The HMO Blue Texas and Blue Cross and Blue Shield of Texas maximum allowable fees for services billed as MD supervision of a CRNA are as follows: Modifier QY reimbursement: $325.52 (MD supervision of a CRNA) Modifier QK reimbursement: $310.01 (MD supervision of a CRNA) Modifier AD reimbursement: $162.76(MD supervision of a CRNA) OB Time…
Anesthesia Payment & Billing Information – BCBS Ventilator Management in Conjunction with Anesthesia Services 94656 and 94657: Ventilation management billed on the same day as an anesthesia procedure is part of the global anesthesia service for the first 24 hours after anesthesia induction and therefore it is not billable.If procedure code 94656 is reported on…
Anesthesia Payment & Billing Information – BCBS Payment Calculation InformationTime Units :Time units will be determined by using the total time in minutes actually spent performing the procedure. Fifteen minutes is equivalent to one (1) time unit. Time units will be rounded to the tenth. Therefore, if the procedure lasted 49 minutes, the time units…
Claim FilingEffective for dates of service on or after January 1, 2014, Blue Cross requires claims for anesthesiologists, CRNAs and AAs to be billed under the name and National Provider Identifier (NPI) of the provider who actually rendered the service. Blue Cross does not recognize “incident to” billing for anesthesia services. All providers should render…
Following Anesthesia Billing Guidelines Helps Expedite Claim Payments – Anthem BCBS Anthem strives hard to process and pay all claims in a timely manner. Therefore, we want to provide you with some important billing guidelines you should follow that can help us expedite the payment of your claims for anesthesia. Paper Submissions Providers who submit…
