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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Top 5 Procedures Where ASCs Are Losing Money

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Ambulatory surgical centers have certainly been a revolution. However, there are some surgical procedures wherein the physicians working at the facility have been subjected to a pay cut or the revenue generated for their procedures has not been fully paid. Well, various reasons hamper the revenue cycle of ASCs, but the most problematic region for the losses is improper medical billing and coding structure. Yes, you heard that right, because this has become a falling trend where the in-house accounting department is finding it difficult to verify and code the perfect procedures while tackling the prerequisite of healthcare providers as well. While procedures like the spine, orthopedic surgery, and ophthalmology are known as top revenue generators, specialties like plastic surgery, oral surgery, and urology regularly face revenue losses. In this Blog, Here we discussed the list of procedures where ASCs are losing money.

Here is a List of Procedures Where ASCs are Losing Money:

Gynecology

What Makes it Appalling:

With a 12 percent undesirable rate on the Healthcare Appraisers review, gynecology ties with podiatry, GI, and ophthalmology as the loss-making procedures, yet it has lower rates than the others. Gynecologists who still do obstetrics are part-time specialists, so they have a low surgical volume, to begin with, and afterward, a bit of that work is completed at the hospital and not the ASC. This leads to a lower bottom line for the ASCs.

Many gynecologists have dropped deliveries and are focused on surgery. They could be an aid to the ASC if they perform the procedures at the center and not at the doctor’s office.

Podiatry

What Makes It Poor:

Podiatry as a profession is already slipping below many new procedures that have replaced certain feet and ankle surgeries. Because of their low volume, they’re not a decent source of income for ASCs. A busy podiatrist performs just 80-100 cases a year. Podiatry makes up a normal of 4 percent of all cases in ASCs, as surveyed by VMG wellbeing. Though a turnaround of sorts could be managed by outsourcing the medical billing and coding facility, an increase in patient numbers solely depends on the management of the Podiatry services of the facility.

To know more about the Top 5 Procedures Where ASCs Are Losing Money, click here: https://bit.ly/3ZzAJyr Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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