Services

Patients

Administrators

Billing Services

From improving your bottom line to industry-best patient advocacy, learn how Sleepy Anesthesia Associates can better service your billing and claims process:


^ back to top

Billing Overview

Sleepy Anesthesia Associates, in partnership with ABC Consulting, has developed various models through which we can improve your facility’s/group’s reimbursement for anesthesia services. Healthcare providers with over 20 years of experience will carefully examine your anesthesia claims and reimbursement. Vigorous attention to the billing process, through detailed submissions and reconciliation of each account, optimizes your reimbursement and improves your bottom line. Thorough claims review for your facility/group permits us to assess trends and inefficiencies in reimbursement, thereby improving on denial rates and areas of lost revenue.

It is Sleepy Anesthesia Associates’ goal to promote smooth, hassle-free transactions while minimizing the confusion associated with resolving a patient’s financial obligations. Patient advocacy and support are extremely important to us. Sleepy Anesthesia Associates encourages participation in most managed care plans in order to minimize the financial burden on patients. In addition, we utilize a sophisticated computer system with knowledgeable, friendly staff that can work with patients and insurance companies to avoid and if necessary resolve financial matters as quickly and painlessly as possible.

Various billing models are available to meet your financial goals and optimize your reimbursement.


^ back to top

Billing Models

Sleepy Anesthesia Associates allows you to choose the billing model that best enhances your reimbursement.

Model 1. 10% of Collections – A friendly, knowledgeable anesthesia representative is made available at the facility to greet your patients. In this model, the patient’s insurance is verified, patient financial responsibility is calculated and the patient is notified of their estimated financial responsibility prior to the procedure. The estimated patient portion is collected the day of the procedure, improving financial return and cash flow while reducing collection costs. Claims are filed with and collected from primary/secondary insurers, with any remaining balances invoiced and collected from the guarantors. This level of service is dependent on volume of procedures provided at the facility.

Model 2. 8% of Collections – This model focuses on verifying insurance benefits, notifying the patient of their estimated financial responsibility, and filing/collecting claims as indicated above. The patient is informed of their financial responsibility in advance and a representative of the group or facility collects the patient’s portion up front.

Model 3. 6% of Collections – The “back-end” model is used by many anesthesia-billing services. This billing model is very functional, though perhaps not as complete as the others. All billing from the insurer and guarantor is collected after the procedure is performed. This model provides the user financial flexibility while still getting great service.


^ back to top

Negotiating Insurance Contracts

Sleepy Anesthesia Associates, by virtue of experience and education, has negotiated strong contracts with various insurance companies nationally. With your assistance, Sleepy Anesthesia can evaluate and negotiate/renegotiate strong contractual agreements that improve your financial return with the top insurance companies in your area. Negotiating contracts can be time-consuming and frustrating for your staff. Let our experience and education work for you when establishing your next insurance contractual agreement.


^ back to top

Obtaining Provider Numbers

Those who have gone through the effort of obtaining provider numbers for Medicare and Medicaid understand the frustration and efforts required to gather the information, complete the applications and submit them cleanly. Any mistakes can delay obtaining numbers for weeks, and submitting claims for even longer. Sleepy Anesthesia Associates makes the process easy and quick, ensuring your facility/group can begin submitting payable claims sooner. Let our experience work for you.