What auditors look at
- Anesthesia start and stop times, and whether they're supported
- Modifiers against how cases were actually staffed
- Medical direction documentation
- Diagnosis codes that support medical necessity
Habits that protect you
- Complete anesthesia records for every case
- Regular internal audits of a sample of claims
- Fix and refund overpayments you find yourself, promptly
When an audit letter arrives
Note the deadline, gather exactly the records requested, and get advice early if the amounts are large. A healthcare lawyer can help you respond.
This article is general information, not billing, legal or tax advice. Payer rules change; always check current guidance.
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Anesthesia Billing Audit Checklist
Checks to find out whether your billing is collecting everything it should. Print it, work through it, and see where the gaps are.
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