Inappropriate, deficient, or incorrect billing procedures can cost anaesthetists and clinics providing anaesthesia treatments thousands of dollars or only a portion of their compensation, leaving them with no choice but to resubmit claims or pursue patients to make up the difference. Billing is a delicate process. Both the hospital-patient interaction and the practise welfare are negatively impacted by this. As a result, revenue cycle management is significantly impacted in both cases. Therefore, using Flatworld Solutions to handle anaesthesia billing services is always the wise choice. When you do, our licenced billers will handle the anaesthesia billing services, ensuring that all back-end paperwork for your practise is completed and submitted on time.

Anesthesia Medical Billing Services

Anesthesia Medical Billing and Coding

We work with a lot of hospitals, CRNAs, and independent practises so they may delegate their billing requirements to us and concentrate more on patient care. We comply with their need by providing comprehensive anaesthesia billing services that eliminate all room for error. Our billing and coding procedures, as well as the filing of claims, comply with HIPAA regulations.

Medical Provider Enrollment and Credentialing

In order to enrol your practise in the payment plan and coverage, we determine whether it satisfies the insurer's credentialing requirements. In order to do this, we offer comprehensive support and manage paper-intensive procedures including attestation, hospital privileges, and adhering to the most recent rules. We help hospitals and practises finish the enrollment process with the payer in the following phase.

Advance Eligibility Checking

The first step in avoiding denial and resubmission headaches is submitting clean claims. Here's when our background becomes relevant. We will make sure that all patient care records, including diagnostic results supporting the course of treatment for qualified patients, are available prior to the claim being electronically filed. In order to guarantee that claims are approved without being rejected and resubmitted, we carefully review the patent eligibility.

Payer Contracting

Between payers and service providers, there are numerous formalities that are all contained in a lengthy contract. Having offered comprehensive medical billing services related to anaesthesia, we are fully aware of all the subtleties. As such, we assist you in understanding the responsibilities outlined in the contract, including filing deadlines, requirements for termination, grace periods for responding to notifications, and more. We will assist you in navigating the contract renegotiation with the payer by setting schedule reminders and making sure to review the Medicare schedules that are advantageous to your practise.

Fee Schedule Analysis

Periodically, the payer adjusts the charge schedules. Therefore, it is the practises' responsibility to keep up with the current charge schedules. Practises that are stretched across multiple functions may not always be able to accomplish this. Therefore, we will take care of it on your behalf by keeping up to date so that there are no deductions or disagreements and your practise gets paid in full.

Denial Management

If any claims are returned as denied, we will look into the submitted claims right away. We make sure that any billing discrepancies or errors are fixed and submitted within a fair time-of-service (TAT). Without having to take a break from caring for patients.

Medical Billing Process We Follow

  • 1. Patient Registration and Requirement Gathering

    After assigning projects, we assemble a group of coding experts that collect clinical information from your end. For convenient access both during and after the project, we collect and organise the data in EHR.

  • 2. Pre-authorization and Finding Eligibility

    In order to confirm patient preauthorization, we check with insurance. We also perform a patient eligibility check to make sure that all insurance requirements are met.

  • 3. Medical Coding

    Our medical coders will convert your clinical data into ICD, CPT, and HCPCS medical codes using HIPAA-compliant techniques; these codes will be audited before reimbursement to guarantee compliance.

  • 4. Medical Billing

    We compile the result into the suggested format acceptable by insurers after coding clinical data.

  • 5. Quality Assurance

    We confirm that the billed data is accurate and follow regulatory compliance before sending data to insurers over a secure connection.

  • 6. AR Follow and Analyzing Denials

    When claims are rejected or denied, our team takes the required action to fix the problem and guarantee prompt payment. In order to pinpoint areas where the billing procedure needs to be improved, we also examine the causes of the denials.

  • 7. Reporting

    To properly assess incoming cash flow, we analyse your electronic health records (EHR) and deliver important reports and insights. A thorough Explanation of Benefits (EOB) statement is included.

Why Choose us ?

  • Skilled Professionals

    We are never short of the greatest minds in the business who are familiar with the ICD, HCPCS, and CPT coding systems thanks to our AAPC-certified billing specialists. We meticulously handle billing to ensure bigger payouts.

  • Affordable Prices

    By using our medical billing service, you can save over 50% on costs since we adhere to an easy-to-understand price system that guarantees you obtain a suitable solution that fits your budget.

  • 24/7 Availability

    Receive 24/7 support through phone call, email, or chat at no additional cost. At the time that is most convenient for you, one of our agents will help you.

  • Advance Infrastructure

    The most cutting-edge billing technologies available are all stored in our state-of-the-art infrastructure and support our expertise. Our knowledge centres are made with security and quick service as their top priorities.

  • Quick Turnaround

    We systematically arrange every claim submission so that insurance can handle it right away. By outsourcing your cardiology medical bills to us, you can experience a turnaround time that is up to 35% faster.

  • 100% Accuracy

    If you submit your claim initially, it will be 98% clean. We guarantee that you won’t have to deal with the headache of a claim being denied because of our error-free and accurate invoicing processes.