Anesthesiology

Anesthesiology Billing Services

Anesthesiology billing is one of the most intricate parts of healthcare revenue cycle management. From base units to time units and modifiers, every detail matters. Errors in documentation or coding can cause costly denials, compliance risks, and delayed payments. Our team of anesthesia billing specialists ensures precision at every step, so your practice is reimbursed accurately and on time.

Common Challenges:

  • Errors in time-based anesthesia coding

  • Incorrect use of modifiers for multiple procedures

  • Delays from incomplete intra-operative documentation

Best Documentation Practices:

  • Record accurate anesthesia start and end times (preferably in 24-hour format)

  • Document ASA status, anesthetic agents, monitoring, and complications

  • Include airway management notes and patient consent forms

Our Billing Solutions:

  • Accurate calculation of base + time units

  • Modifier expertise for anesthesia (AA, QK, QZ, QS, etc.)

  • Monthly audits to identify undercoding risks

  • Seamless EHR integration and anesthesia-specific superbill templates

Revenue Optimization Strategies:

  • Advanced modifier usage (e.g., 59, 76, 51) for compliance and higher revenue

  • Real-time reconciliation of anesthesia records with EHR logs

  • Pre-authorization support for procedures requiring prior approval

Denial Management:

  • Root-cause denial analysis with anesthesia-specific reporting

  • Appeals for documentation or modifier-based denials

  • Continuous feedback to providers to prevent repeat errors

Credentialing & Onboarding Checklist:

  • NPI, state license, DEA (if applicable)

  • Tax ID / W-9, EFT forms

  • Malpractice certificate

  • Sample anesthesia record

KPIs We Track:

  • Clean claim rate

  • Average days in A/R

  • Denial percentage & appeal success rate

  • Net collection rate

FAQ:
Q: Do you reconcile anesthesia time with EHR logs?
A: Yes. Our billing team cross-checks anesthesia documentation against EHR timestamps to ensure accurate time-based billing.