Anesthesia Billing Software

 

For the last 20 years, Navaro Medical Solutions, Inc. (NMS) has specialized in meeting the needs of anesthesia practices and billing services. ProSourceMD offers a comprehensive and complete set of anesthesia billing software features to meet the billing and reporting needs of any anesthesia practice — we guarantee it.

In addition to providing and supporting practice management software and anesthesia billing software, ProSourceMD is an AQI Preferred Vendor and a QCDR-Ready Vendor.

Features Included in our Anesthesia Billing Software

• Flexible time and fee calculation methods customizable down to a specific code for a specific carrier.
• Fully automated time and fee calculation process.
• Discontinuous time and multiple supervising or rendering providers for any claim.
• A robust and fully automated concurrency calculation for medically-directed claims.
• The ability to enter CPT surgery codes and anesthesia codes, along with other AQI clinical data.
• Ability to enter physical statuses and modifiers that automatically add units or make adjustments to the charge as appropriate.
• Checking and warning for overlapping times for the rendering provider based on prior claims entered.
• Support for automated pain-management billing.
• Proper formatting of all variations needed for paper and electronically formatted anesthesia claims for error-free handling.
• A wide array of highly customizable reports, including an anesthesia analysis report that provides details about each procedure, the providers, facility, the number of base and time units billed, amount paid/unit, start and stop times, and more.
• For our anesthesia customers who participate with the Anesthesia Quality Institute (AQI), we offer validations, pre-qualifications and automated uploads of claims data to AQI’s NACOR and the validation, entry and upload of anesthesia claims to AQI’s QCDR Registry.

 

Special Benefits for Anesthesia Practices

• Complete adherence to Medicare time calculation rules 
• Default Medicare and Commercial time calculation schedules and Flexible custom time calculation schedules that can be linked to specific carriers and designed to accurately reflect any anesthesia billing requirement based on #units/hour, ability to enter different units for each hour of a procedure and set round up minute.
• Automated and accurate time calculation of minutes and time units with ability to set billable minutes to be the same or less then calculated minutes. 
• Built in default CPT to ASA Code crosswalk, with potential overrides visible at claim level. 
• All CPTs preloaded with Medicare and ASA base units for anesthesia and pain management where appropriate.
• Ability to enter multiple start and stop times for each service line.
• Ability to enter multiple rendering or supervising providers on each service line, with automated calculation of appropriate billing providers.
• Modifiers pre-loaded and configured to automatically add base units or adjust charges when used. 
• Real time checking and warning to prevent entering overlapping times for a rendering provider. 
• Ability to charge a flat rate charge for any anesthesia procedure, which can be carrier specific. 
• Automatic calculation of exact Medicare anesthesia fees based on current year Medicare RVU and pay rate based on zip code of service location. 
• Anesthesia CCI validations.  
• Ability to track anesthesia drugs used. 
• Ability to set carrier specific time display messages.  
• Ability to define whether a carrier wants time minutes or units when billing and whether they want anesthesia start and stop times included.
• Numerous anesthesia based reports that can include options for time, base units, time units, modifier units, rendering provider. 
• Proper formatting for paper claims and electronic claims.
• More benefits

 

Features for Supervising Providers

• Medicare concurrency rules built in, allowing for the supervision of CRNAs, AAs, Residents or SRNAs. 
• Ability to apply Medicare concurrency rules, or create custom concurrency rules for any carrier. 
• Ability to preview a concurrency batch before executing. 
• Concurrency process automatically applies correct modifier, adjust charges as appropriate and creates a second claim or service line charge. 
• When supervising non-employees, ability to add non-employed supervised providers at no charge.
• Gantt chart display of all overlapping claims.
• Program will create a compliant Medicare concurrency report.
• Ability to track and record whether Supervising Provider was present at induction.
• Ability to override and add special circumstance notes to the concurrency batch.

 

Advanced Anesthesia Billing Software Options

• Advanced Concurrency schedules which include a preset for Medicare rules and the flexibility to set up automated concurrency rules for any carrier.
• Trial run preview of concurrency results.
• Visual Gantt Chart display of concurrent procedures.
• Medicare concurrency report showing patient, provider, rendering provider times etc. 
• Proper handling of CRNA, SRNA, AA and Resident MD’s as rendering providers. 
• Ability to record whether a supervising provider was present at induction. 
• Proper application of all Medicare concurrency rules. 
• Ability to bill for non-employee providers who can be set up with no monthly fee. 
• Automated creation of rendering provider charge with option to create a separate claim or add charge at the service line level. 
• Ability to set up concurrency to be run for any carrier who requires concurrency modifiers. 
• Ability to exclude procedures from concurrency. 
• Ability to undo and re-run the concurrency process.
• Multiple anesthesia reports that can be filtered and displayed by procedure, ASA code, start and stop time, billed minutes, units, modifiers, drugs, supervising provider, rendering provider and much more.
• Ability to enter multiple start and stop times for each service line.
• Ability to enter multiple rendering provider’s for each service line. 
• Ability to enter multiple supervising provider’s for each service line. 
• Automatic calculation of the correct rendering and supervising provider to use for billing in a multi-provider scenario. 
• Ability to specify Anesthesia type and drugs. 
• Automatic and accurate time and unit calculation, even across multiple dates. 
• Separate storage of total anesthesia time and user defined billed anesthesia time. 
• Ability to enter multiple anesthesia service lines per claim. 
• Over 20 years experience in meeting the anesthesia billing requirements of every major insurance carrier for paper and electronic claims. 
• Over 20 years experience supporting anesthesia billing software customers. 
• The bottom line is that once set up, a user enters the procedure, start and stop time, and possibly a modifier, and the rest is fully automated, resulting in a correctly calculated and billed anesthesia claim every time. Faster data entry, maximum income, fewer errors and the elimination of any anesthesia billing knowledge for data entry means lower payroll cost for your Practice.
• Concurrency schedules which include a preset for Medicare rules and the flexibility to set up automated concurrency rules for any carrier.  
• Trial run preview of concurrency results.
• Visual Gantt Chart display of concurrent procedures.
• Medicare concurrency report showing patient, provider, rendering provider times etc.
• Proper handling of CRNA, SRNA, AA and Resident MD’s as rendering providers.
• Ability to record whether a supervising provider was present at induction.
• Proper application of all Medicare concurrency rules.
• Ability to bill for non-employee providers who can be set up with no monthly fee.
• Automated creation of rendering provider charge with option to create a separate claim or add charge at the service line level.
• Ability to set up concurrency to be run for any carrier who requires concurrency modifiers.
• Ability to exclude procedures from concurrency.
• Ability to undo and re-run the concurrency process.

  

Import and TurboEDI

We have implemented an import of data into our anesthesia billing software from hospitals where they are using the new EPIC Anesthesia Module. This import allows for the creation of a complete Patient Demographic record in some cases and sometimes even all required elements of a new claim. It also contains a pdf file with full service information that we automatically link to the claim. It is a huge time saver. If your hospital is willing to follow the same processes, we can do the same for you.

 

Demos and Tuturials

We offer in-depth demos of our anesthesia billing software. 

**All data in samples is random and auto-generated.**

 

Create Customized Reports

 

 

Enter Multiple Anesthesia Times

 

Conflicting Time Validation

 

Validation During Claim Entry

  

Procedure to Anesthesia Crosswalks

 

Detailed EDI Reports

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Secure and HIPAA Compliant

ProSourceMD was designed and built from the ground up around the HIPAA regulations. All confidential data is stored encrypted.

 

Support

And should difficulty arise, our excellent support staff has worked with anesthesia practices for over 20 years and is well-versed in the particulars of anesthesia billing and/or anesthesiology. 

 

Contact Us

Please contact us if you would like more information about our anesthesia billing software, practice management software, or any other services.