Improving billing techniques is something all anesthesia billing companies should aim towards.  Here are some tips to achieve this goal.

Keep a Strong Network

It is very important to keep in close contact with claims payers, anesthesia providers and contract changes. While this may seem like a given, it is a common occurrence for billing staff to assume that claims processing, anesthesiologist submissions and contractual information are always up-to-date. However, contracts are frequently modified and claims get tangled up in payer red tape. Problems occur because of a lack of familiarity with the providers, payers and contracts themselves. By familiarizing with every contract and its cycle, the firm gets solid information on how much they should receive for the claims.

Stay Updated

Keeping a firm up to date with the Health Insurance Portability and Accountability Act (HIPAA) guidelines, policies and procedures is a must. The complexity of the law necessitates firms to be compliant at all times. This requires regular updating and review. Firms can get help from billing system software to accomplish this.

Prioritize Patient Collections

Previous years signified anesthesia billing changes which led to higher patient dollar responsibilities. Because only a handful of patients maintain close relationships with their anesthesia providers, firms must intensify their patient collections. One way to deal with issues on patient collections is making the collections up-front.

Avoid Claim Submission Delays

Firms have to prepare and submit accurately reviewed claims quickly. Any claim delays may result in similar payment delays. One of the most common events is providing claim information that is incorrect an error committed by both the physicians and the nurses by failing to record pertinent information.

Understand the Tools of the Trade

Understanding the billing software is only one step towards understanding the entire industry. Anesthesia billing is a complex process, making it imperative to know the industry’s every nuance. Claims processing varies from state to state. This means that anesthesia billing firms must be familiar with the latest requirements, the current trends and procedures, and essentially all that there is to anesthesia billing. This can lead to submitting claims punctually and accurately.

Basically, any challenges in the billing practices including maximizing revenue can be overcome by proper monitoring and streamlining of the process.

Written By Sharee Ann Narciso


Sharee Ann Narciso is a registered nurse in the Republic of the Philippines. She graduated with a Bachelor of Science in Nursing at the Angeles University Foundation. She has undergone training in first aid, basic life support and cardiopulmonary resuscitation with the Red Cross, and she is also a trained intravenous therapist.

Sources:
http://www.mbamedical.com/blog/5-tips-for-improving-anesthesia-billing-practice.html
http://www.beckersasc.com/anesthesia/5-tips-for-anesthesia-billing.html
http://www.m-scribe.com/blog/bid/157585/HIPAA-5010-Rule-explained

abeo

abeo Management Corporation (abeo) serves as a leading source of revenue cycle management and practice management with a specialization in anesthesia. The company leverages its people, processes, and software to serve independent practices, surgery centers, hospitals and healthcare systems with a scope of services that include billing, coding, transcription, practice management, and business consulting.

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