Discover why ABC is the number one anesthesia billing company. This answers many of the frequently asked questions anesthesiologists and CRNAs need answers to before making the switch to our technology and services.
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Anesthesia Business Consultants FAQ: Anesthesia Billing
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Frequently Asked Questions About Anesthesia Billing and
Anesthesia Patients
I am a potential client and I would like to know...
Are all the medical direction rules for insurance payers incorporated in your system?
Yes, F1RSTAnesthesia is designed to accommodate any variation on the Medicare medical direction billing
rules for CRNAs, student nurse anesthetist, residents or PAs.
Can your billing system interface with our EMR?
Yes, we pride ourselves on being able to interface with any electronic medical record.
Can you help us with our hospital contract and stipend negotiations?
We have extensive experience negotiating favorable contract terms with all manner of facilities.
Do you attend our monthly meetings?
Typically, an account manager or a vice-president of client services will attend your management
committee or group meetings to review performance trends and answer questions.
Do we have access to your system?
The ABC web portal provides access to standard monthly reports, anesthesia patient ledgers and our data
ware house.
Does your company perform periodic audits of your employees coding and how often?
ABC employs a variety of speci c audit protocols to ensure that no less than 3% of every client’s charges
are audited each year.
For a group our size, does your company provide on-site sta ? If so, how many?
ABC will routinely provide sta at the client’s location if the size of the practice and the volume of charges
justify the expense.
How can we be sure our data is secure?
Our servers are designed to provide full redundancy in processing, which ensures there is no down-time.
We also have state of the art security for all IT functions as well as o -location backup.
How can you assure my group that money will not be lost during the transition?
Past experience is the best predictor of future success. Our track record converting anesthesia and pain
management clients from other billing solutions speaks for itself. Rarely do we see less than a 10% increase
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in cash collections by the third month of billing.
How do you manage compliance?
Maintaining each client’s compliance with governmental and commercial payer billing guidelines is a top
priority. The formulation of clear, written policy manuals, the provision of provider in-service sessions and
regular auditing of charges are routine aspects of this commitment to keeping our clients o the
compliance radar screen.
How does ABC monitor productivity by employee/job function?
Every job and function is subject to constant and consistent oversight and monitoring. Over the years we
have developed production and performance standards that have become the key to our consistent
success.
How does your company make sure there is a charge document generated for every service provided?
All charges are managed according to a tight batch-control methodology that includes reconciliation to the
O.R. schedule.
How does your company verify that every payment received is the correct payment?
Payment veri cation against contracted rates is an integral and real-time aspect of our proprietary billing
software.
How does your transition and implementation process work?
We have developed a very detailed implementation process and checklist that will be reviewed with you
once a contract has been signed. ABC sta will assume full responsibility for ensuring that we have
captured all necessary information to bill your claims accurately and provide timely and reliable practice
management information.
How many employees do you have?
Our sta consists of well over three hundred experienced anesthesia billing professionals.
Once a contract for services is signed, how much time would be required to be able to bill out claims?
Our standard implementation process is 60 days. Once we start capturing charges, claims are submitted
daily.
What are ABC’s performance standards such as days in A/R, bad debt and net collections?
Our goal is to meet or exceed MGMA accounts receivable management performance targets.
What are the quali cations of our account manager?
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ABC account managers are experienced anesthesia billing specialists most of whom have a minimum of ten
years' experience with the company.
What is your experience in anesthesia billing?
ABC has been providing billing and management services exclusively to anesthesia practices and to
hospitals that employ anesthesiologists and CRNAs for 30 years.
What role would your company play in our group’s negotiations and contracting with payers?
ABC sta have extensive experience negotiating with payers and will work with you to ensure that you
receive optimum rates and terms.
What services do you provide? (scope of services including consulting and nancial management)
ABC provides a full scope of services that addresses all aspects of revenue cycle management. Our scope of
services provides speci c solutions for each phase of the anesthesia billing and collections process from
coding to electronic claims submission. Our practice management services address all aspects of your
business from bookkeeping, to accounts payable management to compensation plan administration.
What type of information is normally included in the monthly reports?
Standard management reports provide snapshot and trend views of production data, performance
patterns and accounts receivable metrics. Our unique approach to management information allows a
practice to drill-down to the individual anesthetizing location or payer.
I am a patient and I would like to know...
What options are available to me to pay my bill?
You can mail in your payment with your statement – statements are sent every month.
You can call our patient’s accounts line 800-222-1442 to speak to a customer service representative who can set
up payment arrangements, i.e., payment plans, take credit card payments during the hours of 8am – 7pm
eastern standard time
You can call our 800-242-1131 to make a credit card payment through our automated phone system (voice
recognition system) 24 hours/7 days a week
You can email a representative at customer.service@anesthesiallc.com
Am I eligible for any nancial assistance on my anesthesia bill?
It depends on the Anesthesia group. You should contact the Customer Service Department to be advised if
your group does provide nancial assistance.
Can I get a copy of my medical records from you?
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You must contact the facility where the procedure was held or your primary care physician to obtain your
medical records.
I gave my insurance information at the time of service, so why am I still getting bills requesting
insurance information?
Anesthesiologists bill separately from the hospital. Sometimes the anesthesiologist can obtain this
information from hospital, however, many times the doctor is called to another facility and the information
is not taken. It is for your protection that the hospitals not give out your information to random callers;
there is a place provided on the back your bill for insurance information which can be mailed, faxed or e-
mail to the Anesthesia Group.
I sent a check to you over a week ago and it was cashed, but I still got a bill this month. Why?
It can take up to 30 days for your payment to post to your account. The statement cycle probably crossed
in the mail. If you provide the check number, check date, payment amount and date it cleared your bank
we can trace your payment to ensure it posts to your account.
I tried using your automated phone system but it didn’t work for me. Why?
It is mandatory, whether you use the voice recognition or the dial prompt that you have the proper account
number. Account/Invoice numbers begin with a One (1) or a Three (3) and are 8 digits long. All other
account/invoice numbers require agent assistance.
My explanation of bene ts states that I am not responsible for the transfer amount showing on my bill
so why am I being billed this additional amount?
It could be an issue where we are not contracted with your insurance company, but the only way to be
clear is for us to review your EOB.
Why am I being billed for two anesthesia providers when I only had one in the room with me?
You had what is called “Team Anesthesia” one provider was the anesthesiologist the other was a Certi ed
Registered Nurse Anesthetist. Both the anesthesiologist and CRNA shared in caring for the patient, allowing
both to bill for their services.
Why is my insurance participating with the facility but not with the anesthesiologist?
Anesthesia Groups bill separately from the facility. You may le an appeal with your insurance carrier for
additional payments on your account and in some cases, we may le the appeal on your behalf.
Why did it take so long for me to receive a bill after my procedure?
We do not bill the anesthesia patient until the claim has been fully processed by your insurance company.
Why did my insurance not pay more on the claim?