Concurrency Reports are necessary for Anesthesia services that are provided by CRNAs.
- Many states require CRNAs to be medically directed or supervised by an Anesthesiologist.
- Concurrency Reports determine the correct Provider Modifier that should be billed and if the Claim should be split by Line or by Claim.
What is MAC Anesthesia?
- Modified Anesthesia Care (MAC): A light sedation where the Patient is still under Anesthesia, but is generally still awake and semi-aware.
Can I fix a Claim that was not split due to an error in Charge Entry?
If the Charge is in an Open Period:
- Attach to the original Reference Batch.
- Make all corrections on the Modify Charge screen.
- Run the Concurrency Report with the DOS range and Finalize.
If the Charge is in a Closed Period:
- Attach to a Reference Batch.
- Encounter Dashboard > Reverse Charge
- Reverse for Modification and make corrections on the New Encounter.
- Make the corrections on the New Encounter.
- Run the Concurrency Report with the DOS range and Finalize.
Can a Surgeon bill for Anesthesia?
- A Surgeon cannot bill for Anesthesia at the same time that they are performing surgery.
How do I bill two Encounters if there are two or more Medically Directing Providers and CRNAs?
Example: The Patient had 2 Medically Directing Providers and 2 CRNAs. The Anesthesia start time is 7:43, and the end time is 12:48.
- 7:43-10:43 (180 min): MD 1 and CRNA 1
- 10:43-11:19 (36 min): MD 1 and CRNA 2
- 11:19-12:48 (89 min): MD 2 and CRNA 2
Encounter 1: Originating Encounter
- Billing Provider: Medically Directing Provider 1
- Rendering Provider: CRNA 1
- CRNA 1
- MD 1
- Start/end time (7:43-10:43)
- CRNA 2
- MD 1
- Start/end time (10:43-11:19)
- Line 3: This line needs to be Split.
- CRNA 2
- MD 2
- Start/end time (11:19-12:48)
Encounter 2: Split Encounter
- Billing Provider: Medically Directing Provider 2
- Rendering Provider: CRNA 2
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