Time calculation disputes
Claims underpaid for time rounding or missing start/stop documentation. We bill from documented times under each payer's rules.
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Anesthesia medical billing services
Anesthesia billing uses its own system — base units plus time units plus modifiers — that has nothing in common with surgical coding. Getting paid depends on accurate anesthesia time, correct physical status and medical direction modifiers, and the CRNA and supervision rules that vary by payer.
What makes anesthesia billing different
General billers treat every specialty the same. These are the rules, code families and payer habits that decide whether anesthesia claims pay the first time.
- Anesthesia codes (00100–01999) carry base units; time units are calculated from documented start and stop times in 15-minute increments or by payer rule.
- Medical direction modifiers (AA, QK, QY, QX, QZ) depend on who provided and who supervised, and the number of concurrent cases.
- Physical status modifiers (P1–P6) add units with many commercial payers but not Medicare.
- Qualifying circumstances and monitored anesthesia care (QS, G8, G9) have specific documentation requirements.
Denials we see most in anesthesia
Every denial gets a root cause, a fix and a feedback loop, so the same denial stops coming back.
Modifier errors
Medical direction denied for wrong modifier or concurrency. We verify staffing per case.
Physical status unpaid
P modifiers omitted. Applied where the payer recognizes them.
How Core MB bills for anesthesia
A dedicated team that already knows your payers' rules, plus the reporting to prove it is working. Credentialing for new anesthesia providers runs in the same system, tracked live in your client portal.
- Case-by-case billing from the anesthesia record: base units, time, modifiers.
- Concurrency and medical direction verification per case.
- Payer rules for time rounding and physical status applied at the scrubber.
Everything in the service
The full revenue cycle as standard for anesthesia practices, priced on what we collect for you. Take all of it, or start with one piece such as AR recovery or credentialing.
- Insurance verification and eligibility checks
- Charge entry and specialty-specific coding review
- Claim scrubbing and electronic submission
- Payer follow-up on every open claim
- Denial management and appeals
- Payment posting and reconciliation
- Accounts receivable recovery
- Patient statements and balance support
- Monthly reporting you can read in five minutes
- Provider credentialing and payer enrollment
Anesthesia billing questions
How is anesthesia billed differently from surgery?
By base units for the procedure plus time units from documented anesthesia time, modified by who provided and supervised the care. It is a separate system entirely.
What are medical direction modifiers?
Modifiers that describe whether an anesthesiologist personally performed, directed CRNAs, or a CRNA worked independently, and how many cases ran concurrently. Payment depends on them.
Do you bill for CRNA groups?
Yes, under the modifier and supervision rules each payer and state applies.
How do we get started with Core MB for anesthesia billing?
Send us your specialty, provider count and monthly claim volume through the quote form and we will come back with a written proposal. Transitions run alongside your current billing so nothing is dropped, and credentialing for new anesthesia providers can start at the same time.
More in surgical and procedural
Find out what your anesthesia billing is leaving on the table
Send us a snapshot of your current billing and we will come back with a quote and a realistic view of recoverable revenue.