Anesthesia Services

There are specific settings that must first be configured within the Contracts and Fees if you bill for anesthesia services. The appropriate Anesthesia Time Increment and Base Units values need to be set in order to correctly calculate charges on the encounter.

Configure Contracts and Fees Click Settings > Contracts and Fees. The Contracts and Fees window opens at the Standard Fees tab by default and displays the list of standard fee schedules. If configuring a payer contract, click the Contract Rates tab. The list of payer contracts display. Click on the standard fee schedule name or contract name that needs to be configured. The standard fee schedule or payer contract window opens. Tip: To narrow down the list when there are numerous contracts and fees, use the Status Filter to find the fee schedule or payer contract. Click Modify Time Increment. The Anesthesia Time Increment section displays. Note: This option only displays when an anesthesia code is added to the fee schedule or payer contract. Anesthesia Time Increment: Set to 15 minutes by default. If necessary, enter a different time increment value. Note: Refer to a CPT coding book for proper anesthesia minutes. Base Units: Set to 1 by default. If necessary, enter a different base units value. Click Save & Submit. A confirmation pop-up appears then click OK. Click Back to return to the Standard Fees or Contract Rates list, or close the window if finished.

Enter Encounter Details Create or edit an encounter and enter all necessary information under the Patients, Dates, Provider, and Payments sections. Under the Procedures section, enter the anesthesia service line information. Note: Customize the Procedures section if any of the columns need to be added. Procedure: Enter the anesthesia procedure code. Note: The TOS must be set to 7 Anesthesia if a new anesthesia procedure code was created in Tebra. Units: Auto-populates with the Base Units value set in the Contracts and Fees. Once the Start Time and End Time is entered, the units amount updates. Start Time and End Time: Enter the start and end times for the procedure. Note: The Units amount updates to the Base Units value plus the Minutes value divided by the Anesthesia Time Increment value (set in the Contracts and Fees). e.g., 1 base unit + (60 minutes divided by 15 minutes) would be: 1 base unit + 4 = 5 Total Units. Minutes: Auto-populates based on the Start Time and End Time entered. Complete the encounter as necessary.