Wiki Anesthesia reimbursement question

[bstephen]

I am working on a case wherein I have to calculate Medicare reimbursement for anesthesia. I THINK I have it calculated correctly, but it seems low. Is there any anesthesia person out there who can check my calculation?

Becky

 

[dwaldman]

(Time Units + Base Units) X Conversion Factor = Allowance

You could provide the anesthesia code you are reviewing, number of minutes of the service, and your conversion factor. And it could be checked.

 

[bstephen]

Houston Claim, 2012
Code 00670= 13 base units
Procedure Time = 113 minutes (equals 8 units, right?)
Conversion factor = 21.35
My formula (8+13) x 21.35= $448.35 ???

Becky

 

[dwaldman]

It appears correct.

 

[bstephen]

Thank YOU!