Anesthesiologists, Anesthesiologist Assistants, and Certified Registered Nurse Anesthetists have huge responsibilities, and the lives of their patients rest on their hands. That’s why it is only right that they get paid according to the service and care they provide. Coders or billers have a responsibility to ensure accurate anesthesia coding and timely reimbursements and following three rules help ensure the best results.
- Use the right modifiers.
To ensure proper payment from the insurance company to the anesthesia service provider, the coder must be aware of the different types of modifiers and know how to use them correctly.
- Include qualifying circumstances.
The anesthesiologist can receive higher reimbursement when the biller reports all the qualifying circumstances of the patient. Doing this also helps in providing accurate treatment to the patient in the future because every important detail is documented in the health chart.
- Use the right conversion factor.
While computing the total amount of reimbursement, the coder must make sure that he or she is using the current conversion factor. This part can be tricky, as conversion factors for each state are different and ever-changing.
Each level of anesthesiologist has specific codes. They are billed according to base units, time units, and modifying units. Aside from these, many other factors should be considered when identifying anesthesia coding, make coding and billing for this medical service complicated and daunting. For this reason, healthcare providers choose to outsource this process and let anesthesia billing companies do all the hard work. These third-party companies focus on documenting records and calculating the total amount of anesthesia reimbursement so that healthcare providers can collect payment faster. If you are considering this option, you might want to sit down with offshore anesthesia billing companies to explore your options. The best companies can offer affordable and reliable services.