Anesthesia Billing

CMI has developed a proprietary revenue cycle process which ensures maximum reimbursement for our clients. This process maximizes the quality, efficiency, and cost-effectiveness of the anesthesia billing services we provide.

Most of our competitors use inexperienced, offshore resources resulting in a tremendous amount of revenue being left in the pockets of the insurance companies.

CMI integrates a perfect blend of automation and personal involvement to go way beyond picking only the low hanging fruit!

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Preparation

Our clients range from sole practitioners to large, hospital-based anesthesia groups (and everything in between).  Whether you’re charting by paper or utilize an Anesthesia Information Management System, we customize a solution to ensure seamless integration with little to no change to your current workflow. 

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Submission

Following receipt of your billing data, whether in digital or paper format, claims are generated by our team of Certified Coders.  All documentation is thoroughly reviewed to ensure that all billing opportunities are captured, maximizing the income potential.  CMI’s Deductible Hold feature checks insurance policy accumulators each night.  Clients have the option to hold claim submission until deductibles or maximum out-of-pockets are met.  If the threshold is not met prior to timely filing, the claim will automatically be released to avoid denial.  It's easier to collect money from an insurance company than it is from a patient!

Claims Management

Any billing company can transmit anesthesia claims and record payments.  The real work only begins after the claim is adjudicated by the insurance company.  Our process of addressing claim denials and underpayments produces clear and measurable results.

In-Network Claims:

Our billing platform reconciles every payment against your pre-loaded Managed Care Fee Schedules. Any deviation in reimbursement is flagged for our team to address and appeal.  Assuming the payment is consistent with the fee schedule, any cost sharing is billed to the patient the very same day.

 

Out-of-Network Claims:

Every state has different laws governing out-of-network billing practices, and major federally mandated changes are on the horizon.  CMI has the resources and knowledge to ensure your practice is collecting all it can, while at the same time complying with these everchanging laws.

Armed with decades of experience, our team has a comprehensive understanding of what it takes to get anesthesia claims reprocessed and paid at the maximum level.  Though many companies have automated the use of a standardized appeal letter, each of our appeals is individually written.  There is no “one size fits all” when it comes to navigating this process successfully.  Each payer requires different forms, signatures, and supporting documentation as disclosed in the Summary Plan Description.

Many out-of-network insurers mail payments directly to your patients.  In a perfect world, the checks would get turned over to your practice, but we all know that doesn’t always happen before the money is spent!  Immediately after learning a patient has been paid, our team goes to great lengths by verbally communicating with the patient and providing easy instructions on where to remit their payment.  The longer the patient holds on to the check, the least likely your practice is to receive it! 

Have more questions?

Click the button to know more about our services. We have some FAQ’s ready for you!

Reporting

Recognizing the importance of meaningful data, CMI has developed a variety of standardized reports to illustrate the financial health of your practice.  Whether you’re negotiating managed care contracts or analyzing staff utilization, our reporting options allow you to drill down to even the most granular details of your business.  If one of our reports doesn’t quite show what you’re looking for, we’re happy to create a custom report which will!   With the best reporting capabilities, strategic partnerships, and personalized service, CMI will ensure that your practice stays on track and collects the most revenue possible.

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