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 […]
“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 […]
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 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 […]
Interested parties can now apply for the Phase 3 General Distribution from the CARES Act Provider Relief Fund. The Department of Health and Human Services opened the portal Monday morning, October 5. Please note, the Phase 3 distribution expands eligibility for funds and allows application submissions for those who: Missed a prior application deadline Were […]
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 […]
All medical practices have issues with managing patient accounts receivables (AR) and cash reconciliation. It’s not endemic to just one specialty. And while some practices are better at revenue cycle management than others, all run into problems eventually. Earlier this month, we talked about creating a better reconciliation process. In this post, we’ll give you […]
Do you know how well your anesthesia practice is performing? Providers think they know the answer to this question, but when they really drill down to figure out exactly how well their practices are performing, they often find themselves struggling to come up with an answer. After all, there is a sliding scale of “well.” […]
