Anesthesia Billing Codes - Will This code pay?
Posted by Michael Sigman on Tue, Aug 31, 2010 @ 03:24 PM
When I started working in the medical billing industry, I learned very quickly that insurance companies are not all alike. Insurance companies differ greatly in the way they process and pay specific procedure codes. My experience ranges from billing anesthesia to heart surgeon billing, and in all cases, there was a huge variance in payment processing. In the beginning I would receive prompt payments from insurance company “A,” without any problems, whereas with insurance company “B,” I would receive denials even though both insurance claims had the same diagnosis and the same procedures. I didn’t see it at first, but I soon started to recognize and document the patterns associated with insurance company denials on these claims.
This wild fluctuation in payable codes, leaves doctors and billing staff in a constant state of confusion. This company says its inclusive, this company pays it as a seperate procedure, and this company says it's not necessary. At Monox we have developed a database filled with codes, denials, and insurance company responses. We have leveraged this to help you determine whether a specific insurance company will pay a specific code.
To know if a code is payable or if there is a “better” code to use and what that code should pay ask the coding experts.
By
Michael Polese