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Anesthesia / Pain Management Codes

Perform a prospective or retrospective review of anesthesia and/or pain management claims to determine accurate and complete charge capture, documentary support for claimed services and correct services billing, including units of anesthesia billed and appropriate modifier utilization.

If a practice provides significant critical care services, an additional review of compliance and revenue optimization in this area is available as an add-on service

In pain management practices, the above review is provided in both the medical and surgical pain practice specialties. Key areas are:

• Acute vs Chronic Pain Management
• Nerve Blocks
• Trigger Point Injections
• Joint Injections
• Epidural Injections/Infusions
• Intrathecal Injections/Infusions
• IDET
• Dorsal Column Stimulators
• Neurostimulators
• Pharmacological Issues
• Diagnosis coding
• Medical Necessity

In academic institutions, an additional review of compliance with PATH regulations governing anesthesia services is available, this includes a focus on "presence" and "supervision" requirements...

In practices where CRNA's, student nurse anesthetists and/or anesthesia assistants are utilized, a compliance review in these areas, including compliance with both Payer and State supervision requirements, is available.

Specialized reviews on complex areas of anesthesia coding, documentation and billing are also available by specialists in these areas:

• OB
• Burns
• Cardiac Surgery/Cardiopulmonary Bypass
• Transplantation Procedures
• Multiple Procedures
• Ventilation Management

Perform a credentialing review of CRNA's to determine compliance with Medicare and Third Party Payer regulations governing minimal education and licensure requirements, assuring reimbursable claims

Revenue optimization reviews to determine areas of missed revenue, includes focus on key areas such as pre and post anesthesia billable services, additionally billable procedures, conscious sedation, patient controlled analgesia, MAC anesthesia complications and use of the consultation codes in anesthesia practice It also includes a focus on units of anesthesia claimed and documented; to assure both optimal revenue and prevention of overpayment. An estimate of lost revenue is also provided. This review is also available for pain management practices.

Seminars in coding & documentation in anesthesia, pain management and critical care is available for clinicians

Billing seminars on anesthesia, critical care & pain management are available

Additional services are available.