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.
Modified Anesthesia Care (MAC): A light sedation where the Patient is still under Anesthesia but is generally still awake and semi-aware.
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
Claim Level
Billing Provider: Medically Directing Provider 1
Rendering Provider: CRNA 1
Line 1
CRNA 1
MD 1
Start/end time (7:43-10:43)
Line 2
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
Claim Level
Billing Provider: Medically Directing Provider 2
Rendering Provider: CRNA 2
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.
A Surgeon cannot bill for Anesthesia at the same time that they are performing surgery.