01UNIT CALCULATION
Anesthesia Time & Unit Calculation.
We convert your documented anesthesia minutes into accurate time units, verify base-unit selection against the ASA Crosswalk, and validate every calculation before submission — capturing the billable time that fractional rounding and documentation gaps otherwise erase.
Base unitsTime unitsASA CrosswalkValidation
02ROLE COMPLIANCE
Modifier & Medical Direction Compliance.
We apply the correct staffing modifier to every case and enforce the seven documentation steps required for medical direction, so QK, QY, QX, AA, and QZ claims hold up — and we keep the physician's and CRNA's claims consistent so neither is denied for a mismatch.
AAQKQYQXQZ
03CONCURRENCY CONTROL
Real-Time Concurrency Monitoring.
We track how many cases each anesthesiologist is directing at once, so an accidental overlap never silently downgrades your medically directed cases to supervision and drains a quarter's worth of revenue.
Live case countOverlap controlDirected casesRevenue protection
04ADDED UNIT CAPTURE
Physical Status & Qualifying Circumstances Capture.
We identify and append the physical status and qualifying-circumstance units that commercial payers recognize — extreme age, emergencies, and more — with the pre-anesthesia documentation to support them, recovering revenue most groups leave on the table.
Physical statusEmergencyExtreme ageAudit support
05RATE MATRIX
Payer-Specific Conversion Factor Management.
We bill every claim on the current conversion factor and maintain a payer-by-payer rate matrix, so you're never under-collecting on an outdated or wrong-payer rate.
Current ratesPayer matrixContract factorsPricing control
06MAC DOCUMENTATION
MAC & Medical Necessity Billing.
We bill monitored anesthesia care correctly with the right modifier and the medical-necessity documentation payers now demand — especially for endoscopy and other scrutinized settings — so MAC claims get paid instead of denied.
MACMedical necessityModifier logicEndoscopy
07CARE-TEAM BILLING
CRNA & Care-Team Billing.
Whether your CRNAs practice independently in opt-out states or under medical direction, we handle CRNA billing with the correct independent or directed modifiers and the paired-claim logic that care-team reimbursement requires.
CRNAOpt-out statesPaired claimsDirection
08PAIN PROCEDURES
Interventional & Chronic Pain Billing.
For groups that also run interventional pain — epidurals, blocks, facet injections, and radiofrequency ablation — we handle the standard procedural coding that side of the practice requires, alongside your unit-based anesthesia billing.
EpiduralsBlocksFacet injectionsAblation
09DENIAL RECOVERY
Denial Management & Appeals.
Our denial management team works every denied anesthesia claim to its root cause — time, modifiers, concurrency, medical necessity, care-team mismatch — and appeals what's owed, so the same denial stops repeating.
Root causeAppealsProcess repairPrevention
10PAYER + FACILITY ACCESS
Credentialing & Enrollment.
We handle credentialing and enrollment for your anesthesiologists and CRNAs across every payer and facility, starting at hire. Reliable anesthesia credentialing keeps revenue flowing from a provider's first case.
AnesthesiologistsCRNAsPayersFacilities
11PERFORMANCE VISIBILITY
Reporting & Analytics.
Clear monthly reporting on clean-claim rate, net collection rate, average units per case, denial rate by cause, days in A/R, and revenue by provider and facility — so you always know exactly how your group is performing.
Net collectionUnits per caseDenial causesA/R
