Anesthesia Medical Billing and Revenue Cycle Management

Master anesthesia billing RCM, ASA units, time reporting, CPT modifiers, HIPAA/HITECH BAA compliance, payer rules & audi

What you'll learn
- Build end-to-end anesthesia RCM workflows from scheduling to zero balance
- Calculate ASA base, time, and modifier units accurately for clean claims
- Apply CPT/ASA codes, anesthesia modifiers (AA, QK, QX, QS, G8/G9), and physical status
- Document time reporting, concurrency, medical direction/medical supervision rules
- Navigate Medicare, Medicare Advantage, and commercial payer policies
- Submit claims, manage DRG/OPPS intersections, and attach medical necessity docs
- Post payments/ERAs, reconcile adjustments/CO-45s, and handle refunds/recoupments
- Implement HIPAA/HITECH safeguards, BAAs, and Healthcare IT data-protection controls

Requirements
- Basic computer skills
- Interest in insurance, compliance, or revenue-cycle operations
- Willingness to follow step-by-step anesthesia billing workflows
- No prior anesthesia or coding experience required (beginner-friendly)

Description
This course is designed to help learners of all backgrounds understand and applyanesthesia medical billing and revenue cycle management (RCM)in real-world healthcare settings. Whether you’re working in medical coding, billing, administration, nursing, or Healthcare IT, this course emphasizesHIPAA, HITECH, Business Associate Agreements (BAA), data protection, data safety, insurance rules, and compliance—alongside the practical mechanics ofASA units, CPT codes, time reporting, modifiers, and payer policies.

You’ll learn how anesthesia claims are built and documented—from pre-op verification and medical direction totime capture, concurrency, and ASA/CPT coding—plus how to interpret terminology commonly used in anesthesia procedures, status modifiers, and perioperative documentation. The course also explains how anesthesia care appears across service lines (inpatient, outpatient, ASC) and how payer rules differ forMedicare, Medicare Advantage, and commercial plans, with relevant anatomy/physiology context where it impacts coding and medical necessity.

Designed to be beginner-friendly, this course offers clear explanations, interactive exercises, and realistic examples fromEHRs, anesthesia records, charge tickets, and billing documentationto reinforce learning. No prior medical knowledge is needed.

What You’ll Learn

Understand the structure and components of anesthesia claims and RCM

Learn ASA base/time units, physical-status/PQRS history, and key anesthesia modifiers

Recognize terms used in diagnostic, surgical, and monitored anesthesia care (MAC)

Apply anesthesia billing in clinical, coding, and administrative contexts

Interpret chart notes, anesthesia records, and EHR time logs with confidence

Strengthen communication among anesthesia, surgery, and billing teams

Prepare for roles in anesthesia coding, billing, AR, or entry-level RCM support

Course Features

40+ video lessons organized by payer type, site of service, and workflow

Systematic breakdown ofCPT/ASAcodes, units, modifiers, and documentation rules

Focus on high-frequency scenarios (MAC, regional blocks, obstetric, cardiothoracic)

Easy-to-follow format, suitable for all learners—including ESL students

Accessible on mobile, desktop, or tablet

Who This Course Is For

Aspiring and current anesthesia coders, billers, and payment posters

Nursing/perioperative staff and healthcare learners seeking foundational RCM knowledge

Administrative professionals in hospitals, ASCs, and anesthesia groups

Anyone entering anesthesia billing who needs to understand medical English and payer rules

Mapped Sections (what you’ll cover step-by-step)

Introduction to Anesthesia Billing

Anesthesia Basics for Beginners

CPT Codes and Modifiers in Anesthesia

Time Reporting and Documentation Requirements

Medicare and Anesthesia Billing

Medicare Advantage and Anesthesia

Commercial Payers and Anesthesia

Anesthesia Billing in Hospitals vs. ASCs

Anesthesia for Special Procedures

Claims, Billing Cycles & Payment Posting Compliance, Auditing, and Risk Mitigation

Tools, Software, and Revenue Cycle Integration

Real-World Scenarios & Case Studies

Disclosure: This course contains the use of artificial intelligence for clear voiceovers.

Who this course is for:
- Aspiring anesthesia billers, payment posters, and AR specialists
- Medical coders transitioning to anesthesia (ASA/CPT) domains
- Practice managers and perioperative coordinators improving cash flow
- Healthcare IT/compliance staff supporting HIPAA, HITECH, and BAAs
- Revenue-cycle leaders in hospitals, ASCs, and anesthesia groups
- Students seeking job-ready skills in anesthesia billing and RCM
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