Nuts and Bolts of Ambulatory Anesthesia Billing

Understanding billing and compliance is important to avoid errors. The rules of billing and processes change and update regularly and require ongoing tracking. The Centers for Medicare and Medicaid Services has a list of procedures that are appropriate in an ambulatory setting. All patients require ASA physical status and Healthcare Common Procedure Coding System modifier for billing. Anesthesiologists need to comply with the Tax, Equity and Fiscal Responsibility Act for billing. Using a certified electronic health recording technology and participation in the Medicare Access and CHIP Reauthorization Act of 2015 will optimize reimbursement.