Physicians Professional Management

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services for anesthesia and pain management groups.

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Although proper enrollment with payers may not be the first thing on a provider’s mind, its importance should not be underestimated.  It is a meticulous process which requires absolute accuracy and timeliness.  Without it, providers cannot hope to be reimbursed for their services.  

There are 17,045 diagnosis codes that relate to fractures, of which 10,582 diagnosis codes distinguish right versus left, so details are everything. With all these new codes you will need to collect more information to insure proper billing.

Sorting through the regulations and coding guidance for anesthesia can be a nightmare for providers, but it doesn’t have to be.  With the right billing team, you can rest easy knowing that your medical billing is being done accurately and ethically.

Thinking of taking some time off? A substitute physician, known as a ‘locum tenens’, can be hired to take over his/her practice when they are absent for reasons such as illness, pregnancy, vacation or continuing medical education.  There are a few rules of which to be aware. 

Many Medicaid programs require a completed and signed consent form prior to sterilization or hysterectomy being performed.  It makes sense that the surgeon’s services would be denied without these, but did you know that anesthesia providers will also not be paid? 

The information presented herein reflects general information that is current as of the date it was first published. Please check with your individual legal and/or compliance advisor(s) prior to taking any significant actions based upon the information and advice presented.

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