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 […]
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 […]
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 […]
by Joe Gribbin, Sr. Facility administrators have to make countless decisions regarding employing, contracting, compensating, and managing anesthesiologists and CRNAs, and these decisions have a significant impact on the bottom line. I spent 12 years working as a hospital administrator before starting MBM, so I understand these challenges. By understanding the types of relationships your […]
The State of Alabama recently made an important announcement that could have a big impact on Alabama Health Care and Emergency Response providers. The State is issuing COVID19 Relief Grants for providers that meet certain eligibility requirements. The Alert letter is included below. IMPORTANT: These disbursements are on a first-come, first-served basis, starting noon October […]
The simplest solution is usually the best one. When it comes to the tangled web of Medicare services and billing, however, staying simple isn’t always easy. Every year, the Centers for Medicare & Medicaid Services (CMS) update their policies in order to stay on top of technological advances and to streamline their processes. Less paperwork […]
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 […]
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 […]
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 […]
