Anesthesiologist billing for personally performed (AA) cases, not directed rooms
When the anesthesiologist personally performs the case, the modifier is AA. When the service is MAC, QS goes on with it. ClearBilling does not bill medical direction (QK, QY) or CRNA-directed pairs (QX). USA-based, woman-owned, 100% onshore, anesthesia only for over 25 years.
Personally performed (AA)
Modifier AA is 100% of the allowed amount to the physician. It is also the path that gets overwritten when a biller assumes every room is a CRNA room or a directed care team. We read the record. If it was personally performed, it is AA.
MAC with QS
Monitored anesthesia care is still unit-based. QS tells the payer the service was MAC, not general. It rides with AA. We do not let a GI or eye list go out as general because the biller's default CPT mapped that way.
What we do not bill
Medical direction and medical supervision (QK, QY, QX, AD) are a different practice model. If that is how your rooms run, say so on the first call. We will not pretend we take that book.
FAQ
Straight answers for practices comparing anesthesia billing companies.
Do you bill hospital-based anesthesiologists?
Yes, when the work is personally performed (AA) and MAC is billed QS. Hospital, ASC, and office-based sites are all in scope.
Do you bill medical direction?
No. AA, QZ, and QS only.
What is the fee?
Most practices start at 6% of received claims, negotiable by volume. Performance-based only.
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.