Revenue Cycle Management for Anesthesia Practices & Professionals
Excellence in Practice Management and Consulting
Don’t panic when Medicare audits come your way. We’ll help you with the strict documentation requirements, complex coding guidelines, and evolving payer policies.
We understand the unique challenges that anesthesia practices face in managing their revenue cycle and we’ll be with you every step of the way.
The Unique Aspects of Anesthesia Revenue Cycle Management
Most health organizations come to us to help with their anesthesia RCM as it requires a unique and specialized approach.
We’ve mastered all the key aspects that make anesthesia RCM different from other medical specialties, including:
Complex Coding Guidelines
Anesthesia services are subject to specialized coding guidelines that differ significantly from other medical specialties.
These guidelines include specific time-based billing requirements, modifiers, and bundling rules.
Strict Documentation Requirements
Proper documentation is crucial in anesthesia billing to ensure accurate reimbursement. Anesthesiologists must document each patient’s pre-operative, intra-operative, and post-operative activities.
Multiple Payer Policies
We’re used to dealing with the constant policy changes among multiple payers for anesthesia services, from specific reimbursement rates to coverage limitations and prior authorization requirements.
Key Components of Anesthesia RCM
Our anesthesia RCM services cover all the important steps to help you achieve optimal financial results. Some of our best features include:
1. Fast and Accurate Coding
Our strength lies in the command of the basics. Coding lies at the heart of anesthesiology management, so all our staff master all necessary codes and use them regularly. We make sure that they’re all certified coders.
2. Thorough Claim Scrubbing
Before submitting claims, we thoroughly scrub them for accuracy and completeness. It helps prevent rejections and delays in payments.
3. Timely Charge Capture
We understand how important it is for anesthesiologists to capture charges promptly. Our team ensures that all charges are captured accurately and within the required time frame.
4. Comprehensive Billing and Follow-up
Our billing services cover all aspects, from claim submission to payment posting and follow-up on denied or delayed claims.
We have extensive experience in dealing with various payers and claims, so we can help resolve yours amicably.
5. Utilization Management
We assist in optimizing revenue by closely monitoring utilization rates and identifying any areas for improvement or potential discrepancies.
6. Regular Reporting
We supply detailed reports on your anesthesia revenue management, resource utilization, and cycle performance.
7. Continuous Process Improvement
We’re always reviewing our clients’ processes and identifying areas for improvement to enhance their efficiency, accuracy, and overall RCM.
Practice
Management
Consulting
Services
Human
Resource
Management
Financial and Accounting Management
Revenue
Cycle
Management
Anesthesia
Coding and
Billing
Patient Care and Its Impact on RCM
Malpractice claims can be costly and damaging, and proper care successfully minimizes your chances of getting sued.
Patients are more likely to recover faster with excellent care, building more loyalty which can lead patients to refer others.
Enhancing Patient Experience with Efficient Billing Processes
- Proper documentation and coding are a must for accurate billing and reimbursement.
- Proper documentation generates, maintains, and analyzes crucial data on patient care. It helps improve healthcare processes.
- Faster claim submissions and timely follow-up on denials protect patients from unexpected bills and getting caught up in disputes.
- Peaceful and quicker healing! Patients also trust you and pass on a good word.
Role of Patient Engagement in the Revenue Cycle
As high-deductible health plans (HDHPs) gain popularity, it’s falling upon patients to fund a larger portion of their healthcare costs.
This change puts more pressure on your practice to manage your revenue cycle effectively.
We help your RCM by professionally informing your patients of their financial responsibilities up front, minimizing unpaid bills and payment delays.
Drive Anesthesia Billing Results with People, Processes, and Tech
Our team consists of experienced billing and coding professionals who stay current on industry changes and regulations.
We’ve also invested in advanced technology to streamline processes and ensure accuracy.
Systems to Identify Undisclosed Coverage for Self-pay Patients
We explore all possible payment options, attracting more revenue for you. For example, undiscovered insurance coverage can often lead to missed opportunities for reimbursement.
Our RCM system helps to identify any undisclosed or unknown coverage for self-pay patients.
Powerful API RCM Technology to Grow Your Practice
Keep a Tab on Your Monthly Collections
You can easily track your monthly collections and identify any discrepancies or trends with our software and automated reporting.
This allows you to adjust and improve your overall revenue cycle management process.
Reduce AR Days and Increase Cash Flow
Our advanced technology streamlines the billing and collection processes, reducing AR days and increasing cash flow for your anesthesia practice.
It improves the financial performance and stability of your business.
Stress-Free Compliance
Our RCM technology is designed to adhere to all compliance regulations and ensure proper coding and billing practices.
We ensure that the risk of audits or penalties for your practice is minimized, giving you peace of mind and allowing you to focus on patient care.
Why API Is Best for Your Anesthesia RCM
We’ve gone over many of our perks related to revenue cycle management throughout this page.
We help you to work out a complete approach to maximizing healthcare profits. Our custom services ensure the best return for each case.
Work with our experienced anesthesia coding, billing, and management team to get the best results from your anesthesia practice.
Excellence in Anesthesia
Practice Management and Consulting
“I have worked closely with Bob and Dan for eighteen years. During that time, they built my group into the largest anesthesia practice in New England, started a practice management company, restructured an anesthesia residency, founded a student nurse anesthesia program and formed a captive insurance company. Their in-depth knowledge of the anesthesia business, leadership, negotiation and problem solving skills and deep relationships with administrators, payers and employees all contributed to their and our success.”
James F English
President, Anaesthesia Associates of Massachusetts, PC, 1998-2016
“Dan has a wealth of knowledge, experience, and insight regarding the business of anesthesia.
Dan is easy to work with, helpful and identifies opportunities for revenue enhancements and improvements in operational performance.
Dan’s involvement with the transition of a sixty-five provider anesthesia group into a large hospital-affiliated multi-specialty group had a huge positive impact upon the relationship between the group and the hospital, laying the foundation for a trusting and collaborative partnership.”
Gary Naftaly - Vice President - Specialty & Hospital - Based Practice Operations
Community Health Partners
“Dan and his Anesthesia management team provided excellent service to our group since 2014. Performances consistently exceeded industry standards for cash collections and Accounts receivable management. His staff were excellent listeners for our company needs and were very creative. Highly recommend Dan and his team for any Anesthesia group to partner with.”
Bob Kwech - Executive Director
Wisconsin GI
“During our tenure as managers of a large anesthesiology group, we went through major transitions within a short period of time. These changes included a transition to a new billing company with a practice management firm. We had the good fortune of being introduced to Dan Reale of the practice management firm. Dan proved to be an outstanding practice manager, and he quickly understood the nuances of our group’s culture. He helped guide us through a period of significant staffing growth and staffing model restructuring; he also provided us with sound advice on business management.
Most importantly, Dan is a wonderful person. He has a strong work ethic, an easy and straightforward manner of communication and a real sense of trustworthiness. For our organization he was a tremendous asset; for us, he became a trusted friend.”