• Review of anesthesia professional billing workflows, documentation requirements, charge capture

processes, and applicable fee schedules

• Development and refinement of anesthesia billing workflows, policies, and documentation standards

• Provider in-service and workflow education

• Review of managed care and payer reimbursement terms relevant to anesthesia services

• Review and assessment of provider enrollment status

• System configuration based on client requirements

• Development of dashboards and management reporting aligned with practice requirements

• Full transition assistance from the existing billing solution

• Anesthesia charge capture optimization and reconciliation

• Schedule analysis and anesthesia coding management

• Anesthesia time, unit, modifier, and claim-data validation as applicable to the billing workflow

• Payer-specific claim preparation and electronic submission

• Reimbursement validation against applicable payer methodologies, fee schedules, and contractual terms

• Claims rejection, denial, and underpayment identification and resolution

• Provider dispute, reconsideration, and appeal support as appropriate

• Payment and adjustment reconciliation, including line-item posting

• Periodic charge and payment audits and customized reimbursement analysis

• Insurance filing support for patients, personalized statements, and flexible statement messaging

• Ongoing payer enrollment maintenance

• Web portal access to billing information and detailed data

• Participation in client revenue cycle and business review meetings as requested

• Timely and persistent payer follow-up

• Monthly aging, reporting, and trend analysis

• Standard performance benchmarking

• Customized AR and billing analysis

• Outside collection service selection and review

• Refund and credit-balance management

• Payer and patient calls regarding outstanding balances

• Collection letter workflows

• Custom report generation and account-level analysis

• KPI Dashboard

• Revenue cycle operations performed in accordance with applicable HIPAA privacy and security

requirements for protected health information (PHI)

• Ongoing monitoring of applicable CMS and DHCS billing and reimbursement guidance

• ICD-10 and anesthesia billing education as applicable

• Ongoing provider education regarding anesthesia documentation and billing requirements

• Ongoing documentation reviews

• Internal anesthesia coding audits with provider feedback as appropriate

• Education regarding relevant payer, regulatory, and reimbursement changes

• Expatiate Case Submission software application

• Per-facility scheduling support

• Payroll calculations based on scheduler data and client-provided guidelines

• Encrypted storage for provider and payer contracts

• Automated scheduling capabilities

• Report generation based on collected analytics

• Provider intake and file setup

• Primary source verification

• Hospital and facility privileging

• Payer enrollment and CAQH maintenance

• Ongoing monitoring and recredentialing

• Daily cash management functions

• Coordination with the client to establish and manage banking relationships, including lockbox services

• Financial performance analysis as requested, including accrual versus cash reporting

• Accounting and journal-entry maintenance, including reconciliation of accounts

• Coordination with outside accounting and auditing firms as required

• Accounts payable processing

• Payroll coordination, including group-specific compensation components such as overtime, pre-call, post-

call, and incentives

• Preparation of 1099s and W-2s for the group

• Support with questions regarding provider compensation treatment and calculations