The big four are:
Finnastra runs 1,200+ pre‑bill edits, correcting these issues before the claim ever leaves the clearinghouse—keeping first‑pass denial rates under 5 %.
Payers check that billed start/stop times convert to the same time units documented in the record. Missing minutes, illegible handwriting or rounding errors trigger automatic denials. Finnastra’s charge-capture interface pulls exact EHR timestamps and flags gaps before claims go out, keeping first-pass acceptance above 95 %.
Each ASA code carries a base-unit value; you add one unit for every 15 minutes (or fraction) of recorded time, then multiply the total units by the payer’s conversion factor. Finnastra’s rules engine auto-calculates units and applies the latest Medicare and commercial conversion factors to avoid underbilling.
High‑deductible plans leave more anaesthesia cost to patients. Finnastra’s portal sends real‑time cost estimates, offers card‑on‑file auto‑pay, and sets up SMS payment plans—raising patient‑pay collections by 25 % on average.
Key HCPCS modifiers include
Finnastra appends the correct combination based on provider role and concurrency, preventing “missing/invalid modifier” rejections.
Focus on first‑pass denial %, days in A/R, net collection ratio, remittance variance, and average payment per ASA unit. Finnastra’s analytics dashboard streams these metrics daily and issues variance alerts so you can act before cashflow dips.
Absolutely. We provide API/HL7 interfaces for Epic, Cerner, Medaxion, GE Centricity, and most AIMS platforms, enabling automated charge capture, eligibility checks, and same‑day claim creation without changing your OR workflow.
(ASA base units + time units + qualifying circumstance units) × conversion factor. Time units accrue at one per 15 minutes and must match the start/stop times in your record. Finnastra’s rules engine pulls timestamps directly from your AIMS/EHR and applies the latest CMS and commercial conversion factors, preventing.
If an anaesthesiologist directs more than four simultaneous cases—or misses any of the seven TEFRA “presence” checkpoints—Medicare slashes payment to the supervisory rate or denies the claim. Finnastra’s live concurrency monitor alerts clinicians in real time, safeguarding full‑allowable payments.
Auditors compare start/stop times on the anaesthesia record, anaesthesia chart signatures, and PACU transfer notes. Any gap or illegible entry creates “time mismatch” risk. Finnastra auto‑imports times from your record, attaches the anaesthesia log to the claim, and flags any missing elements before submission.
Yes—if the block is clearly documented as a distinct, medically necessary service. Use the appropriate CPT (e.g., 64415) with modifier 59 or XS; omit it when the block is integral to the aesthetic technique. Finnastra’s coding audit checks bundling rules and adds the correct modifiers to secure legitimate extra revenue while avoiding unbundling penalties.
