If you are a billing company that provides services in anesthesia, you have to cater best in class solutions that improve your clients practice management in best proportions. It is true that the present day demands of a provider are evolving with time and you will need to induce quality methods helping them elevate their billing process.
But how do you offer them the right platform for end to end revenue cycle management? Are you a vendor that will help them gain a competitive advantage? These questions have to be dealt with state of the art methods and avoiding the common errors in anesthesia billing.
• Understanding the immediate requirements of your prospects will be the key! You need to set the right benchmark with elevated processes and technology innovation that will reduce TAT and provide a better roadmap for consistent reimbursements.
As a billing company, it should also be your prerogative to implement compliance and allegiance to HIPAA standards so that the procedures are transparent helping you gain better ROI for your clients.
It will be pertinent to have an intuitive knowledge about the proven errors that any practice and most billing companies make in anesthesia billing.
♦ Time lapse in confirming the patient’s coverage for the procedure: Enabling quality prior authorization that will give a transparent understanding of how the procedure has to be carried forward with respective patients is the key. You will have to ensure that the right checks and balances are ensured and the measures meet the requirements if the insurer in true proportions.
♦ Incorrect recording of time periods: You will need to set the standards with correct coding that gives a clear indication of the start and the stop time in respect to the anesthesia process. It is been an observation that many medical billing companies lack the skill set to induce appropriate measures for the right measurement of the unit in respect to a particular anesthesia procedure.
♦ Lacking the specialization to define the qualifying circumstances: It will imperative for you as a biller to implement the standard procedure method as set by the American Society of Anesthesiologists (ASA). The correct detailing of the age, the condition of emergency, hypothermia as well as hypotension is a must for optimized medical claims.
♦ Correct usage of the modifiers: Elaborating the physical status of the modifiers in accordance with the mandate and the six levels from P1 to P6. All the levels clearly indicate the seriousness and why a particular volume of anesthesia was necessary. Hence, it will ultimately dictate the entire medical process and make the insurance company understand the gravity of a situation.
As a company that is looking to make its presence felt in this immensely competitive market, you billing methods must be upgraded and meet the present day demands of the healthcare industry. Especially in anesthesia billing, you will need to set the standard with excellent medical coding and billing that initiates quality denial management at the onset. Expertise in claims adjudication and how insurance companies react to medical claims in anesthesia is a must if you are to make an impact!