Anesthesia Billing Services

Our AAPA and AMA-certified professionals have wide experience in providing accurate billing and coding services for anesthesia practices. Their understanding of the common to complex challenges in anesthesia billing makes them adept at addressing the needs of diverse medical entities. These entities include hospitals, anesthetic groups, urgent care centers, independent anesthetists, and doctors specializing in general anesthesia, regional anesthesia, local anesthesia, ambulatory anesthesia, and monitored anesthesia care. Here is how we deliver our anesthesia billing services to our clients: 

• Leverage billing software integrated with systems such as EHR, EDI, EMR, PCS, and other tools to minimize the need for manual data entry and paperwork.
• Verify patient details such as (demographics, SSN, registration number, address, medical history) and provider details (name, address, insurance policy coverage, effective date, and expiration date) to ensure accurate claims documentation.
• Verify coverage information from insurance payers for certain anesthesia services that require preauthorization. This includes getting a clarification about the out-of-pocket expenses (coinsurance, deductibles, copayments) borne by patients.
• Assign specific codes to capture aspects like anesthesia administration time, base units, and time units to calculate the anesthesia conversion factor for the rendered anesthesia services.
• Adhere to pertinent regulations while handling different anesthesia billing types, including value-based payment billing, episode of care billing, capitation billing, global billing, etc.
• Assign accurate billing codes such as ICD-10, CPT (00100-01999 for anesthesia services, 99100-99150 for anesthesia modifiers, 01935-01936 for anesthesia for obstetrics, and more), and HCPCS Level II codes related to anesthetic practices.
• Facilitate clean electronic claims to respective insurance payers such as Medicare, Medicaid, private insurance companies (Aetna, UnitedHealthcare, Anthem, Cigna), Workers' Compensation, Managed Care Organizations (MCOs), and others.
• Verify EOB and COB to ensure that the reimbursement amount matches the patient invoice amount. Support the appeals process in case of any discrepancies in the amount of claims.
• Analyze EOBs to clarify patients’ out-of-pocket expenses (co-insurance, deductibles, co-payments).