The Anesthesia library is used by practices that do Anesthesia Concurrency Billing in NextGen® Enterprise PM. It is not typically used by practices using Basic Anesthesia Billing.
The
Anesthesia library enables you to define rules that apply to specific payers only, rules that apply to all other payers, and rules that apply to self-pay. Each set of rules may include one or more of the following:
- Medical Direction: These rules determine whether modifiers are added to charges based on the level of medical direction and whether charges will split between Medical Directors and CRNAs.
- Concurrency Rules: These rules define specific parameters, such as the maximum number of concurrent procedures allowed, whether a Medical Director can perform and direct at the same time, and split-charge percentages for Medical Directors vs CRNAs.
- Claim Options: These rules define specific claim parameters, such as whether or not surgical procedure codes are included on claims, and how claims break by rendering provider.
- SIM Options: These rules define parameters for specific SIM codes, such as anesthesia units per unit or timespan, total time units minimum and maximum, total price minimum and maximum, and contractual adjustments.
After an Anesthesia library has been created for the practice, that library must be selected in to enable the Anesthesia Concurrency Billing functionality in NextGen® Enterprise PM.
You can generate Anesthesia Library reports from the Anesthesia library. For more information go to NextGen Healthcare Success Community and download the latest Reports User Guide for NextGen® Enterprise PM.
