Mastering Time-Based Anesthesia Billing: A Guide to Boost Accuracy and Revenue

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  Anesthesia billing is a unique and intricate component of medical billing that differs significantly from other specialties. Unlike procedures billed on a per-service basis, anesthesia is often billed based on the duration of the service—making time-based billing a critical factor in accurate reimbursement. Let’s break down what time-based anesthesia billing entails and how practices can optimize their billing processes to avoid costly errors and delays. What is Time-Based Anesthesia Billing? Time-based anesthesia billing involves calculating charges based on the total time the anesthesiologist spends with a patient. This typically includes: Preoperative preparation Administration and maintenance of anesthesia Post-anesthesia care until the patient is no longer under the anesthesiologist’s care The billing formula generally looks like this: Total Units = Base Units + Time Units + Modifying Units Base Units : Determined by the specific surgical procedure perfor...
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5 Common Mistakes Physicians Commit with their Family Practice Billing

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The family practice medical service is all-encompassing and involves more than one field of medicine. Ideally, medical billers who work for family practice need to have extensive knowledge of diagnosis and procedure codes commonly used by the physician. This ensures that patients and insurance companies are billed correctly. It also guarantees that the physician receives maximum reimbursement for the service provided.

Basic Mistakes in Family Practice Billing:

1. Neglect to verify their patient’s Insurance:

Very often medical billing claims get refused on the basic ground that the patient’s coverage has been terminated or may not be eligible for the date of service. Family physicians often take for granted that their regular patient, whose insurance had been verified initially, stands the same every time they come in. This may not always be the case.

2. Simple inaccuracies during form filling:

Often family physicians are so occupied with putting their regular patients at ease that they tend to forget about filling the simplest and smallest of details right from the spelling of the patient’s name to whether the diagnosis code corresponds to the procedure being performed. This causes claim denials or at the very least delays in reimbursements
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