Reimbursement ‘very uncertain’ regarding anesthesia for chronic pain blocks, CEO says

Future reimbursement of anesthesia for chronic pain blocks is “very uncertain,” according to Anesthesia Business Consultants President and CEO Tony Mira.

Advertisement

Three quick points:

1. Most insurance plans currently provide reimbursement for anesthesia for chronic pain blocks, which represents 1 to 2 percent of cases for most ABC clients. Notably, Horizon Blue Shield in New Jersey does not reimburse the service.

2. Practices should note that cases involving anesthesia for chronic pain blocks tend to generate more denials. Though often resolved through the appeals process, these denials mean it takes longer to get paid.

3. ABC anticipates that most payers will eliminate payments for chronic pain blocks within the next few years. Practices aren’t encouraged to expand this line of business right now.

More articles on anesthesia:
Healthcare coalition earns charity status, raising funds for surgery center — 5 insights
Medical University of South Carolina opens practice with surgery center — 4 insights
Arkansas hospital breaks ground on ASC — 4 insights 

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Advertisement

Next Up in Anesthesia

  • The Morgantown-based West Virginia University School of Nursing is increasing its Doctor of Nursing Practice Nurse Anesthetist program from 15…

Advertisement

Comments are closed.