Sleepy Anesthesia Associates, PLLC
Excellence in Anesthesia Safety and Comfort
Anesthesia services for today’s healthcare needs: High Quality, Cost-Effective, Efficient.
Sleepy Anesthesia Associates, PLLC
Excellence in
Anesthesia Safety and Comfort
Anesthesia services for
today’s healthcare needs:
High Quality, Cost-Effective, Efficient.
Contracting Innovative Billing Models and Hassle-Free Services
About Our Billing Services
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.
Billing Models
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.
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.
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.
Meet the President of ABC Consulting, LLC
Timothy Lyons, PT, BSPT, has been in billing practice for 28 years. A graduate of University of Texas Medical Branch in Galveston, Mr. Lyons assists groups and facilities with billing, compliance and maximization of net revenues.
His primary focus over the last 10 years has been on health care administration, incorporating the business of health care with the provision of quality services. He has vast experience with Medicare/Medicaid and third-party contracts in various states.
In addition, Mr. Lyons is adjunct faculty at University of Central Arkansas and Texas State University – San Marcos. He lectures on healthcare business and management, and is frequently an invited speaker at professional association meetings. Patient advocacy, customer service and education are the core of his success.