This document will explain how to bill anesthesia charges in MacPractice.
This involves two parts:
- Setting up your Fee Schedule
- Entering the charge on the patient's ledger
Anesthesia Billing - Configuration
Select the Specialty tab and check the Anesthesia checkbox to enter your unit information.
- Base Units: The initial anesthesia amount used to induce an anesthetic state
- Minutes/Unit (Hour 0-4): Indicates the number of minutes per unit for the first 4 hours of anesthesia
- Minutes/Unit (Hour 4+): Indicates the number of minutes per unit for every hour after the first 4 hours of anesthesia
Anesthesia Billing - Usage
Once you set up your anesthesia fees in your fee schedule, you can begin billing anesthesia charges in the patient's ledger. Go to the ledger and open a New Charge window. Once you have selected the anesthesia fee, you will notice that an Anesthesia tab has appeared next to your Diagnosis, Specialty, Notes and Rx tabs.
You can then enter the times of your anesthesia and MacPractice will calculate the number of units. Remember to use the 24-hour clock to enter the time, also known as military time.
In this example the anesthesia time is from 12:00 p.m. to 3:00 p.m., or 12:00 to 15:00 military time. Since this only is 3 hours, the increments are 15 minutes per unit. The total minutes are 180, yielding 12 units. Then, the 4 base units are added to the calculated units, giving a total number of 16 units.
12 + 4 = 16
In this next example, the anesthesia time is from 12:00 p.m. to 6:00 p.m., or 12:00 to 18:00 military time. Since this is over 4 hours, the increments of the first 4 hours are calculated at 15 minutes per unit and the last 2 hours are calculated at 10 minutes per unit. The total minutes from the first 4 hours is 240, giving us 16 units. The total minutes from the last 2 hours is 120, giving us 12 units. The four base units are then added to the calculated units, giving a total number of 32 units.
12 + 16 + 4 = 32
MacPractice also allows for multiple time entries per anesthesia, in which case you can use the Time 2 and Time 3 Start and End fields.
Your office will also be able to check for time conflicts with other anesthesia procedures with the same provider. To enable this feature go to the MacPractice Preferences > Ledger > New Charge and check the Validate Anesthesia Times checkbox.