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Proactive Anesthesia
Billing Tips to
Maximize Revenue
MGSI LLC – Medical Billing Company
Accurate Documentation
02
Anesthesia Billing and
Coding Tips
04
Anesthesia Billing
01
Anesthesia Billing and
Coding Guidelines
03
2
TABLE OF CONTENTS
MGSI LLC – Medical Billing Company
Anesthesia Billing
 Anesthesia billing has ever been more complicating and daunting
unlike billing for other medical specialties.
 Attaining maximized revenue for Anesthesia billing is possible only if
each and every member right from the physician to the biller and coders
involved in handling the medical report work productively, keeping in
mind the nuances of Anesthesia billing.
 Even a simple error or a slip in following the standard work protocol may
result in hefty revenue loss. Having a streamlined work flow protocol
helps at greater extent to conform qualitative Anesthesia billing to
maximized revenue flow.
 Listed below are few steps to proactively optimize Anesthesia Billing to
enhance your profits
3
MGSI LLC – Medical Billing Company
Accurate
Documentation
 Accuracy is of paramount
importance in every niche of the
healthcare and medical billing
process.
 Accuracy in clinical
documentation of Anesthesia
billing marks significant changes
in medical billing and coding,
which ultimately enhances
reimbursement percentage.
MGSI LLC – Medical Billing Company
Anesthesia Billing and Coding Guidelines
 Profound knowledge in Anesthesia Billing and
Coding guidelines aids in avoiding thoughtless slip ups
resulting in maximized reimbursement for the claims.
 Insurance Company policies and Medical billing and coding
guidelines are set for regular changes to cope up with the
inevitable upgrades and improvements in the healthcare
industry.
 Keeping up with the recent policy updates and guidelines
assist Medical billers and Coders to submit quality claims
reflecting higher revenue flow.
MGSI LLC – Medical Billing Company
Anesthesia Billing and Coding Tips
6
The American Association of Anesthesiologists (ASA) and Center for Medicare
and Medicaid Services (CMS) has regulated certain specific coding and billing
guidelines listed below to be followed when billing for Anesthesia.
Reporting Accurate base and time units: Calculating the base unit and
entering the numeric value to Anesthesia procedural codes and reporting time
spent on the procedure by minutes is crucial.
MGSI LLC – Medical Billing Company
7
Reporting Start and Stop time: Documenting and reporting the start and stop
time of the procedure is mandate and coders are required to follow specific
insurance company’s guidelines and CMS rules to calculate time units.
Coding Multiple Procedures: Some ASA codes includes multiple areas, these
codes have higher base value. Coders are required to use these codes to report
procedure on multiple areas and bill with higher base value for maximized
reimbursement.
MGSI LLC – Medical Billing Company
8
Appending corresponding Modifies: Modifiers provide additional information
on the procedural coder. CPT codes should be reported with appropriate
modifiers.
Coding CPT and HCPCS Codes: Accurate and detailed coding of appropriate
procedural coders (CPT), HCPCS, modifiers and ICD-10 CM provides clear
information on the procedure performed, detailed coding explains how and why
the procedure was handled, making it easier for first pass rate.
MGSI LLC – Medical Billing Company
9
Coding Qualifying Circumstances: Qualifying circumstances are medical
conditions that impact the administration of anesthesia service. Documenting
and Coding Qualifying Circumstances increases the reimbursement rate of the
claim.
While diligently following all these guidelines and regulations can help increase
your cash flow, it can be cumbersome to handle them effectively while still
keeping up with the ongoing updates and changes. However outsourcing your
Anesthesia billing to an experienced medical billing company can reduce
denials, low payments, rejections and entitle you for higher reimbursement.
MGSI LLC – Medical Billing Company
About MGSI
10
MGSI is a leading provider of medical billing services providing
complete Anesthesia RCM solutions to over 600 physicians clients
on the whole across the US. MGSI is a multi – specialty medical
billing company and Anesthesia is one of our top area of expertise.
To know more about our services and about MGSI’s Anesthesia
billing log in to www.mgsionline.com.
MGSI LLC – Medical Billing Company
CONTACT
Want to Know More About us?
Call us: 877-896-6474
Email us: info@mgsionline.com
Visit us: www.mgsionline.com
11
MGSI LLC – Medical Billing Company
12
THANKS!
MGSI LLC – Medical Billing Company

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Proactive anesthesia billing tips to maximize revenue

  • 1. Proactive Anesthesia Billing Tips to Maximize Revenue MGSI LLC – Medical Billing Company
  • 2. Accurate Documentation 02 Anesthesia Billing and Coding Tips 04 Anesthesia Billing 01 Anesthesia Billing and Coding Guidelines 03 2 TABLE OF CONTENTS MGSI LLC – Medical Billing Company
  • 3. Anesthesia Billing  Anesthesia billing has ever been more complicating and daunting unlike billing for other medical specialties.  Attaining maximized revenue for Anesthesia billing is possible only if each and every member right from the physician to the biller and coders involved in handling the medical report work productively, keeping in mind the nuances of Anesthesia billing.  Even a simple error or a slip in following the standard work protocol may result in hefty revenue loss. Having a streamlined work flow protocol helps at greater extent to conform qualitative Anesthesia billing to maximized revenue flow.  Listed below are few steps to proactively optimize Anesthesia Billing to enhance your profits 3 MGSI LLC – Medical Billing Company
  • 4. Accurate Documentation  Accuracy is of paramount importance in every niche of the healthcare and medical billing process.  Accuracy in clinical documentation of Anesthesia billing marks significant changes in medical billing and coding, which ultimately enhances reimbursement percentage. MGSI LLC – Medical Billing Company
  • 5. Anesthesia Billing and Coding Guidelines  Profound knowledge in Anesthesia Billing and Coding guidelines aids in avoiding thoughtless slip ups resulting in maximized reimbursement for the claims.  Insurance Company policies and Medical billing and coding guidelines are set for regular changes to cope up with the inevitable upgrades and improvements in the healthcare industry.  Keeping up with the recent policy updates and guidelines assist Medical billers and Coders to submit quality claims reflecting higher revenue flow. MGSI LLC – Medical Billing Company
  • 6. Anesthesia Billing and Coding Tips 6 The American Association of Anesthesiologists (ASA) and Center for Medicare and Medicaid Services (CMS) has regulated certain specific coding and billing guidelines listed below to be followed when billing for Anesthesia. Reporting Accurate base and time units: Calculating the base unit and entering the numeric value to Anesthesia procedural codes and reporting time spent on the procedure by minutes is crucial. MGSI LLC – Medical Billing Company
  • 7. 7 Reporting Start and Stop time: Documenting and reporting the start and stop time of the procedure is mandate and coders are required to follow specific insurance company’s guidelines and CMS rules to calculate time units. Coding Multiple Procedures: Some ASA codes includes multiple areas, these codes have higher base value. Coders are required to use these codes to report procedure on multiple areas and bill with higher base value for maximized reimbursement. MGSI LLC – Medical Billing Company
  • 8. 8 Appending corresponding Modifies: Modifiers provide additional information on the procedural coder. CPT codes should be reported with appropriate modifiers. Coding CPT and HCPCS Codes: Accurate and detailed coding of appropriate procedural coders (CPT), HCPCS, modifiers and ICD-10 CM provides clear information on the procedure performed, detailed coding explains how and why the procedure was handled, making it easier for first pass rate. MGSI LLC – Medical Billing Company
  • 9. 9 Coding Qualifying Circumstances: Qualifying circumstances are medical conditions that impact the administration of anesthesia service. Documenting and Coding Qualifying Circumstances increases the reimbursement rate of the claim. While diligently following all these guidelines and regulations can help increase your cash flow, it can be cumbersome to handle them effectively while still keeping up with the ongoing updates and changes. However outsourcing your Anesthesia billing to an experienced medical billing company can reduce denials, low payments, rejections and entitle you for higher reimbursement. MGSI LLC – Medical Billing Company
  • 10. About MGSI 10 MGSI is a leading provider of medical billing services providing complete Anesthesia RCM solutions to over 600 physicians clients on the whole across the US. MGSI is a multi – specialty medical billing company and Anesthesia is one of our top area of expertise. To know more about our services and about MGSI’s Anesthesia billing log in to www.mgsionline.com. MGSI LLC – Medical Billing Company
  • 11. CONTACT Want to Know More About us? Call us: 877-896-6474 Email us: info@mgsionline.com Visit us: www.mgsionline.com 11 MGSI LLC – Medical Billing Company
  • 12. 12 THANKS! MGSI LLC – Medical Billing Company