Every anesthesia claim rests on reported minutes, base units for the procedure, and a modifier that says who did the case. When anesthesiologists direct CRNAs across concurrent rooms, small recording gaps turn into denials. Here is how to scope that work with Taiga.
Book a demoAnesthesia is paid on a formula, not a flat fee per code. These pieces have to line up on every claim.
Medicare multiplies the sum of the procedure's base units and its time units by an anesthesia conversion factor. One time unit equals 15 minutes, and anesthesia time runs from preparing the patient until they are safely placed under postoperative care.
Payment modifiers tell the payer whether an anesthesiologist personally performed the case (AA), medically directed two to four concurrent cases (QK) or one CRNA (QY), or whether a CRNA worked with (QX) or without (QZ) medical direction. In a directed case, the anesthesiologist and the CRNA each bill and report the same anesthesia time.
Cases happen in hospitals, surgery centers, and offices, and each facility sends its own claim. Commercial payers set their own anesthesia rates and rules in your contracts, so one case can be paid very differently across payers.
The anesthesia record often lives apart from the surgeon's chart, in a separate system or on paper.
Your clinicians document the anesthesia record, times, physical status, and each medical direction step. They approve the codes before anything is submitted.
Taiga drafts codes from the record, checks eligibility, scrubs claims against payer rules, submits them, and works every denial and appeal, including small balances. Patient statements and follow-up are part of the same service.
Concurrency logs, whether CRNAs bill under their own number or the group's, and facility agreements each need a clear owner. Settle those on the fit call before any claims move.
Bring de-identified records for a personally performed case, a medically directed case, and a monitored anesthesia care case. Keep patient details out of the booking form.
Name the system that records start and stop times and explain how interruptions in care are documented.
Describe how often anesthesiologists direct concurrent rooms and whether CRNAs or anesthesiologist assistants are on staff.
List the hospitals, surgery centers, and offices you cover, plus your main commercial and government payers.
Useful for a physician-owned anesthesia group or CRNA practice that wants one accountable team on charges, denials, and patient balances while clinicians stay focused on cases.
Anesthesiology is not on Taiga's published specialty list, so bring your service mix and Taiga will tell you straight whether it fits. The rules above are general Medicare policy, not coding or payment advice for a specific case.
Under Medicare rules, medical direction covers two, three, or four concurrent cases, or a single CRNA or anesthesiologist assistant. More than four concurrent cases is medical supervision, reported with modifier AD and paid differently, so concurrency logs matter.
No. Federal rules do not allow modifier units for health status, risk, age, or unusual circumstances on Medicare anesthesia claims. Commercial contracts can differ, so check each payer.
Bring your care team model and Taiga will tell you straight whether it fits. In any directed case, the anesthesiologist's claim and the CRNA's claim have to agree on the case and the time reported.
No. Taiga works alongside your existing EHR and drafts codes for your clinicians to approve. It needs a reliable way to receive the anesthesia record and case times.
Show Taiga how your times, modifiers, and sites come together. If it fits, onboarding takes about two weeks to first claim.
System guides show possible billing handoffs, not proven specialty compatibility.