So at the end of Dec one of our kids had ear tubes placed. A CRNA did the anesthesia, though we know there was a supervising anesthesiologist floating around (he came to talk to us and we know him).
We received the physician bill today, and we were billed for both. They used the exact same codes, had the same contractual adjustment, and same insurance payment, so the total to us was the same for each. The code billed is "AN-69436.00126 Tympanotomy (CREATE EARDR)"
I've no clue what that code means beyond the obvious, and can't find anything about it.
The real question is -- what is the billing arrangement between the MD and CRNA? I've read that they can each bill 50% of the amount if the MD was supervising, but I can't really tell if that's what happened here, or if they both billed the full amount. I've seen mention of other billing modifiers such as "AA" and others, but can't find "AN" anywhere.
Before I call and start arguing with the billers at my own home institution about a relatively small bill from someone I know personally (which I have done before and am perfectly willing to do if it's inappropriate billing), figured I should see what the audience thinks.
We received the physician bill today, and we were billed for both. They used the exact same codes, had the same contractual adjustment, and same insurance payment, so the total to us was the same for each. The code billed is "AN-69436.00126 Tympanotomy (CREATE EARDR)"
I've no clue what that code means beyond the obvious, and can't find anything about it.
The real question is -- what is the billing arrangement between the MD and CRNA? I've read that they can each bill 50% of the amount if the MD was supervising, but I can't really tell if that's what happened here, or if they both billed the full amount. I've seen mention of other billing modifiers such as "AA" and others, but can't find "AN" anywhere.
Before I call and start arguing with the billers at my own home institution about a relatively small bill from someone I know personally (which I have done before and am perfectly willing to do if it's inappropriate billing), figured I should see what the audience thinks.
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