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Anesthesiology Practices

Seamless Anesthesiology Billing: Maximizing Your Revenue

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Anesthesiology Practice Billing

Anesthesiology is one of the most intricate specialties in medicine, not only because of its direct impact on patient safety but also the complexities surrounding its billing and insurance coverage. Unlike other medical specialties, anesthesiology billing is unique because it revolves around time-based units, multiple payer rules, and distinct reimbursement guidelines. Mistakes in coding, modifier application, or timely documentation can lead to claim denials, revenue losses, and compliance risks. 

A professional medical billing company like us specializing in anesthesiology billing can provide accurate claims submission, better compliance management, efficient reimbursement cycles and reduced overhead costs. By outsourcing to an expert medical billing provider like us, you can enhance revenue, ensure compliance, and focus on patient care, rather than getting lost in the maze of billing challenges. 

Unbeatable Service, Quality & Price

ACCURACY
0 %
TURNAROUND TIME
< 0 Hours
COLLECTION
0 %
PRICE
Starting from $ 1100 /Month

CHALLENGES

Challenges in Uruology Practice Billing

Time-Based Billing Complexity: Unlike many other specialties that bill for procedures based on a fixed fee-for-service model, anesthesiology bills are based on start and stop times for anesthesia administration. Incorrect documentation or misinterpretation of time can lead to claim denials or underpayments.
Lack of Standardized Billing Guidelines: Different payers, including Medicare, Medicaid, and private insurers, have varying rules for calculating anesthesia units and applying modifiers. This lack of uniformity makes it difficult for in-house teams to maintain compliance without specialized knowledge. 
Medical Necessity and Preauthorization: Some anesthesia services require preauthorization, especially for pain management procedures or non-emergency surgeries. Failure to secure authorization can lead to claim denials, causing revenue loss.

OUR PROCESS

Our Anesthesiology Practice Billing Process Workflow

At RCM Workshop, the anesthesiology billing process begins with patient registration, where we collect patient information and insurance details and verify the same. This is followed by a pre-operative review to document the patient’s medical history and condition. During the procedure, we record all details of the anesthesia administered, including dosage and duration. After that, we assign appropriate diagnostic (ICD) and procedural (CPT) codes specific to anesthesiology services. We use these codes to submit claims to the patient’s insurance company, which reviews the claim, determines coverage, and processes the payment. Payments from the insurance company are subsequently posted to the patient’s account. 

If any claims are rejected, we correct the errors and resubmit the claims. Then a post-operative review documents the patient’s condition, and any post-operative care is provided. Any remaining balance not covered by insurance is billed to the patient. Eventually, we carry out patient collections, where we follow up on unpaid patient balances. This workflow ensures accurate and timely reimbursement for anesthesiology services while maintaining compliance with regulations.

Scheduling & Registration

Carry out well-coordinated appointment scheduling, update insurance details, and handle inbound and outbound calls from/to patients.

Eligibility & Benefits Verification

Confirm primary and secondary insurance and benefits coverage of patients and verify their coverage, co-pays, co-insurance, and deductibles.

Prior Authorization

Initiate request for prior authorization with the payer, follow up to check its status till closure and finally update the system with Auth approval reference number.

Medical Coding

Check the accuracy of codes and modifiers according to specialty and assign corresponding and appropriate charges to the codes.

Charge Posting

Enter the charges for the services provided into the billing system including the cost of the medication and the administration fee.

Claims Edits & Submission

Audit the claims thoroughly to check for accuracy and edit if necessary and submit claims – both EDI and paper format.

Payment Posting

Carry out both auto as well as manual posting for payments received and conduct reconciliation against claims.

Denial Management

Analyze and categorize denial claim according to denial codes, $ amount and payers, and resubmit claims after correction.

AR Management

Follow-up with payers to gather status for unpaid claims, and their resolution.

Patient Collection

Sending patient statements and follow-up with patients for final and outstanding payment.
You can confidently rely on us to manage your entire billing process, or you have the flexibility to select specific DME billing services that suit your needs, ensuring a seamless operation without any interruptions.

BENEFITS

Outcomes Guaranteed

Our systematic approach to handling anesthesiology billing delivers actionable insights to enhance your ROI. We adhere to the latest regulations and standards, ensuring your center is prepared for audits and protected from legal issues. Our team maintains the highest quality standards, ensuring significantly improved financial outcomes.

Improved Accuracy in Verification

Clean Claim Submission

Proper Documentation and Process Efficiency

Improve Compliance and Reimbursement

Efficient Denial Management

Decreased Claim Denials Rate

Proactive accounts receivable management

Reduce Bad Debt and Aging

Swift Authorization Management

Quick Turnaround Time

Overall process optimization

Improve cash flow and revenue

WHY US?

Why partner with us

By collaborating with us, you can simplify the intricate billing process of your anesthesiology center, ensuring precision and regulatory compliance. This collaboration can minimize the risk of errors and denials, resulting in quicker reimbursements and better financial stability. By delegating billing tasks, your center can concentrate more on patient care and clinical operations, boosting overall efficiency and patient satisfaction. Moreover, we offer valuable insights and analytics to enhance revenue cycles and efficiently manage patient billing and collections.

Guaranteed Improvement in Reimbursement and
Cash Flow

Assured reduction in
Denials and AR

Transparent reporting
–NO BLACK BOX

100% data security
& HIPAA compliance

On demand scale up
of operation

Significant Reduction
in Cost > 75% Savings

Simple & No
Cost transition

Flexible & Unbeatable
Pricing Plan