Anesthesia is billed in base units and minutes.
Anesthesia has its own arithmetic and its own modifiers, and a general biller applying ordinary rules to it will underpay every case without ever producing a denial.
- 97%Coding accuracy on audit
- 50+Specialties covered
- 4.9/5Average client rating
Three ways Anesthesiology claims quietly lose value
Review these issues against the documentation, remittance and policy that applied on the date of service. They can appear as denials or underpayments.
- Anesthesia time recorded loosely
Payment is minutes based. Start and stop times taken from memory rather than from the record cost money on every case.
- Medical direction modifiers wrong
Direction, supervision and personally performed are different modifiers with materially different payment, and concurrency rules decide which applies.
- Base units and modifiers not applied
Each procedure carries base units, and qualifying circumstances and physical status can add more. Omitted, they are simply lost.
What we bill for Anesthesiology practices
If something you do is not on this list, ask. We will tell you honestly whether we have the depth for it.
How Anesthesiology accounts are actually run
The worklist connects each claim to its documentation, payer requirements and next follow-up date.
- An anesthesiology coder, not a general one
The coder assigned to your account works anesthesiology every day. They already know which of your payers do what, and they are watching base and time units, medical direction modifiers and concurrency.
- Charges checked against the note
Before anything goes out, the charge is read against the documentation. A code the note does not support is a recoupment waiting to happen, and in anesthesiology it is usually the highest value code on the claim.
- Eligibility and authorization ahead of the visit
Coverage is confirmed and any approval is in place before the service, not discovered afterwards when the work has already been done.
- Denials worked to cause, not just refiled
Every denial is tagged by payer and reason code. When a pattern shows up in your anesthesiology claims we change the upstream step so it stops recurring.
- Reporting you can act on
Monthly numbers by procedure family and payer, with the one decision they imply, rather than an export nobody opens.
Included for Anesthesiology practices
- Coders who work anesthesiology daily
- Charge review against documentation
- Eligibility and benefit verification
- Prior authorization management
- Denial management by payer and reason code
- Aged A/R worked oldest first
- Patient statements and balance follow up
- Monthly reporting by procedure family
These describe how we run the service. They are commitments about our process, not a guaranteed outcome on any individual claim.
We work inside the system you already use
We agree user permissions, claim queues, reporting access and escalation contacts in your current system before work begins.
Anesthesiology billing across the country
These state guides explain local Medicaid programs and payer administration. They cover general billing requirements, rather than a separate Anesthesiology service in each state.
Arizona payer guideAHCCCS and 7+ plans
Washington payer guideApple Health and 7+ plans
Texas payer guideTexas Medicaid and 8+ plans
New York payer guideNY Medicaid and 8+ plans
California payer guideMedi-Cal and 8+ plans
Ohio payer guideOhio Medicaid and 8+ plans
Florida payer guideFlorida Medicaid and 8+ plansWhat Anesthesiology practices ask
Do you calculate units from the anesthesia record?
Yes, from documented start and stop times only.
Can you track concurrency?
Yes. It determines which direction modifier is correct and it is the most audited part of anesthesia billing.
Do you bill blocks separately?
When they are separately payable and documented as distinct from the anesthetic, yes.
What about obstetric epidurals?
They bill differently again, often on a flat or time capped basis by payer.
Have an anesthesiology coder read your last ninety days
Tell us your specialty and the billing issue you want reviewed. We will agree the scope and arrange a secure way to share any records needed.