Why Choose Our Anesthesia Billing Solutions?

  • Specialized Knowledge: Our team understands the unique requirements of anesthesia billing, including time-based units, modifiers, and payer-specific rules

  • In-House Technology: Our proprietary billing system integrates seamlessly with EMRs and hospital systems, streamlining data transfer and improving efficiency.

  • Compliance Focus: We stay current with regulatory changes and payer guidelines to ensure your claims are always compliant.

Claims Management & Follow-Up

  • Clean Claim Submission: We use the correct CPT and ASA codes, modifiers, and payer-specific requirements for every claim
  • Denial Management: Our experts quickly address and appeal denied or underpaid claims, ensuring you receive the full reimbursement you deserve.
  • Payment Posting: We reconcile payments and provide transparent reporting so you always know your financial status.

Regulatory Compliance

  • HIPAA & CMS Compliance: We adhere to all federal and state regulations, including HIPAA and CMS guidelines, to protect your practice and your patients.
  • Ongoing Education: Our team stays up-to-date with the latest changes in anesthesia billing rules and payer policies.

Accurate Time-Based Billing

  • Anesthesia Time Units: We calculate anesthesia time in 15-minute increments, ensuring every minute is accounted for and billed correctly.
  • Base Units: Each procedure is assigned a base unit value reflecting its complexity, which is combined with time units for total billing.
  • Modifiers: We apply the appropriate physical status and procedural modifiers (e.g., P1–P6, QS, QX) to reflect patient condition and provider roles, reducing the risk of denials.

Comprehensive Documentation

  • Detailed Record-Keeping: We ensure all anesthesia records include start and end times, type of anesthesia, patient status, and any complications or additional procedures
  • Audit Support: Our team regularly audits documentation to identify and correct common issues before claims are submitted.
Step Description
Documentation Collection Gather anesthesia records, operative notes, and supporting documentation
Coding & Charge Entry Assign correct CPT/ASA codes, base units, time units, and modifiers
Claim Submission Submit clean claims electronically to all major payers
Payment Posting Post payments, reconcile accounts, and identify discrepancies
Denial Management Appeal denied claims and resolve underpayments
Reporting & Analytics Provide detailed, transparent financial reports

Benefits of Partnering with us

  • Increased Revenue: Capture every billable unit and reduce lost revenue from undercoding or denials.
  • Faster Payments: Streamlined processes and electronic submissions speed up reimbursement cycles.
  • Reduced Administrative Burden: Let your team focus on patient care while we handle the billing complexities.
  • Custom Solutions: Our flexible, in-house system adapts to your workflow and integrates with your EMR.

Get Started

Ready to optimize your anesthesia billing? Contact us today to schedule a consultation and discover how our expertise can benefit your practice.