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Anesthesiology

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    Opening Hours

    Monday - Tuesday:9am - 6pm

    Friday - Sunday:8am - 5pm

    Sunday: Closed

    Anesthesiology

    Anesthesiology billing involves complex coding for procedures performed before, during, and after surgeries, with specific requirements for time-based billing. QuantumX provides:

    QuantumX provides:

    • Time-Based Coding Expertise: Accurate coding for anesthesia units, including base units, time units, and modifiers.
    • Payer-Specific Compliance: Navigating payer policies for anesthesia services to reduce denials.
    • Concurrent Case Management: Handling billing for multiple simultaneous procedures with precision.
    • Revenue Recovery: Auditing claims to recover underpayments and appeal denied claims.
    QuantumX ensures anesthesiology practices achieve error-free billing and maximized reimbursements.

    Anesthesiology billing uses CPT codes 00100-01999, with payments based on base units, time units, and conversion factors, as updated by CMS for 2025. Modifiers like QK (medical direction by anesthesiologist) and QZ (CRNA without medical direction) are essential, especially for Medicare claims, as noted by the American Society of Anesthesiologists (ASA).

    Physical status modifiers (P1-P6) are recognized by private payers but not Medicare, adding complexity. quantumX can ensure compliance with these rules, handle staffing modifier reporting, and optimize payments using conversion factors, supporting anesthesiologists and CRNAs in maximizing revenue.

     

    Billing Challenge QuantumX RCM Solution
    Time-Based Billing Calculates base units + time units + modifiers (e.g., QZ, QK).
    Modifier Compliance Supports CRNA and anesthesiologist billing with ASA standards.
    Revenue Leakage Audits surgical claims for missed time entries and concurrent cases.
    Insurer Variability Applies private payer physical status codes (P1–P6) and Medicare-specific edits.
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