletions to be implemented next year. We will provide […]
By Joe Gribbin, Sr. Hospital and facility administrators are often unaware of how much revenue is unrecognized when they bill anesthesia incorrectly. This can be the case whether they manage anesthesia in-house or contract with an anesthesia group. I spent 12 years as a hospital administrator before starting MBM, so I’ve seen how missed revenue […]
