Calculating time units and concurrency is precise work. Our team navigates complex anesthesia coding guidelines, ensures accurate modifier usage, and accelerates reimbursements so you can focus on patient safety.
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See how specialized anesthesia billing services streamline intricate time-unit calculations, ensure strict compliance, and maximize reimbursement for practices.
Anesthesia claims often fail due to undocumented concurrency or incorrect physical status modifiers. Standard billing teams struggle to align start-stop times with the correct base units. These unique errors cause significant revenue loss that generic software simply cannot identify or prevent.
Anesthesia groups face intense scrutiny on Medical Direction rules. To bill concurrent cases at full rates, providers must document all seven TEFRA steps perfectly. A single time-gap or missing vital sign check can invalidate the claim, exposing your group to aggressive audits, significant take-backs, and lost revenue.
Anesthesia claims face unique rejections for overlapping start-stop times, wrong physical status modifiers, or inconsistent concurrency levels. Simple mismatches between anesthesia records and surgical reports regarding total time or procedure type can freeze payments or spark audits that drain group resources.
Billing for mixed anesthesia care teams requires staff who master Medical Direction rules, QZ modifiers, and precise time calculations. Generalist billers often miss concurrency details or fail to link proper start times. Without specialized training, groups face compliance risks, massive revenue leakage, and preventable write-offs.
We track the unique conversion factors for every insurance plan you accept. From Medicare base units to private carrier nuances, our experts verify every calculation. This proactive approach eliminates the guesswork and secures the full payment your group earned.
Our experts continuously monitor ASA updates and CMS supervision mandates, from base unit changes to specific Local Coverage Determinations. We cross-reference every minute of anesthesia time against procedure notes, ensuring your documentation supports the claim and your revenue cycle stays protected from regulatory shifts.
Our team dissects denial trends specific to anesthesia groups, verifying base-plus-time calculations and modifier usage so valid cases get paid. Data-driven appeals, verified concurrency evidence, and precise resubmissions help capture underpaid units and secure a reliable cash flow for your anesthesia providers.
Every claim is managed by experts certified in anesthesia coding, handling complex cases for hospital groups and surgery centers. This niche expertise in ASA codes, varying conversion factors, and modifier logic ensures accuracy. We reduce errors, accelerate cash flow, and secure the maximum reimbursement your group earned.
Surgical groups choose our dedicated anesthesia medical billing services to master complex time calculations, reduce audit risks, and optimize revenue cycles.
"Human medical serves Summit Urgent Care well with reliable, smart work."
Dr. Lori Gabbard"We've been working with them 10+ years - they are skilled & highly recommend them."
Dr. Jess Portillo"Human medical eased A/R tasks so we can focus on care - highly recommend."
Dr. Jennifer Rodriguez"Human medical cut A/R, reduced denials, and boosted patient collections."
Dr. Yenny SuriaSpecialized revenue cycle support for anesthesia groups and surgery centers, designed to verify time units, maximize reimbursement rates, and safeguard your bottom line.
Explore All Our Services
End-to-end management of anesthesia claims, from verification to payment posting, ensuring every minute of procedure time is captured and paid.
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Aggressive tracking of aging anesthesia balances to cut days in A/R and recover revenue lost to complex unit calculation errors.
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Experts correct concurrency conflicts and modifier errors, then pursue data-driven appeals so complex denials turn into paid claims.
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Certified teams apply precise ASA codes and physical status modifiers, preventing compliance flags and supporting maximum reimbursement.
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Streamlined enrollment for anesthesiologists and CRNAs, helping your providers bill faster with fewer administrative hold-ups.
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Tailored reporting for anesthesia-specific quality measures to minimize federal penalties and capture performance incentives.
Learn MoreJoin hospital-based anesthesia groups improving revenue, reducing modifier errors, and optimizing cash flow with our dedicated anesthesia medical billing services on their side.
Keeps time units accurate from op-log to pay.
Balances base units with payer time formulas.
Uncovers lost time units and stalled claims.
Coders fluent in QZ modifiers and concurrency.
20+ Years Experience
A+ BBB Rated
No Long Term Contracts
Works With All EHRs
Certified Coders
Personalized Manager
Unlike standard fee-for-service claims, anesthesia reimbursement relies on a unique formula: (Base Units + Time Units + Modifiers) × Conversion Factor. This requires precise tracking of start/stop times and physical status to ensure the calculated fee accurately reflects the procedure's complexity.
Frequent rejections stem from overlapping start/stop times, incorrect concurrency documentation (Medical Direction), or missing physical status modifiers. Discrepancies between the anesthesia record and the facility's surgical log regarding total minutes also trigger immediate payer audits.
A specialized team audits every minute of procedure time to prevent under-billing. We verify that qualifying circumstances (like emergency or age modifiers) are applied and negotiate payer-specific conversion factors to ensure you are paid the full value of your services.
Medical Direction allows billing at higher rates but requires an anesthesiologist to perform seven specific steps for up to four concurrent cases. If any step is missed or concurrency exceeds four, it defaults to Medical Supervision, which significantly lowers the reimbursement rate.
Groups must navigate the "No Surprises Act," shrinking conversion factors, and complex Local Coverage Determinations (LCDs) for pain management. Additionally, capturing accurate time units across different facilities creates a data reconciliation challenge that generic billers often fail to manage.
Since time equals revenue, gaps in the anesthesia record or inconsistent start/stop times compared to the OR record lead to payment reviews. Detailed documentation of the patient's physical status (P-modifiers) is also essential to justify medical necessity and higher unit values.
We continuously monitor ASA (American Society of Anesthesiologists) coding updates, CMS relative value unit changes, and payer-specific policies on concurrency. Our team adjusts your billing logic in real-time to prevent compliance risks associated with shifting federal and state guidelines.
Most groups operate on a percentage-of-collections model. This aligns our success with yours—we only get paid when you do. This eliminates fixed overhead costs for your practice and incentivizes our team to aggressively pursue every unpaid claim and underpayment to maximize your return.
Yes. We specialize in defending against high-stakes audits related to concurrency and time calculations. Our experts gather the necessary anesthesia records, op-notes, and provider attestations to validate your claims and reverse unfair recoupment demands from government and private payers.
Unlike generalist agencies, we understand the math behind anesthesia billing. From protecting your base units to managing CRNA/MD splits, our dedicated anesthesia medical billing services ensure your group remains compliant while capturing maximum revenue for complex cases.
Get a personalized assessment and see how we can boost your practice’s revenue.
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