Create Anesthesia Claims Batch
This page summarizes the anesthesia charge information, resulting in a compact data display that simplifies your charge review.
On the Main Menu, click Claims. Under CHARGE ENTRY, click Anesthesia Time Sheet Batches. On the Manage Anesthesia Time Sheet Batches page, click view/edit for a batch that shows claims not yet created. On the Create Anesthesia Claims Worklist, click Create all claims at the top of the Task Bar.
Your practice must have the Anesthesia Billing feature enabled, and you must have the Anesthesia: Time Sheet Edit role.
- Display the Manage Anesthesia Time Sheet Batches page: On the Main Menu, click Claims. Under CHARGE ENTRY, click Anesthesia Time Sheet Batches.
- Under the Open Time Sheet Batches heading in the Workspace, click view/edit for a batch that shows claims not yet created in the Status column.
The Create Anesthesia Claims Worklist appears in the Task Bar. - Click Create all claims at the top of the Task Bar.
The Create Anesthesia Claims Batch page appears in the Workspace.
Note: On the Create Anesthesia Claims Batch page, you can see how units are calculated by pausing your cursor over the units (in the U column). - Insurance — Select the correct insurance, which can be an insurance package or a case policy. The default value is the patient's current primary insurance.
Note: When you change the primary insurance, the procedure modifiers, units, and charges (which are based on anesthesia billing settings) are updated automatically. athenaOne highlights these changes in yellow. - Click Approve All to approve all charges.
Note: If you decide not to create claims for all the charges in this batch, you can click OK for each charge (row) that you want to approve. - Click Create Claims to create claims for the charges that you approved.
The Create Anesthesia Claims Batch page reappears in the Workspace, with the new claim number and claim status under the Claim column. The Create Anesthesia Claims Worklist in the Task Bar has links to the created claims. The worklist is now organized to show claim status, so that you can work claims that are holding for front-end claim rules within the time sheet workflow.
On this page:
- Each patient appears in a separate row. Charges are listed on a per-patient basis, so that cases with split charges or non-anesthesia services appear in the same patient row.
- Rows shaded red indicate that the time sheet entry is incomplete and a charge cannot be created. You cannot approve this row with the OK checkbox or the Approve All button. Click the CPT link in the Procedure column to complete the time sheet entry.
athenaOne assumes that services rendered by the same provider should be reported together on the same claim when athenaOne generates claims from an anesthesia time sheet. For example, non-anesthesia cases are linked to a time-based anesthesia case performed by the same rendering provider in a parent-child relationship. On the Create Anesthesia Claims Worklist, time sheet entries that are translated together onto the same claim share the same create claim link.
Column Headings | |
---|---|
OK |
Check the box to create charges for this patient. |
Patient |
Patient's last name, first name, date of birth, and athenaOne ID number. |
Case |
A link to the anesthesia case details, including the CPT surgical code and the corresponding anesthesia code that you entered. |
Insurance |
The destination payer for the charge, pending your approval. The default value is the patient's primary insurance. |
Department |
The service department for the anesthesia procedure or service. |
Providers |
The username of the directing/supervising provider and the rendering provider. |
Procedure |
The procedure code and modifiers (if required by the payer) describing the anesthesia procedure or service. |
Diagnoses |
The diagnosis codes that you entered for the anesthesia case describing the patient's condition. |
Start | Start time for the procedure or service. |
End | End time for the procedure or service. |
Min |
A count of elapsed time, in minutes. |
U |
A count of the base units used to calculate the charge for this procedure or service. You can see how units are calculated by pausing your cursor over the units in the U column. Note: Units are based on either the CMS schedule of base unit values or a local code set of base unit values. |
Charge |
The gross charges associated with this transaction, calculated by adding base units and time units and multiplying by the rate per procedure code stored in the fee schedule. |
Claim |
The linked claim number of this claim, with the status of the claim. This column appears after the claim has been created. |
Status |
The status of this claim. |