Anesthesia System Settings

Anesthesia System Settings

Activate Anesthesia

System Setting must be added to use Anesthesia Billing.

  • Admin > System Settings > General > ANESTHESIA > Y
  • No and (---): Do not use Anesthesia
  • Yes: Enable Anesthesia Functionality

Learn More: Anesthesia Billing Setup

AFINALIZE

-MAKES THE FINALIZE BUTTON VISIBLE

  • This Setting prevents Anesthesia Encounters with unfinalized procedures from being included in Claims Batches.
  • When saving Incomplete Anesthesia Encounters, the status will be set to Pending Finalization.
  • No and (---): The Finalize button is not available.
  • Yes: The Finalize button is available when the Finalization criteria has been met.

AMILITARY

-PRINTS OUT MILITARY TIME, START TIME/END TIME ON HCFA

  • No and (---): Standard Time will be printed on HCFAs.
  • Yes: Military Time will be printed on HCFAs.

ANESTHESIADESCR

-CREATES THE DESCRIPTION ON THE UNIT CALCULATION BUTTON

  • Default: ANESTHESIA
  • Example: The Time Unit Button will be labeled Anesthesia Time Units.
  • There are many specialties that bill or charge based on the amount of time based with the Patient.
  • In this case, another label can be entered to replace Anesthesia.

AUTOADD99100

-ADDS 99100 IF PATIENT'S AGE >=70 OR <= 12 MONTHS

  • No and (---): The Procedure Code 99100 will never be added automatically.
  • Yes: The Procedure Code 99100 will be added if the Patient's age is greater than or equal to 70 years, or less than or equal to 12 months.

Note: Specific Procedure exceptions to this rule can be noted in the next setting (AUTOADD99100_EXCLUSIONS).

AUTOADD99100_EXCLUSIONS

-USE FOR CERTAIN PROCEDURE CODES WHERE 99100 CANNOT BE USED REGARDLESS OF AGE

  • Enter the Procedure Codes where 99100 must be excluded regardless of age.
  • This should be a comma-separated list with no spaces.
  • This setting is only relevant if the above setting (AUTOADD99100) is set to Yes.

CONCURRENCY_CHECKBOX

-ADDS A CHECKBOX TO THE CONCURRENCY DASHBOARD THAT ALLOWS THE USER TO SELECT THE ENCOUNTERS THAT SHOULD BE FINALIZED

Use this setting to add a checkbox to the Concurrency Dashboard to select Encounters to be finalized.

This setting is used in conjunction with AFINALIZE and PROVIDERCONCURRENCY.

  • No and (---): Do not add the checkbox to the Concurrency Dashboard.
  • Yes: Add the checkbox to the Concurrency Dashboard to finalize Encounters.

EXCLQXUNIT

-EXCLUDE UNIT COUNT FOR QX MODIFIER ON PA REPORT

This setting will exclude lines that have a QX modifier from the Unit count on the Practice Analysis Report.

  • No and (---): Do not exclude lines with modifier QX.
  • Yes: Exclude lines with the QX modifier from the Unit Count on the Practice Analysis report.

FINALIZEDCONFLICTS

-DISPLAY PRIOR FINALIZED CONFLICTS AND SEND TO WORKLIST

  • If there are Procedure Lines that have conflicts with prior Finalized Claims, they will appear on the Visit Concurrency screen and can be sent to a Worklist.
  • No and (---): Do not display finalized conflicts on the Visit Concurrency screen.
  • Yes: Display finalized conflicts on the Visit Concurrency screen and allow them to be sent to a Worklist.

MAXCONCURRENCIES 

- MAXIMUM ANESTHESIA CONCURRENCIES

  • This setting defines the maximum number of allowed Anesthesia Concurrencies. When left blank the default is set to no maximum.
  • For example, if your policy is to not have Providers supervise more than 4 concurrent cases, you could set this setting to 4. 
  • This would allow for the manual review of any cases with 5 or more concurrencies to make sure the concurrency total wasn't due to an error in the data collected or entered.
  • When the number of cases exceeds the maximum concurrencies defined by this setting, the Encounters involved will be updated to a Claim Status of 'HFINAL- Finalization Hold' for someone to review before they are submitted.

MAXDISCONTINUOUSTIMES

-ADDS ABILITY TO USE MULTIPLE SETS OF START AND END TIMES

Enter the maximum number of start and end times.

  • Enter the number of sets (the most often used is 3).
  • Entering 3 would allow 3 different start and end times.
  • Calculated Value: 1 Start/End Time = 1 set

MILITARYTIME

- TREAT ALL TIME ENTRIES AS MILITARY TIME

This setting controls the use of Military Time in time entry.

  • Yes: Activates military time
  • No (---): Standard Time (This is the default).

OUTPUTANESTHESIA

-DISPLAYS TIME INSTEAD OF TOTAL UNITS

  • The Units populate ANSI Loop 2400 and HCFA Box 24G.
  • Yes (---): Changes Time to Units
  • No: Does not change Time to Units

PROVIDERCONCURRENCY

-ADD THE PROVIDER CONCURRENCY BUTTON IN THE PROCEDURE TABLE ON THE ADD/MODIFY CHARGE SCREEN AND WILL ADD THE BILLING PROVIDER FIELD AT THE LINE LEVEL

  • This enables the Provider Concurrency button on the Charge Entry screen.
  • This allows the User to add multiple Times for MDs and CRNAs based on the Anesthesia Codes in the Procedure table.
  • Any Procedure Line that has a different Billing Provider than the Claim level Billing Provider will be split into their own Encounters upon saving.
  • No and (---): Do not add the Provider Concurrency button to the Charge Entry screen.
  • Yes: Enable the Provider Concurrency button on the Charge Entry screen when entering Anesthesia Charges.

QXSELFZERO

-SELF-PAY QX MODIFIER LINE SET TO ZERO FEE UPON FINALIZATION

  • This setting will set the fee amount to $0.00 as a result of the finalization process if a QX Modifier is added to a Procedure line on a Self-Pay Encounter
  • No and (---): Do not update the fee on a Procedure line when Modifier QX is used for a Self-Pay service.
  • Yes: Set the fee to $0.00 if the Procedure line contains Modifier QX on a Self-Pay service.

Learn More

System Settings Overview

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