RT Book, Section
A1 Mesisca, Philip J.
A1 Moss, Susan Chapman
A2 Longnecker, David E.
A2 Brown, David L.
A2 Newman, Mark F.
A2 Zapol, Warren M.
SR Print(0)
ID 56660272
T1 Chapter 97. Practice Management
T2 Anesthesiology, 2e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-178513-6
LK accessanesthesiology.mhmedical.com/content.aspx?aid=56660272
RD 2024/04/18
AB Practice  structure  considers  and  clarifies  lines  of  authority,  decision  making,  communication  processes,  information  flow,  and  levels  of  authority  that  define  how  centralized  or  decentralized  the  practice  functions.Staffing  models  require  careful  consideration  of  several  issues,  including  the  complexity  of  the  case,  experience  of  the  provider,  physical  status  of  the  patient,  hospital  regulations,  surgeon  expectations,  and  provider/resident/student  nurse  anesthetist  teaching  rules.Charges  and  payments  for  professional  anesthesia  services  generally  include  base  relative  value  units  (accounting  for  anesthetic  complexity),  plus  time  units,  plus  additional  unit  modifiers  multiplied  by  a  dollar  conversion  factor.Successful  negotiations  with  third-party  payers  and  hospitals  hinge  on  the  clear  articulation  of  needs  by  both  parties  and  willingness  of  both  parties  to  accept  a  reasonable  offers  as  well  as  an  accurate  understanding  of  the  value  your  group  brings  to  the  hospital  or  contracting  organization.Billing  systems  must  ensure  that  every  service  rendered  is  captured  and  that  all  monies  contractually  obligated  for  those  services  are  collected.From  a  billing  compliance  perspective,  if  the  service  is  not  appropriately  documented,  then  it  did  not  happen.  Compliance  with  various  rules  and  regulations  is  both  important  and  essential  for  the  financial  health  of  the  practice.  Further,  the  consequences  of  not  knowing,  or  not  following,  these  regulations  can  be  substantial,  both  legally  and  financially.Monthly  information  that  should  be  tracked  for  trend  purposes  includes  total  cases  and  units,  cases  and  units  per  location,  payer  mix,  charge  lag,  charges,  contractual  adjustments,  cash  collections,  accounts  receivable,  net  collection  rate,  days  in  accounts  receivable,  aged  accounts  receivable,  total  credit  balances,  and  collection  agency  net  collections.