Anesthesia Coding Alert

Claims Submission:

Start Calculating Minutes -- Not Units -- to Prevent Payment Delays

5010 standards lead to universal time reporting rules effective Jan. 1. While all physicians will be affected when the 5010 claims form goes into effect, the transition brings one monumental change specific to anesthesia providers. Beginning Jan. 1, 2012, the new standards for electronic claims submission will require you to report all anesthesia time in minutes instead of units. Read on for advice on how to ramp up fast and keep payment flowing. Background: For years, anesthesia providers have been able to choose whether to calculate the time for their services based on actual minutes or time units (one time unit could equal 8, 10, or 15 minutes, depending on the payer). Having this flexibility could play to the anesthesia provider's advantage when the number of minutes rounded calculations to the next full time unit. Once the provider reaches 8 minutes into a new 15-minute time unit, many payers will [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Anesthesia Coding Alert

View All