Anesthesia billing can be tremendously complicated. Small errors can result in delays and a failure to collect. To improve revenue cycles, we’ve compiled some key ideas that will make an impact on your billing and collections.
#1: How is the charge established?
There are a number of factors that can affect anesthesia billings, but the process can be broken down to a relatively simple formula. Charges are established by adding base units, time units, and modifiers, and then multiplying by your fee per unit. In other words:
(Base Unit + Time Units + Modifiers) x Fee Per Unit = Charge Amount
#2: Accurate Start and Stop Times
The industry follows Medicare’s definition for anesthesia billing start and stop times. Anesthesia billing start and stop times are based on the continual presence of an anesthesia provider. It is critically important to record accurate start and stop times. Do not round your time, and never guess when the start or stop time was.
#3: Understanding Billing Modifiers
Billing modifiers can have a big impact on your charge amounts. There are a number of modifiers that come into play including physical status, medical direction, anesthetic type, and add-on codes. These modifiers can affect your charge amounts in a variety of ways so it’s important to understand each modifier and the role they play in billing.
#4: Documentation is critical
Accurate documentation is the difference between success and failure in generating cashflow. You can have the best systems available, but if the information that you feed into the system is inaccurate or incomplete, your billings and collections will suffer. Pay close attention to your start and stop times and record them accurately. Keep up with the billing modifiers that we discussed in #3. If you log these accurately, your revenue cycle management is set up for success.
In response to the rapid rise of community-based healthcare programs around the country, Graphium Health is leveraging its history in developing intelligent software for healthcare professionals to launch FieldMed, a dedicated community health software platform. The new software is the first of its kind to offer paramedics readily accessible, accurate and HIPAA-compliant data capture capabilities to better serve patients in community health programs.
Community health paramedicine is community-based healthcare that utilizes certified paramedics to facilitate non-emergent response resources and treatments in the home of patients. Created in an effort to close the gap between 911 emergency response and home healthcare, community health programs provide efficient and effective patient care, while reducing emergency calls, hospital readmissions, and overall costs to cities, fire departments, hospitals and patients. Programs are currently active in over 500 cities nationwide.
Through FieldMed’s intelligent software, community health programs are empowered with in-depth patient data and trends, such as vitals and labs, food and shelter needs, and environmental risks, allowing paramedics to know and understand their patients better than ever before and deliver focused care for the patient’s unique needs. With FieldMed’s reporting capabilities, community health programs can provide enhanced patient care, while reducing lost hours and resources for paramedics, city fire/EMS departments and hospitals.
“Having served as a community health paramedic, I’ve seen the need for this software first-hand, as it allows paramedics to track data points that previously didn’t exist in other EMR systems,” said Daniel Frey, co-founder and vice president of business development at FieldMed. “FieldMed is delivering a groundbreaking advancement for community health programs, now empowering paramedics to access and track patient data to provide the best possible care. Instead of an automatic trip to the hospital, paramedics can now better track the root of 911 calls, particularly for non-emergent needs, such as food, shelter, environmental risks, and more.”
FieldMed was created by a team of experienced paramedics alongside the founders of the healthcare software provider Graphium Health, who developed intelligent anesthesia technology that advances how practices operate by providing automated data capture, MACRA-compliant reporting, and billing integrations.
Daniel Dura, co-founder and CEO of FieldMed and Graphium Health, added: “Through our work with Graphium, we saw an immediate need in the healthcare industry for a software platform to streamline community health patient care. FieldMed is transforming community healthcare by creating technology that allows providers to capture rich data which, in turn, helps them to prioritize patient care. This leads to better patient outcomes, better use of city and hospital resources and overall creates better communities.”
Randy Barker, co-founder of FieldMed and Graphium Health, continued “In our work, we want to create real solutions that make a lasting difference for not only the healthcare providers, but ultimately for the patients. Community health programs are revolutionizing emergency responses for both paramedics and patients, and coupled with FieldMed’s innovative software, the opportunities to enhance patient care and reporting capabilities are endless.”
FieldMed is now available nationwide and offers a variety of pricing structures based on specific program needs. To learn more about FieldMed and the software’s capabilities, visit www.fieldmed.com.