Intellect™
ANESTHESIOLOGY CHARGE AMOUNT CALCULATION
The Charge Amount is calculated by multiplying the Anes Conv Factor times the total of Base Units, Time Units, and Modifier Units. If the Utility --► Provider --► Provider <Anes Time Unit Calc> field is left blank, Intellect uses the Utility --► Procedure --► Procedure <Charge Global> fee.
For example:
1. Time Units calculation example: The Utility --► Provider --► Provider <Anes Time Unit Calc> field entry is 15 (i.e., 15 minutes per unit) and the Charges --► Charge <Time> and <To> field entries are 8:00am and 9:30am. Divide the total posted time, 90 minutes (8:00a to 9:30a), by the <Anes Time Unit Calc> of 15, equaling 6 Time Units.
2. Total Units are calculated as follows: Add the Time Units (see above), the Procedure Units (the Utility --► Procedure --► Procedure <Anes Base Unit 1 (or 2, 3)> field entry, determined by the Utility --►Insurance --►Insurance <Selection (1/2/3)> field entry), and any Utility --► Procedure --►Modifier <Modifier Unit>s, if applicable, (the Modifier <Base Unit> field entry).
3. The Charge Amount is calculated as follows: Multiply the Total Units (see above), by the Utility --► Provider --► Provider <Anes Conv Factor 1 (2, or 3)> field entry, determined by the Utility --►Insurance --►Insurance <Selection (1/2/3)> field entry.
Information displays as indicated on the CMS 1500 Claim Form (HCFA):
4. Private Carriers: (Utility --► Insurance --► Insurance <Insurance Type> other than C, 1 or D):
4.1 Box 24 G - Intellect completes the total posted time in minutes. For example, posting the start time of 8:00am to the ending time of 9:30am would enter '90' (90 minutes) in Box 24G.
4.2 Box 24 A through 24 F - Directly above each charge, Intellect completes this template: Start time 00 00 End 00 00 Total Units 0. For example: Start time 08 00 End 09 30 Total Units 9)
5. Medicare and Medi-Medi: (Insurance <Insurance Type> C and 1)
5.1 Box 24G - Intellect completes the total posted time in minutes. For example, Box 24G posting the start time of 8:00am to the ending time of 9:30am would enter '90' in Box 24G
NOTE: Per Medicare: the Starting Time, Ending Time, and Total Units are not required on the claim.
6. Medi-Cal: (Insurance <Insurance Type> D)
Version 9.12.01 - New option
6.1 Box 19 – Due to changes to the MediCal Anesthesia billing requirements for Box 19, effective by MediCal 11/01/2009, it is no longer necessary to print the Anesthesia Start and Stop times, and Total time. This change was added to Intellect in version 9.12.01.
NOTE: In Intellect versions prior to 9.12.01, Intellect completes the following:
Start time 00 00 End 00 00 Total Time 0000
(For example: Start time 08 00 End 09 30 Total Time 90)
62. Box 24G - Intellect completes the total posted Time Units.