Round 2 Story Board
As CFO here at Anytown Medical Center, it feels like I'm constatnly battling some challenge related to my Anesthesia Group.
Operationally, I don'r know if I should continue to use all Anesthesiologists (MDAS) to provide anesthesia or if employing a supervision model utilizing CRNAs along with the MDAs is most cost-effective. With increasing staff costs and decreased reimbursement, my monthly subsidy to the Anesthesia Group is one of my top 3 expense line items every single month. UGH!
We don't understand the billing process for Anesthesia services, either. The payment is typically time-based, there are anesthesia-specific codes and modifiers used in place of CPT codes and we struggle to know how to find add-on services we can legitimately bill for.
Lucky for our Executive Team, Accretive has begun helping us understand and better manage our Anesthesia unit. They've helped us take the data we have to make informed decisions regarding how we staff, the number of rooms we can affordably run, and they have assisted us with identifying opportunities to create new revenue with this team, such as a pain clinic.
They've helped us with our Aneshesia billing, too. Their experts helped us review our forms to ensure we capture everything we need to bill compliantly and maximize revenue. Their contracting team used our data to understand where we need to re-negotiate our conversion factors as well as our fee-based services. And, they already have the demographic and billing information available which has decreased our claim denials and bad debt expense.
I'm grateful for the improvement we've seen in our revenue and bad debt expense. These improvements, along with decreases in staffing-related costs, continue to chip away at the monthly subsidy I'm required to pay. Most importantly, we now have the data we need to help our stakeholders make informed decisions. Thanks to Accretive, Anesthesia doesn't keep me awake any more!
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