How to choose an anesthesia billing company (without a fake 'best of 2026' list)
Most 'best anesthesia billing companies' articles are written by the company at number one. Use this checklist instead. ClearBilling Services, Inc. is a woman-owned, USA-based firm that bills only anesthesia. We put ourselves on it honestly.
Questions that separate specialists from factories
Ask every vendor the same list. Score the answers, not the demo.
- Do you bill specialties other than anesthesia? (If yes, ask what percent of staff actually codes anesthesia this week.)
- When do you bill AA vs QZ vs QS?
- Do you bill medical direction (QK / QY / QX)? If yes, that is not us.
- Where do your coders and callers sit? Name the country.
- Is pricing a percent of collections, and of what (received vs billed)?
- Who answers email when a CRNA has a modifier question at 4pm?
- Show a redacted denial you won on a QS or QZ issue.
- How do you check commercial conversion factors against EOBs?
- Who owns MIPS so eligible clinicians do not take the 9% Medicare hit?
- Will we keep access to our data if we leave?
Where ClearBilling sits on that list
Anesthesia only, over 25 years. AA, QZ, and QS only. MIPS support so eligible clinicians do not take the 9% Medicare hit. 100% onshore. Woman-owned. Most practices start at 6% of received claims. Email [email protected]. Custom tools around Tebra and other EHRs. We are a small dedicated team, not a PE platform. If you need medical direction billed, we will tell you that is not us.
Red flags
Guaranteed NCR percentages with no audit. 'AI-powered' with no named coder. A portal you cannot call. A rate that only works if labor is overseas. Anesthesia listed 11th under 'specialties.'
FAQ
Straight answers for practices comparing anesthesia billing companies.
Should I pick the lowest percentage?
No. Two points of fee is cheaper than one year of QZ billed as QX and missed time units.
Do I need a company in my state?
You need a company that knows your MAC, your state CRNA rules, and your payers. They do not have to rent an office on your block. We serve practices nationwide from a US team.
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.