Anesthesia Time Preference

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Anesthesia Time Preferences define how time units are calculated.  Anesthesia Time Preferences are defined as a separate function so that the user may define a "standard" time preference or a "Medicare" time preference and then share it among several plans.

 

 

Lookup

Lookup value assigned

Name

Description

 

 

Minutes Per Unit

Generally, anesthesia is billed in 15, 12, or 10 minute units for all procedures for a plan.  Some procedures such as Labor & Delivery procedures generally take several hours.  Some practices will bill graduated minutes unit for these procedures.  For example, the first hour may be at 10 minutes per units the send hour at 20 minutes per unit and all subsequent hours at 30 minutes per unit.

From

Beginning of minutes range

Thru

Ending of minutes range

Min/Unit

Number of minute per unit for the range

Maximum Minutes

The total number of minutes for a charge may be capped at some practice or plan-defined maximum

Maximum Units

The total number of time units for a charge may be capped at some practice or plan-defined maximum

 

 

Time Calculation Default

 

Total minutes of anesthesia is either calculated as "face-to-face" time or as "elapsed" time.  The difference between the two is that the Case Time Segments on a Visit together may not be contiguous.  There may be gaps in the times.  This would generally be the case with Epidural procedures.  If there are no gaps in time on a case then the two calculation types will result in the same total minutes for the case.

 

Units Rounding

 

Frequently, the conversion of minutes to time units results in the calculation of partial time units.  These partial time units are frequently rounded based on fractional units or rounded based on the minutes remainder.  Assume in following example that a case for a total of 2:05 (125 minutes) was entered and the Anesthesia Time Preference called for 15 minutes per unit for all minutes.  The available rounding options would operate in the following manner:

 

Rounding Option

How it Works

R - Round up or Down to the Next Unit

125 / 15 = 8.333333 Rounded to 8

T - Truncate Decimal Places

125 / 15 = 8.333333 Rounded to 8

U - Round to Next Full Unit for Any Partial Unit

125 / 15 = 8.333333 Rounded to 9

Decimal Places

Indicates how many decimal places will be rounded.  For example:

125 / 15 = 8.333333 Rounded to 8.3

125 / 15 = 8.333333 Rounded to 8.33

 

Rounding Option

How it Works

M - Round on Minutes

125 / 15 = 8 Remainder 5

Minutes

Indicates how many minutes will be rounded to the next whole unit.  For example, if Minutes = 5 then:

125 / 15 = 8 Remainder 5 Rounded to 9

124 / 15 = 8 Remainder 4 Rounded to 8

 

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.