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With Everest's Anesthesia Billing & Coding Services, you can maximize profitability and minimize errors.
Reduce denials, increase collection and fix revenue leaks
Anesthesiology specific Medical Billing & Coding, Practice Management & RCM Solutions that boost profitibilty & improve patients experience.
At Everest A/R Management Group, we have a team of experienced billers and coders who cover more than 20 medical specialties. By more than two decades, we are providing customized Anesthesia medical billing, coding and accounts receivable services to healthcare providers, revenue cycle companies, and healthcare systems not just in Florida but all over the United States; we have the people, processes, and technology in place to deliver high-quality services.
Anesthesia providers can be classified into different levels – Anesthesiologists, Certified Registered Nurse Anesthetists (CRNA), and Anesthesiologist Assistants (AA). They play a key role in understanding the patient’s medical history and condition. However, they often face difficulties in getting accurately reimbursed for their services.
An anesthesiology service’s ability to generate and collect revenue is integral to its success. The key components of efficient anesthesia billing are a knowledgeable and trained revenue cycle team, software specialized for your billing needs, and billing practices that adhere to the rules. By outsourcing your billing and coding requirements to a technologically empowered billing company like Everest A/R Management Group Inc, means you can shift your focus to providing enhanced patient care.
By obtaining authorization and validating the patient’s eligibility and benefits before the surgery. We are also aware of the services that can or cannot be bundled together with the anesthesiology service offered. Our expertise in Anesthesia includes but is not limited to: topical infiltration, local anesthesia, metacarpal/Metatarsal/Digital blocks, regional anesthesia o Peripheral Nerve Blocks o Epidural or Spinal Anesthesia, Monitored Anesthesia Care.
Leverage our expertise in various disciplines of Anesthesia for Anesthesiologist.
We have certified coders not just in Florida but across the US who work 24/7 to prevent billing problems caused by incorrect use of modifiers, as well as educate your in-house billing specialist on how to avoid them. Our certified coders and billers acknowledge the list of codes and modifiers provided by the CMS for Anesthesia billing and ensure that we stick to it. Anesthesia billing can become complicated as it requires documentation of a high number of records, such as:
Pre-operative assessment – The pre-operative review encompasses the patient’s and their family’s medical history as well as any drug or tobacco habits that have to be considered while working out the necessary dosage of anesthetics.
Anesthesia sheet – The Anesthesia sheet involves the documentation of the following:
Base unit – The base units indicate the level of complexity and skills required for the anesthetic service provided. The CMS publishes the base units annually.
Time unit – This is the time devoted to the patient receiving the anaesthetic or monitoring the patient’s condition before, after, or during surgery. Time units are figured by dividing the total minutes of service by 15.
- Modifiers – Anesthesia modifiers (-AA, -QK, -QY, -QZ, and -QX) explain the role of the anesthesiologist and CRNA in anesthesia procedures. These modifiers are essential for clarification of whether the anesthesia procedure was personally performed by the anesthesiologist, medically directed, or medically supervised.
- Formula – Anesthesia Reimbursement = (Base Units + Time Units + Modifiers) x Conversion Factor
Combined or bundled services – Do not bill the following procedures along with anesthesia procedures.
Do not bill for the Injection of diagnostic or therapeutic substances along with anesthesia procedures (62320 – 62321 and 62324 – 62325), Nerve Blocks (64400 – 64530), Transesophageal Echo (TEE) (93312 – 93318), Laryngoscopy (31505, 31515, 31527), Bronchoscopy (31622, 31645, 31646)
Post operative assessment – The post-operative review contains records stating that the patient has not experienced any complications from the anesthetic
Frustrated with decreased revenue, staffing issues, and technology costs?
At Everest A/R Management, we offer a full range of medical billing and coding services. We understand that all medical offices and practices are not the same. We work with our clients to design a customized solution that not only meets your needs, but exceeds them. We optimize customer service and efficiency to build a seamless process. Let us focus on the billing, A/R, and administrative challenges while you focus on patient care and clinical quality.
Do you have a backlog of aged insurance claims?
Are you contemplating a system conversion and are concerned about the old A/R? Perhaps you’ve realized your staff just doesn’t have the time to work the aged claims due to the volume. Maybe you want to wipe the slate clean and start fresh whatever your reasons for considering a clean-up project, Everest can relieve you of your burden.
With our extensive background in patient financial services, we can help guide your staff and internal processes to be more efficient and effective.
This translates to higher revenue for your organization.
Anticipating a staff member’s leave of absence? Has one of your staff been in an accident?
Don’t allow your business process to get bogged down because of a staff shortage! Because of our background in administration, hiring quality employees is quite familiar to us.
Let us help you sail smoothly through your personnel shortage!
Specialty Billing Services Florida
Our medical billing services in Florida can help you increase your revenue by reducing the number of denied and unpaid claims. Our billers in major cities like Gainesville, Jacksonville, Miami, Tampa, St. Petersburg and Orlando can provide you with less paperwork and more accurate medical claims to improve the efficiency of your practice.
Specialization
- Family Practice
- Internal Medicine
- Nephrology
- Oncology
- Physical Therapy
- Radiology
- Mental & Behavioral Health
- Urgent Care
We make it right for our clients. Customers that we’ve tested had quite a lot of positive feedback.
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