Anesthesia Preference

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Anesthesia Preferences define how Extreme Age, Emergency Conditions, and Physical Status are handled.  Anesthesia preferences are defined as a separate function so that the user may define a "standard" preference or a "Medicare" preference and then share it among several plans.  An Anesthesia Preference is tied to a plan or multiple plans via the Anesthesia Tab of the Plan Setup.

 

 

Lookup

Lookup value assigned

Name

Description

 

 

Extreme Age

 

Do Not Bill/Allow

Extreme Age is not billable

Bill/Allow Bundled Units

Extreme age is included in the anesthesia fee as an additional unit

Bill/Allow CPT-99100

Extreme age is included in the anesthesia fee as an additional procedure (CPT-99100)

Minimum Age: Years / Months

If the patient's age at the time of service is less than the age indicated here, the patient is considered to be of extreme age and the additional unit(s) or procedure will be included in the anesthesia fee.

Maximum Age: Years / Months

If the patient's age at the time of service is greater than the age indicated here, the patient is considered to be of extreme age and the additional unit(s) or procedure will be included in the anesthesia fee.

 

 

Emergency Conditions

 

If the Emergency Conditions on the Risk Factors tab Visit Entry is checked, the additional unit(s) or procedure will be included in the anesthesia fee as indicated here.

 

Do Not Bill/Allow

Extreme Age is not billable

Bill/Allow Bundled Units

Extreme age is included in the anesthesia fee as an additional unit

Bill/Allow CPT-99140

Extreme age is included in the anesthesia fee as an additional procedure (CPT-99140)

 

 

Physical Status

 

The Physical Status on the Risk Factors tab Visit Entry is used in conjunction with the physical status setup here to determine additional units (if any) to use in the anesthesia calculation and/or modifier (if any) to report on claims.

 

P1 Units

Additional units to bill when P1 physical status is selected

P1 Modifier

Modifier to report on claims when the P1 physical status is selected

Create P1 Charge

Bills a procedure (99101) when the P1 physical status is selected

P2 Units

Additional units to bill when P2 physical status is selected

P2 Modifier

Modifier to report on claims when the P2 physical status is selected

Create P2 Charge

Bills a procedure (99102) when the P2 physical status is selected

P3 Units

Additional units to bill when P3 physical status is selected

P3 Modifier

Modifier to report on claims when the P3 physical status is selected

Create P3 Charge

Bills a procedure (99103) when the P3 physical status is selected

P4 Units

Additional units to bill when P4 physical status is selected

P4 Modifier

Modifier to report on claims when the P4 physical status is selected

Create P4 Charge

Bills a procedure (99104) when the P4 physical status is selected

P5 Units

Additional units to bill when P5 physical status is selected

P5 Modifier

Modifier to report on claims when the P5 physical status is selected

Create P5 Charge

Bills a procedure (99105) when the P5 physical status is selected

P6 Units

Additional units to bill when P6 physical status is selected

P6 Modifier

Modifier to report on claims when the P6 physical status is selected

Create P6 Charge

Bills a procedure (99106) when the P6 physical status is selected

 

Library Change Logs

 

The Change Log button at the bottom of any MedSuite Maintenance File will track the following:

 

$ Date Changed - The date the change was made to the file.

$ User Name - The name of the user that made the change.

$ Item Changed - The file name of the item that was changed.

$ Old Value - The system value before the change was made.

$ New Value - The system value after the change was made and saved.

 

NOTE:  Items not tracked are description fields such as degrees and titles.