Anesthesia means the condition of sensation blocked, which allows patients to undergo surgery without experiencing pain. Anesthesia is broadly categorized into local anesthesia, regional anesthesia, and general anesthesia. The administration of anesthesia depends upon the requirement of the body part that may be operated. Other factors include any existing health conditions like heart disease, diabetes, and allergic reactions. Complicated as it is, anesthesia coding requires a number of documented elements to get proper reimbursement. Unlike other specialties, even minor errors in code sequencing can have a major effect on the reimbursement.
A standard anesthesia reimbursement coding formula includes basic value, time units, and modifying units. Anesthesia coding requires accuracy and compliance, as different carriers expect different modifiers. It's always better if you don't take the carrier's anesthesia policies for granted, else you would be lulled into a false sense of security.
Here are some tips you can utilize to maximize your chances of getting paid:
?Check with your carrier if it accepts the usual Monitored Anesthesia Care (MAC) modifiers. In case of a denial, contact your carrier to get the claims paid.
?Doubly check that the carrier is actually following its own policies. Sometimes, carriers change their policies, but take time to update their system.
?Touch base with your carrier if you can't locate a MAC policy online.
?Check with your carrier if it's expecting older codes. If so, you can set up a back-up on your system to revert back to the old codes.
?Once in a while, meet every payer and communicate all the issues you face. It's a good way to keep you updated.
?Finally, ask your payer for a deadline when you'll be paid. It saves you from all the anxiety you would have otherwise.
You are now all armed to get paid for your anesthesia coding services!