Anesthesia Business Consultants

48 Flips | 2 Magazines | @AnesthesiaBC | Anesthesia Business Consultants, LLC  (ABC) is the largest physician billing and practice management company specializing exclusively in the practice of anesthesia and pain management.  Learn more at: www.anesthesiallc.com 

Anesthesia Professionals and Alarm Fatigue

The ASA adopted its Statement on Principles for Alarm Management for Anesthesia Professionals at its annual meeting in October 2013. The introduction …

Confidentiality in the Peer Review Process: What Does it Mean and What is Covered? Part II

In the Winter 2016 issue of The Communique, we offered Part I of a summary of state laws (Alabama through Iowa) involving the peer review process. …

Federal Court of Appeals Slaps CMS’s Wrist: What Anesthesiologists Should Know

Have you ever found that you could not make heads or tails of a Medicare regulation? Have you wondered whether even CMS could decipher and coherently …

The Road Not Taken

One of Robert Frost’s most popular poems is <i>The Road Not Taken</i>. It is about two paths that diverge in the woods. It is a wonderful and powerful …

When May Anesthesiologists Offer Professional Courtesy, Co-Payment and Cash Payment Discounts?

Most anesthesiologists know in general fashion that there are "compliance" issues with professional courtesy, co-payment waivers and discounts for …

Critical Issues to Consider When Exploring the Sale of Your Practice

Given the heightened level of interest in acquisitions of independent anesthesiology groups, physician shareholders are being confronted with a …

Growing Limits on “Surprise Bills” from Anesthesiologists and Others

For patients who undergo a surgical procedure, the anesthesiologist’s bill sometimes comes as a surprise. If the hospital and the surgeon are …

Computer-Assisted Personalized Sedation—The Beginning or the End of the Anesthesia Provider?

Computers and improvements in modern anesthesia delivery have gone hand-in-hand. In 1952 Himmelstein and Scheiner reported that they began using an …

Anesthesia Practices Should Think About Price Transparency

“Transparency” is a word that you will encounter more and more frequently in health policy articles, including ABC’s publications. Information …

Strengthening Your Board

Effective anesthesiology group governance is no longer a luxury but instead an important survival skill. Why?<p>The external environment is threatening— …

Checklists – As Important As Ever in Anesthesia Patient Safety

“Patient Safety Issues Spur NIH Shake-Up” was an above-the-fold headline in the Washington Post on May 11, 2016. NIH Director Francis Collins, MD is …

Owning Our Future

Deciding on new models for an anesthesiology practice is one of our very biggest challenges. It is not realistic for anesthesiologists to continue …

How the MACRA Regulations as Proposed Will Affect Anesthesiologists, Part II (Alternative Payment Models)

Last week’s e-Alert introduced our readers to the proposed regulations implementing the MACRA Quality Payment Program (Medicare Program; Merit-Based …

How the MACRA Regulations as Proposed Will Affect Anesthesiologists, Part I

We have known since Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA), just over a year ago, that big changes in the way that …

A Proposed Update to CMS’s Two-Midnight Rule

On July 13, 2015, we informed you of CMS’s Two-Midnight Rule. After much pushback from industry stakeholders and from the judicial system since our …

Colonoscopies Allegedly Safer Without Anesthesia Services—Really?

Correlation does not equal causation.<p>One fresh demonstration of the truth of this axiom appears in an article in this month’s issue of …

Impending Death of Hospitals: Will Your Anesthesia Practice Survive?

How would <i>you</i> like to know exactly what’s going to happen in the future so that you can prepare for and profit from it?<p>I have a crystal ball. Here, …

Anesthesiologists, Do You Know Where Your Ultrasound Images Are?

Many pain medicine procedures, and, increasingly, perioperative and critical care procedures such as central venous access are performed using …

The Evolving Relationships between Anesthesiologists and Their Hospitals and ASCs

One important voice sounding a warning or at least a heads-up about what is coming is that of Mark Weiss, Esq. The title of Mr. Weiss’s article—</i> …

Anesthesia Practices May Be Subject to the Phase 2 HIPAA Audits

If you receive a letter by email that begins like this:<p>You should respond within the 14 days mentioned in the letter. Congratulations; you are …

Dos and Don’ts of Amending the Anesthesia Record

The anesthesia record, like medical records in general, should be complete and accurate at the time when the physician signs it—ideally. In practice, …

The Perioperative Surgical Home: Our Partnership with the C-Suite

“CMS’ pay-for-performance reimbursement changes are looming. As members of the Huntington Accountable Care Organization (ACO), anesthesia recognizes …

Concurrent Cases Can Be a Problem Not Just for Anesthesiologists

Recent media coverage of surgeons operating in two concurrent cases raises three issues: (1) patient safety, (2) compliance with the Medicare …

The Burden of Measuring Quality in Anesthesiology and Other Physician Practices

Donald Berwick, MD, senior fellow at the Institute for Healthcare Improvement (IHI) (and a former CMS administrator) described nine steps to advance …

2016 Coding Updates for Anesthesia

When you received your 2016 Current Procedural Terminology (CPT) and American Society of Anesthesiologists (ASA) Relative Value Guide (RVG) books or …

New Guidelines for Managing Postoperative Pain: Anesthesiologists Take Note

The American Pain Society (APS) last month released its first-ever Clinical Practice Guidelines on the Management of Postoperative Pain. The American …

“I’m Out Of Here!” Now What?

We all know that the healthcare industry is experiencing a wave of integration. This trend has been evident for many years. Fewer physicians are …

Protect Your Anesthesia Practice Against Ransomware Attacks

“Ransomware” attacks are malicious intrusions into information systems that encrypt the victim’s sensitive data and demand payment in exchange for a …

The Perioperative Surgical Home: Of Economics and Value

<b>Rick Bushnell, MD MBA</b><i>Director, Department of Anesthesia, Shriners Hospital for Children, Los Angeles, CA and Huntington Memorial Hospital, Pasadena,</i> …

Strengthening Your Board

<b>Will Latham, MBA, CPA</b><i><br>President, Latham Consulting Group, Inc., Chattanooga, TN</i><p>Effective anesthesiology group governance is no longer a luxury but …