Reimbursement and Billing Guidelines for Anesthesia Claims
Anesthesia Billing has always been complex pertaining to the nuances involved in administering the procedure. Unlike other specialties, charges for Anesthesia claims are determined by various factors like the Base Unit, Time Units, Modifying factor and Conversion factor. Billing and coding guidelines for Anesthesiology is not similar to general billing, which explains the reason for the complexity in Billing, Coding and collection. Read below to know in detail about the Reimbursement and Billing Guidelines for Anesthesia Claims.
Anesthesia Procedure and Billing Guidelines
Anesthesia is administration of anesthetic agent by injection or inhalation to induce partial or complete loss of sensation with or without loss of consciousness for surgical procedures. To code for Anesthesia, the surgical procedure should be coded first followed by the appropriate Anesthesia code with modifier.
Anesthesia claims are coded using Current Procedural Terminology (CPT 4)range from 00100–01999 or American Society of Anesthesia (ASA) Codes with appropriate Modifiers in accordance with the guidelines provided by Center for Medicare and Medicaid Services (CMS).
Medicare Physician Fee Schedule (MPFS) Implicating Anesthesia Practices in 2021
American Society of Anesthesiologist (ASA) reported the new proposed national conversion factor (CF) for 2021 as $20.05 which is reduced by almost 10% from the previous fee schedule of $ 22.20. The CF differs slightly for each state.
Reimbursement for Anesthesia Services
As the CF category is utilized in calculating the payment for Anesthesiologist and Anesthetists checking out the percentage guideline applicable for your current geographical location is essential. Apart from CF category Base Value, Time Reporting and Modifiers are key factors in calculating the reimbursement for Anesthesia.
Billing for Anesthesia Services
With the intricacies in handling billing and coding for Anesthesia, it is critical to ensure skilled and experienced team is deployed. While billing for anesthesia can be done in-house it can be challenging to manage the billing team, monitor claims status, denials and collections along with prime focus on patient care. Outsourcing Anesthesia billing can be the best option to a smooth and efficient billing process with the benefits listed below:
· Anesthesia billing requires significantly experienced billers and coders to ensure cleaner claims submission to increase your collections. A Billing company has skilled and trained resources to handle your Anesthesia billing efficiently
· Experienced team to reduce billing and coding errors thereby reducing denial percentage
· Outsourcing helps increase collections which means increased profit and savings.
· Regular training with the latest updates and regulations to ensure the team is up to date and current
· Rigorous follow up on the denied claims by strong Accounts Receivable team will help decrease aging AR claims.
About MGSI
MGSI is 25 years old Medical Billing Company providing complete Revenue Cycle Management Services to more than 600 physicians across the US. With the expertise to handle multispecialty Billing and Coding services MGSI has experience in Anesthesia Billing for small and large group in multiple states in US. MGSI reserves long term client retention and satisfaction with its efficient billing, coding and collection process for Anesthesiology. To know more about MGSI and our expertise visit Medical Billing Company | MGSI Billing Services and Solutions
