After a tense period of debate over the new provider regulations by the Department of Veterans Affairs, on Dec. 14, those regulations were finally amended to allow full practice authority to APRNs employed at VA hospitals. The pain point? CRNAs weren’t included in that ruling. According to the final rule, certified nurse midwives, nurse practitioners, […]
Anesthesia billing can be hard to understand -- and even harder to keep up with. From revenue cycle management to coding, it’s almost inevitable that something will fall through the cracks (unless you hire a third-party company to handle it for you, of course). Here, we’ve broken down the anesthesia billing process into three components […]
When it comes to successful anesthesiology billing, it’s important to collect every bit of revenue possible. Even one missed or overlooked case can result in losing hundreds – if not thousands – of dollars of revenue. And given the high caseload many anesthesiologists face, overlooking a case now and then happens more than you’d think. […]
Running an anesthesia practice means complying with a labyrinth of rules and regulations. There are three related compliance issues that many anesthesiologists have a difficult time abiding by, and all of them have to do with payment. These compliance issues are: Professional courtesy fee waivers Co-payment waivers Discounts for cash payments Many practices encounter these […]
Compliance, for an anesthesia practice, is quite different from other medical practices and specialties – and can even differ within the anesthesia field. Because so much depends on proper compliance, practices need to understand what is required of them when it comes to complying with rigorous documentation requirements. However, many providers – even those with […]
For anesthesia practices participating in the Physician Quality Reporting System (PQRS) from CMS, there are four ways to take part: claims, qualified registries, electronic health records (EHR), and a fourth option known as qualified clinical data registries (QCDRs). Most providers utilize one of the first three methods to submit data to CMS. However, there is […]
In 2015, Congress passed the Medicare Access and CHIP Reauthorization Act, known as MACRA. Since then, regulators have been working on releasing guidelines and programs governing MACRA, and many of these impact anesthesiologists. Parts of the proposed rule (it hasn’t gone into effect yet) were announced on April 27 and discussed on this blog previously, […]
Choosing anesthesia billing companies to handle coding, billing, provider credentialing, and revenue cycle management for your practice is a wise choice because you can lower costs, increase efficiency, improve patient service, reduce claim denial rates, boost revenue, reduce overhead, and avoid penalties from not complying with regulations. With all the different providers out there, selecting […]
The Physician Quality Reporting System (PQRS) is a quality reporting system created by the Centers for Medicare & Medicaid Services designed to properly assess the quality of care that is provided to patients. Providers can use PQRS to quantify how often they are meeting a certain quality metric, and can modify their care based on […]
If you are an anesthesia provider in the state of Alabama, there are certain guidelines you need to be aware of in order to abide by all policies and regulations and ensure you are properly billing and collecting your claims. Here are a few anesthesia billing guidelines your practice should follow. Claim Filing Effective for […]
