This document will explain how to bill anesthesia charges in MacPractice.

Setting up Fees for Anesthesia

Before you begin using anesthesia billing, you must make sure that your anesthesia fees are set up correctly in your fee schedule.

Go to References, select Fee Schedules in the sidebar, then select your fee schedule and your anesthesia fee. Change the Fee Calculations pop-up menu to Units and the Unit Type pop-up menu to Minutes.

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Select the Specialty tab and check the Anesthesia checkbox to enter your unit information.

• Base Units: The initial anesthesia amount used to induce an anesthetic state

• Minutes/Unit (Hour 0-4): Indicates the number of minutes per unit for the first 4 hours of anesthesia

• Minutes/Unit (Hour 4+): Indicates the number of minutes per unit for every hour after the first 4 hours of anesthesia

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Using Anesthesia Fees in the Charge Window

Once you set up your anesthesia fees in your fee schedule, you can begin billing anesthesia charges in the patient's ledger.

Go to the Ledger and open a New Charge window. Once you have selected the anesthesia fee, you will notice that an Anesthesia tab has appeared next to your Diagnosis, Specialty, Notes and Rx tabs.

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You can then enter the times of your anesthesia and MacPractice will calculate the number of units. Remember to use the 24-hour clock to enter the time, also known as military time.

MacPractice also allows for multiple time entries per anesthesia, in which case you can use the Time 2 and Time 3 Start and End fields.

Validating Anesthesia Times

Your office will also be able to check for time conflicts with other anesthesia procedures with the same provider if the appropriate Preference is enabled.

To enable this feature, go to the MacPractice Preferences > Ledger > New Charge and check the Validate Anesthesia Times checkbox.

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When the New Charge window is open, you will see a Detect Conflicts button on the Anesthesia tab. Clicking this button checks for conflicting times on the same date of service for the same provider to ensure accurate billing. An alert will appear with the conflicting patient name and code if a conflict is detected, allowing you to take the proper steps to remedy the conflict.