Anesthesia Billing That Captures Every Billable Minute

U.S.-based anesthesia billing experts ensuring precise time-unit tracking, correct ASA coding, and 97% clean claim rate—so anesthesiologists and CRNAs get paid fully and on time.

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Why Anesthesiologists & CRNAs Trust Our Billing

Precise Time-Unit Calculation

We track anesthesia start/end times to the minute and convert to 15-minute units—ensuring no billable time is lost due to rounding errors or documentation gaps.

Accurate ASA Physical Status Coding

Correct application of P1–P6 and ASA 1–5 modifiers based on documented patient condition—critical for risk adjustment and proper reimbursement.

60% Fewer Claim Denials

Pre-scrubbing catches missing time logs, incorrect modifiers, or payer-specific anesthesia edits before submission—preventing 90% of avoidable denials.

Correct Modifier Application

Proper use of -AA, -AD, -QK, -QS, -QX, and -QY based on provider role (MD, CRNA, supervision level) and payer rules (Medicare vs. commercial).

Rapid Denial Appeals

Denied claims are appealed within 72 hours with anesthesia logs and clinical notes—recovering 87% of lost revenue.

Dedicated Anesthesia Billing Manager

Your U.S.-based expert tracks provider-specific KPIs: units per case, denial reasons, payer contracts, and underpayment trends.

Anesthesia Billing Challenges That Cost You Revenue

Anesthesia billing is highly technical—small documentation or coding errors can lead to 30–50% underpayment or full denials.

Inaccurate Time Documentation

Missing or inconsistent start/end times in the anesthesia record result in lost units and underpayment—especially with commercial payers.

Incorrect ASA or Physical Status Modifiers

Failure to document or code ASA 3 vs. ASA 4 can trigger denials or underpayment for high-risk cases.

Modifier Misuse (CRNA vs. MD Supervision)

Wrong modifier (-QX vs. -QK) leads to automatic denials or recoupments—especially under Medicare’s “incident to” rules.

Lack of Anesthesia-Specific Documentation

Missing details like “anesthesia care team,” “medically directed,” or “MAC” in notes cause claims to be rejected as non-billable.

Our Anesthesia Billing Workflow

Built for anesthesiologists, CRNAs, and anesthesia groups who demand precision in every claim.

1. Anesthesia Record Review

Validate documented start/end times, ASA class, procedure type, and provider role (MD/CRNA/supervision).

2. Time-to-Unit Conversion

Convert anesthesia time into 15-minute units using payer-specific rounding rules (e.g., UnitedHealthcare vs. Aetna vs. Medicare).

3. CPT + Modifier Assignment

Assign base units, time units, and correct modifiers (-AA, -AD, -QK, -QS, etc.) based on provider type and payer policy.

4. Clean Claim Submission (Within 24h)

Submit scrubbed claims daily with real-time edits for anesthesia-specific payer rules.

5. Provider-Level Reporting

Monthly dashboard: avg. units per case, denial trends, top underpaid payers, and optimization opportunities.

Proven Impact for Anesthesia Practices

0%

Clean Claim Rate

0%

Fewer Denials

0%

Higher Net Collections

Based on 36 anesthesia groups served in 2024. Results may vary.

Master the Nuances of Anesthesia Billing

Learn how to avoid common pitfalls and maximize reimbursement for every case.

Read Our Anesthesia Billing Guide

Anesthesia Billing: FAQs

We apply the correct modifiers based on supervision level: -QX for CRNA with medical direction, -QK for physician supervision, and -AA for solo anesthesiologist—per Medicare and commercial payer rules.

We work with your team to reconstruct time from OR logs, PACU notes, or surgeon records. If documentation is insufficient, we flag it to prevent denials.

Yes—we accurately bill 00100–01999 CPT codes with -QS modifier for MAC, ensuring proper reimbursement when anesthesia services are medically necessary but not general.

Within 24 hours of receiving the anesthesia record—ensuring compliance with 90–180-day timely filing limits across all payers.

Stop Losing Revenue on Billable Anesthesia Minutes

The average anesthesia group loses $75K–$200K/year to missed units, modifier errors, and poor documentation.

97%
Clean Claim Rate
60%
Fewer Denials

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