Anesthesia Charge Entry

Anesthesia Charge Entry

This article highlights the differences in Anesthesia Charge Entry.

  1. Rendering: Select the Provider administering anesthesia.
  • MD, CRNA, Resident
  1. Billing: Select the Billing/Supervising provider.
  • Usually the anesthesiologist
  1. Referring: Enter the Surgeon performing the Procedure, if needed.
  2. Anesthesia Type: Reportable
  • Required for AQI reporting
  • Can be used to automatically apply a modifier (QS) when the anesthesia type is MAC (Monitored Anesthesia Care)
  1. Physical Status: 
  • Reportable
  • Required for AQI reporting

  1. Procedure: Required field.
  • If entering the Surgery code AND the Anesthesia code, the surgery code is entered here.
  • If entering Anesthesia codes only, enter the anesthesia code here.
  1. If the Crosswalk is loaded into Admin > Anesthesia Time Units, the Anesthesia code populates automatically when the Surgery code is entered in the Procedure field.
  • If the Crosswalk is not loaded:
  • Enter the Anesthesia code ONLY if the Surgical Procedure Code was entered in the Procedure Code field.
  • Otherwise, leave blank.       
  1. Enter the Modifiers.
  • Physical Status: Reportable
  • Required for AQI reporting
  • Modifier P3 & P4 can be set up to add units to the base unit count automatically in the Anesthesia Time Units Setup.
  • Concurrency Modifiers will be System added later.
  1. Rendering Provider: The Rendering Provider can change at the Service Line level (CRNAs, Residents, etc.).
  • This field will auto populate from the Rendering Provider selection in the Claims panel.
  • Change here if the Rendering is different for a specific line item.
  • This outputs on electronic claims but not on paper claims. 
  1. Fee: Will auto populate the per Unit rate.
  2. Enter the Anesthesia Start time
  3. Enter the Anesthesia End time.
  • Exact minutes matter!
  • If the Anesthesia service was interrupted:
  • Selecting the plus icon opens a window allowing the addition of multiple Start and Stop times.
  • The system calculates the minutes for each Start and Stop, and includes them in the minutes field.
  1. Base Units: The System uses the Base Units set up in the Procedure Code library.
  • May also be automatically increased by modifier P3 or P4 per Anesthesia Time Units Setup.
  • Example: Procedure Code was set up with Base Units = 3 and Modifier P3 with 1 Unit.
  • The Base Unit calculation will be 4.
  1. Time Units: The System converts the minutes to Time Units based on the Anesthesia Time Units Setting.
  2. Units: The System totals Units to be billed (base + modifiers + time)
  3. Total: The System calculates the total Charge amount: Fee x Units
  • In the Example: ($450.00 x 11 = $4,950.00)


Notes

**NOTE:  If other charges, such as Office Visits, are billed in the same database where Anesthesia charges are billed, do not enter the Start and End Times on the non-anesthesia Charges for the Time Units to equal 0.00.**


Learn More

Charge Entry

Anesthesia Time Unit Settings

Anesthesia Visit Concurrency

Anesthesia Medically Directed Modifiers

Anesthesia Billing Resources

Anesthesia Military Time



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