Anesthesia billing built around units, modifiers, and the OR, not a general fee schedule
ClearBilling Services, Inc. is a USA-based, woman-owned firm that has billed only anesthesia for over 25 years. We bill AA (anesthesiologist personally performed), QZ (CRNA without medical direction), and QS (monitored anesthesia care). We do not bill medical direction. Nothing is outsourced overseas. Most practices start at 6% of received claims.
What anesthesia billing actually is
Anesthesia reimbursement is not CPT-in, dollars-out. Payment is (base units + time units + modifying units) times a payer conversion factor. Miss the start or stop time, drop a physical status modifier, or put QS on a general anesthetic (or skip it on a MAC), and the claim is shorted or denied, not just delayed.
General medical billing companies treat anesthesia like another specialty on a menu. That is how groups get QZ billed as QX, AA billed as directed work, and MAC cases missing QS. We do not bill dermatology, ortho, or primary care. Anesthesia is the work. Our claim path is AA, QZ, and QS only.
What is included
Full-service means the claim is our problem from the chart to the deposit. You keep your EHR. We build the intake, coding, and claim-prep workflow around how your rooms actually run.
- Provider credentialing and payer enrollment
- Chart intake and ASA / CPT crosswalk coding
- Time unit calculation and discontinuous time
- AA, QZ, and QS modifiers that match the record
- MIPS support so eligible clinicians do not take the 9% Medicare hit
- Physical status (P1 to P6) and qualifying circumstances
- Claim submission, payment posting, and A/R follow-up
- Denial appeals specific to anesthesia edits
- Monthly reporting you can actually read
Who this is for
Independent CRNAs billed QZ, anesthesiologists who personally perform (AA), and MAC work billed QS. Hospital, ASC, and office-based coverage are in scope when the modifier set is ours. We do not take medically directed QK / QY / QX books.
We also build custom practice tools for groups that want to keep some billing in-house but need chart intake and coding support that plugs into Tebra, AdvancedMD, Athenahealth, DrChrono, ModMed, or eClinicalWorks.
Pricing
Performance-based. We only win when you get paid. Most practices start at 6% of received claims. Higher volume can scale the rate down. No offshore labor hiding under a cheaper percentage.
FAQ
Straight answers for practices comparing anesthesia billing companies.
What does ClearBilling charge for anesthesia billing?
Purely performance-based. Negotiable by volume: higher volume may scale the rate down. Most practices start at 6% of received claims.
Do you only bill for anesthesia?
Yes. We specialize exclusively in anesthesia billing and have for over 25 years, including CRNA and anesthesiologist workflows.
Is this an onshore anesthesia billing company?
Yes. We are a USA-based, woman-owned firm. Absolutely nothing is ever outsourced overseas.
Can you bill both CRNAs and anesthesiologists?
Yes, on the modifiers we use: AA for personally performed physician cases, QZ for independent CRNA cases, and QS when the service is monitored anesthesia care. We do not bill medical direction (QK, QY, QX).
Do you work with our existing EHR?
Yes. We build custom workflow tools around the EHR and billing system you already use, including Tebra, AdvancedMD, Athenahealth, DrChrono, ModMed, and eClinicalWorks.
Do you handle MIPS so we do not take the 9% Medicare hit?
Yes. MIPS support sits with the same US team that bills AA, QZ, and QS. Eligible clinicians who submit nothing can take the statutory maximum negative adjustment: 9% of Medicare Part B professional payments for a payment year, two years later. We will not promise a bonus. We will not let 'we forgot to report' be how you fund someone else's.
Related
We are a small, dedicated team that works incredibly hard for every penny of your revenue. If you want serious billing capability with real people who answer email, let's connect.