decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Specialized Procedures - CRNAs / Setting Your Fee Schedule
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Article Overview
This article discusses general approaches CRNAs may use when establishing a fee schedule for specialized services, with emphasis on non-Medicare payer pricing methods and common reimbursement frameworks. It also touches on how anesthesia and non-anesthesia services may be handled differently, why practice-management fee tools may be used, and why payer contracts and compliance considerations matter. The piece is intended for nurse anesthetists, practice managers, and billing/coding staff who support anesthesia practices.
Why This Topic Matters
Fee-setting affects contract negotiations, reimbursement consistency, and compliance. This article helps readers understand the broad pricing models and coding-awareness issues that influence specialized service billing in anesthesia practices.
What You Will Learn
- Common approaches to establishing a fee schedule for specialized services
- How non-Medicare payer reimbursement is often structured
- Why practice-management fee tools may be used in pricing decisions
- Why understanding procedure-code content can matter in negotiations
- General compliance considerations related to payer-specific pricing
Who Should Read This
- Certified Registered Nurse Anesthetists (CRNAs)
- Anesthesia practice managers
- Medical coders
- Billing staff
- Revenue cycle personnel
Codes Discussed
Code Ranges Discussed
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