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Category: Medical Billing Services

Alabama Anesthesia Providers and HB 268: Expanding Access to Care

Last month, the Alabama legislature enacted a few significant changes that will affect your anesthesia practice. The wake of changes from Covid-19 continues to ripple down in laws such as these, as they represent efforts to expand access to affordable anesthesia care across the state. For anesthesia providers, this is good news. These changes will greatly increase the capacity of your practice.

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In-House or Outsourced Anesthesia Billing? The Answer Is In Your Bottom Line

It can be difficult to decide which billing option is better for your practice: in-house or outsourced. To help with this decision, ask yourself some questions. Which option gives you the most comfort with the process? Which option gives you the best ROI?  To answer this, let’s ask some questions about your practice. What is […]

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The High Cost of Bad Billing: The Dangers of Incorrect Documentation for Anesthesia Services

There are no do-overs in coding and billing for anesthesia services. You get one chance, and you have to get it right. Close only counts in horseshoes and hand grenades, as they say. The cost of incorrect documentation can be high - both in lost reimbursement and in non-compliance. You also can’t rely on someone […]

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Medicare Information for 2022: LCD Changes in Pain Management and More

As we’ve mentioned before, aging populations, an increase of cardiovascular conditions, and patient pain management will lead to a rise in the need for anesthesia services leading up to 2025 and beyond. CMS is constantly refining codes as changes in surgeries and procedures require billing costs that accurately reflect them.  In 2022, most of these […]

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What’s New in Anesthesia? An Interview with Soneaqua Flanagan

Soneaqua Flanagan joined the Medical Business Management team in November of 2000. Before this, she had several years of experience working in hospitals and other medical billing companies. With over 30 years of experience in healthcare management and 22 years at MBM, she is nothing short of an expert.  Soneaqua is a Certified Professional Coder […]

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New Year, New Fee Schedule: Important Changes for 2022

It’s that time again. Much like taxes or jury duty, there is a certain inevitability to the Centers for Medicaid & Medicare Services updating their Medicare Physician Fee Schedule (MPFS). Calendar year 2022 is no different, and the update contains both good and bad news. All the CMS’ efforts in updating the MPFS are “to […]

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Guide to Surprise Billing Provisions in the Consolidated Appropriations Act 2021

It’s almost the end of 2021, which means it’s time to prepare for the policy changes going into effect for the following year. The biggest one to pay attention to is the No Surprises Act (NSA), part of a comprehensive COVID-19 relief package in the Consolidated Appropriations Act. This law becomes effective January 1, 2022, […]

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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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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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