• Ensure that the Anesthesia System Setting is set to Yes.
• Admin > System Settings > General > ANESTHESIA > Yes.
• Review all Anesthesia System Settings to ensure the ones necessary are enabled.
• Admin > System Settings > Anesthesia
• Review the Anesthesia Time Unit Calculation Settings to ensure this has been configured. 
• If Charge entry includes the surgical code, ensure that the Anesthesia Crosswalk is set up.
• If you have elected to subscribe to the ASA Crosswalk service, this should already be present.
• If you declined the ASA Crosswalk service, this must be added manually.
• Confirm that Timed is set to Yes for the Anesthesia Codes in the Procedure Code Library.
• The default behavior is 00100-01999 is set to Yes. 
• Confirm that the Base Units are present on all Anesthesia CPT Codes that will be used for Charges.
• If you have elected to subscribe to the ASA Crosswalk service, these values should already be present.
• If you declined the ASA Crosswalk service, these must be added manually.
• Review the Billing/Rendering Library to ensure that all Billing/Rendering Providers have valid credentials.
• Finalization logic will not work if the provider lacks the necessary credentials to distinguish MD/DO from CRNA/AA.
• Review the Anesthesia Charge Entry process.
  

Activate Anesthesia Billing

A System Setting is used to activate Anesthesia functionality in the System.

• Admin > System Settings > General > ANESTHESIA > Y

Anesthesia Time Units

• Set up the Anesthesia Time Units

• Admin > Anesthesia Time Units

• System Setting: ANESTHESIADESCR

On the Anesthesia Procedure Codes, the Anesthesia Timed field must be set to Yes for the Anesthesia codes that are timed. If this is not set to Yes, the base nor time units will populate and will not be sent on the Claim.

Anesthesia Visit Concurrency and Workflow

Concurrency is when an anesthesiologist is medically directing or supervising the work of one or more anesthesia professionals.

• The Concurrency options are set up on the Anesthesia Time Units in Admin.

Anesthesia Profile

If there are Payers that require a different Anesthesia Timed Units Profile, create the new Profile and attach it to that specific Payer in the Insurance Library or Anesthesia Time Unit Settings.

Insurance Library

Libraries > Insurances > select a specific Payer.

• Select the Anesthesia Profile in the Insurance Library for a specific Insurance.

• Libraries > Insurances > Select Insurance ID > Insurance Settings Panel

• The Profiles will be available in the dropdown menu after the Anesthesia functionality is activated and the Anesthesia Time Unit Profiles have been created.

• If you manage multiple Databases with an Insurance Master Library that is connected to both Anesthesia and non-Anesthesia Linked Databases,  you will not see the Anesthesia Profile dropdown in the non-Anesthesia Databases. 

• You will only see this in Databases where Anesthesia functionality has been activated. 

Anesthesia Time Units

Admin > Anesthesia Time Units

• Select the Modify icon in the Insurances Column to add, edit, or remove an Insurance in each Description group. 

• If you add a payer to a different Description group, it will be removed from the prior group it was attached to.

• This has the same result as changing the selection on the Payer.

ASA (Anesthesia) CROSSWALK

When adding a Charge using the Anesthesia Crosswalk®, the Surgery Procedure Code is entered, and the System determines automatically the corresponding Anesthesia Code. Set up the Anesthesia Crosswalk® manually or have it uploaded and managed automatically.

Procedure Code Base Units and Concurrency

The Base Units are set up in the Procedure Code Library in the Anesthesia Info Panel.

Libraries > Procedure Codes button > Select the Procedure Code > Anesthesia Info Panel. If you have subscribed to the ASA Crosswalk feature, the Base Units will be pre-populated in the Procedure Code Library.

The Anesthesia Timed field must be set to Yes for the Anesthesia codes that are timed. If this is not set to Yes, the base nor time units will populate and will not be sent on the Claim.

Learn More

Anesthesia Time Unit Settings

Anesthesia Visit Concurrency

Anesthesia Medically Directed Modifiers

Anesthesia Charge Entry

Anesthesia Billing Resources

Anesthesia System Settings