The complexities involved in Anesthesia Billing are as plain as pikestaff due to its intricacy of procedures and billing done based on units and time. Handling billing and coding for such complicated procedures can mean laborious and time taking, which by itself becomes a challenging specialty to be handled for Medical Billing and Coding. Listed below are “Top Challenges Associated with Anesthesia Medical Billing” and tips to overcome them for smooth and profitable claims processing.
Understanding Anesthesia Reporting
Being accurate with the time documentation is crucial to ensure proper reimbursement as some insurance companies pay by the total time spent by the anesthesiologist during the perioperative care. Reporting the units of anesthetics used also necessary for payment processing.
- Listed below are the mandatory documentation required for a claim to be processed with maximum payment:
- Preoperative care
- Base Units
- Time Units
- Modifiers
- Post-Operative care
Challenges in Anesthesia Medical Billing
- With the details of reporting to be captured for Anesthesia Billing, the claims process can become equally challenging. The more complexities mean they are more prone to error, which requires a deft hand to process them with expertise and efficiency for more collections.
- “Time-Based Reporting” Challenges
Time-based reporting is not as simple as just documenting the start and end time, there are more rules and guidelines to be followed failing which will lead to revenue loss or even penalties for miss reporting.
- Recording E/M and MAC
Coding for Evaluation and Management along with appropriate modifiers is mandatory. - Use of Appropriate Modifiers
Coders should be aware of different modifiers and ensure to append them as and when appropriate to ensure proper payment processing of claims and to avoid denials and low payments. - Billing and Coding Challenges
With all the variations in billing and coding for Anesthesia can become a challenge if the team involved is not experienced enough to handle each claim with due attention, thereby affecting the cash flow. Establishing a strong billing team or Outsourcing to a Medical Billing Company with expertise in Anesthesia Billing can help ease the challenges involved. - Ensuring Clear Claim submission
An erroneous claim might take ages to get cleared making payment delays and revenue lost which signifies the importance of ensuring cleaner claim submission and getting them accepted on the first submission itself.
- “Time-Based Reporting” Challenges
Outsourcing Anesthesia Medical Billing
Outsourcing Anesthesia Medical Billing can be a good choice to minimize denial percentage and ensure maximum collections. Offshore Outsourcing can turn out to be the best decision to ensure quality billing and faster payments. The expertise from an offshore medical billing is exceptional when compared with other options of Medical Billing processing.
- Benefits of Offshore Outsourcing Anesthesia Medical Billing are:
- Cost savings on the majority of the overhead expenses
- Guaranteed ROI
- Reduced denial percentage and maximized reimbursement
- The efficient denial management team
- Certified Coders and Billers
- Experienced AR Callers making regular follow-up on denied claims
- Handling Out of Network(OON) Claims
- Acquiring prior authorizations and referrals as required
- Physician Enrollment and Physician Credentialing
- End to End Billing Service
About e-care
e-care is a premier Medical Billing Company in India providing complete Revenue Cycle Management Services to more than 100+ Clients across the US. Anesthesia is one of the top specialties handled by ecare with a huge clientele of billing companies from the US who have been with us from inception. Our team has expertise in handling Anesthesia Billing and achieving the best results within the expected turnaround time (TAT). To know more about ecare and our services call 813-666-0028 or log on to www.ecareindia.com