Becker's Healthcare March 27, 2025
Patsy Newitt

Anesthesia billing is complicated and evolving, according to a March 15 blog post from Knack RCM.

Here are nine of the “hidden revenue killers,” according to the report:

1. Time-based billing complexity

Unlike most specialties, anesthesia billing is time-based. Payers differ in how they calculate time units — Medicare uses decimals, while some commercial plans round to whole numbers — creating added complexity.

2. Charge capture gaps

Ancillary services like nerve blocks or central lines fall outside time-based billing. Without proper documentation, these services often go unbilled, leading to lost revenue.

3. Coding complexity

Billing...

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