What's on it
Anesthesia payment depends on details buried in the contract. Check these before you sign or renew.
Payment
- Conversion factor for anesthesia, and whether it changes each year
- How time is counted and rounded
- Whether physical status and qualifying circumstances are paid
- CRNA payment for non-directed cases (full rate or a percentage)
- Payment for blocks, lines and other separately billed procedures
Rules
- Timely filing limit for claims and corrected claims
- Appeal deadlines
- Medical necessity policies for MAC
- How the payer can change policies, and with how much notice
Term
- Length and renewal
- How to renegotiate
- Termination terms