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Anesthesia Billing Services

Anesthesia Billing Experts

Anesthesia billing is one of the most complex medical billing specialties, making it challenging for hospitals, healthcare facilities, and private anesthesia groups to maximize eligible revenue. They must accurately account for base units, time units, modifiers, anesthesia-specific ASA codes, physical status units, and concurrencies.

Our anesthesia billing experts have the knowledge, experience, and state-of-the-art software to facilitate productive revenue cycle management even in the most complex situations. 

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Your Anesthesia Billing Partner

As a claims billing partner, MBM acts as an extension of your billing office. We are a full-service anesthesia billing provider offering:
NPI numbers
Electronic Funds Transfer (EFT)
Electronic Data Interchange (EDI)
Data entry
Payment posting
Patient inquiries
Statement / guarantor collections
Data downloads
Credit card processing
Electronic document storage
Encounter forms / charge sheets
CMS compliance and quality measures

Who We Serve

Medical Business Management provides anesthesia billing services for:
We increase cash flow and maintain a consistent revenue cycle by providing the anesthesia billing services that best support each business model. Our approach relieves your in-house team of tedious and complex work so they can focus on what they do best -- serving patients.

Contact us here to learn more about our anesthesia billing process.
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The Complexities of Anesthesia Billing

Appropriate and accurate documentation is essential for anesthesia billing compliance, reimbursement, and medical-legal issues. Without proper documentation, your facility won't be able to validate the anesthesia services performed. We work with the anesthesia providers to educate them on the importance of documentation. We also evaluate the workflow and processing of electronic charges or paper claims.

The payor mix and payor guidelines for care delivery and documentation affect your anesthesia services and billing. You can review your facility's payor Local Coverage Determinations (LCDs) here.

All cases must be documented with an anesthesia record through paper or EMR documentation.

Calculating Anesthesia Charges

Anesthesia service charges aren't calculated like other medical services. The formula for calculating anesthesia charges is:

(Base units + Time units + Modifying units) x Conversion factor = Anesthesia charges

Let's take a closer look at each component of this formula.

Anesthesia Base Units

The ASA (American Society of Anesthesiologists) assigns base units a value that increases with the procedures' complexity.

Anesthesia Time Units

Anesthesia time begins when the anesthesia provider starts prepping the patient and ends when the patient is safely released to postoperative supervision.

Anesthesia Modifying Units

Modifiers are two-character indicators that modify payments or identify relevant details on a claim. They identify relevant factors like the patient's age, systemic disease, physical status, or emergencies.

Conversion Factor

The conversion factor is a rate specific to each carrier and procedure location. The list of conversion factors is published yearly by the CMS.

Effective Anesthesia Billing to Maximize Revenue

We use these considerations and other factors to ensure our clients’ anesthesia billing process is more manageable by handling various complexities and reducing errors. We help you get the most revenue back from your anesthesia services, saving you time and money. Contact us today for a free consultation!
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Birmingham, AL 35216
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