Rx Credentialing – Medical Billing and Credentialing Services for US Providers

Precision Anesthesia Billing That Maximizes Revenue & Minimizes Denials

Anesthesia Medical Billing Services

Expert anesthesiology billing services with real-time compliance, optimized modifiers, and 98% clean claim rate—so you stay focused on patient care, not paperwork.

Denial Defense – 99% clean claim rate for pediatric practices (vs. 78% industry average)
Fast Payments – 88% of claims paid within 14 days
Transparent Pricing – 3-5% of collections or flat $499/month for small practices

Anesthesia Medical Billing Services
Medical billing services for small practices
HIPAA-Compliant
Pay as you go
No fixed contract

Anesthesia Medical Billing Services

medical billing services

Smooth Transition Between EHR/EMR Systems

Efficient Electronic Funds Transfer (EFT), EDI, and ERA Setups

Claims Submission Within 24 Hours

Prompt follow-up with payers.

Free CAQH maintenance

Free provider credentialing & revalidation

Comprehensive Revenue Cycle Management (RCM) Services

Appeals & Adjustments.

Coding and Chart Review

Reimbursement Strategies for Optimized Billing

AR Recovery & Denial Management

From ASA Units to Modifier Codes – We Handle It All with 99.1% Accuracy.

Biggest Anesthesia Billing Challenges

Time Unit Calculation Errors

Incorrect documentation of anesthesia time (start/stop) leads to 22-35% underbilling for anesthesia practices. Even 5-minute errors per case can cost $18k+ annually.
Our Expertise:
ASA-certified billers verify times against OR logs and anesthesia records to capture 100% of billable units

Modifier Misuse (AA/QK/QX)

Wrong application of anesthesia modifiers causes 40% immediate denials. Payers increasingly audit AA (medical direction) vs. QK (team) claims.
Our Expertise:
Our coders complete annual ASA modifier training to maintain 98% accuracy on CRNA/MD billing

Physical Status Modifier Disputes

Payer pushback on P3-P6 modifiers results in 15-20% revenue loss for high-risk patients despite documented comorbidities.
Our Expertise:
We bundle operative notes and H&P to justify status modifiers, recovering 92% of disputed amounts

MAC vs General Anesthesia Coding

Confusion between 00740 (MAC) and 00810 (General) leads to 25% claim rejections and potential compliance risks.
Our Expertise:
Our RN-anesthesia coders review procedure documentation to ensure correct anesthesia type selection

Post-op Pain Management Denials

Block placements (64400-64484) often denied as "bundled" despite meeting separate procedure criteria, costing $9k+/MD/year.
Our Expertise:
We append -59 modifiers with operative notes to prove medical necessity, achieving 85% overturn rate

CRNA Supervision Compliance

Changing state/federal regulations on medical direction requirements create audit exposure and potential takebacks.
Our Expertise:
Monthly compliance reviews ensure adherence to CMS TEFRA rules and state-specific requirements

Schedule a Consultation with Our Medical Billing Experts

We understand your need to keep things small, intimate, and personalized. Our medical billing specialists for independent small practices thoroughly study your needs and offer custom-made solutions. 

Anesthesia Medical Billing Services

We Offer

Anesthesia Medical Billing Services

Process

Benefits of Outsourcing

Anesthesia Billing Services

ASA-Certified Coders

Specialists trained in anesthesia-specific coding (base units + time) ensure accurate 00700-01996 series code application.

30% Fewer Coding Errors

Time Unit Optimization

Precise documentation review captures every billable minute from anesthesia start to PACU handoff.

+18% Revenue Capture

Modifier Mastery

Correct AA/QK/QX modifier application reduces denials for medically directed cases and CRNA services.

95% Clean Claim Rate

Compliance Protection

Regular audits ensure adherence to CMS anesthesia rules (TEFRA, medical direction requirements).

Zero Audit Penalties

Pain Management Billing

Expert handling of chronic pain procedures (64400-64999) with proper -59 modifier usage.

80% Overturn Rate

Real-Time Analytics

Dashboard tracks anesthesia-specific KPIs: time units captured, modifier accuracy, and payer mix.

25% Faster AR

Anesthesia Billing Services

FAQs

How do you calculate anesthesia time units?

We document start (anesthesia ready) and stop (PACU handoff) times from your records, converting to 15-minute increments per ASA guidelines. Our system cross-checks OR logs to capture 100% of billable time.

What's your accuracy with AA/QK modifiers?

Our ASA-trained coders maintain 98% accuracy on medical direction (AA) and CRNA modifiers (QX/QK), verifying against CMS's 7 TEFRA requirements for every claim.

Do you handle chronic pain procedure billing?

Yes. We specialize in 64400-64999 series coding with proper -59 modifiers, achieving 80% overturn rates on denied pain management claims.

How do you justify physical status modifiers?

We bundle H&P notes, anesthesia assessments, and operative reports to document P3-P6 status, recovering 92% of disputed amounts.

What's your denial rate for MAC vs General cases?

Our RN-anesthesia coders achieve <5% denials by matching 00740 (MAC) and 00810 (General) codes to procedure documentation.

How do you prevent CRNA supervision violations?

Monthly compliance checks verify adherence to state rules and CMS's medical direction requirements, flagging potential violations pre-submission.

Do you support hospital-contracted anesthesia groups?

Yes. We reconcile hospital time logs and handle split-billing for facility vs. professional fees per your contract terms.

How quickly do you submit claims?

48-hour standard submission (24-hour rush available). We prioritize anesthesia claims due to their time-sensitive nature.

What's your fee structure?

4-6% of collections or $349-$899/month flat rate. No hidden fees or long-term contracts.

How do you handle payer-specific rules?

Our system tracks 150+ payer variations for time reporting and modifiers, ensuring first-pass approval across Medicare, BCBS, and regional payers.

Anesthesia Billing Services

Insurances Covered

Insurance Providers

Trusted Medical Billing Services

Verified Results

Rx Credentialing LLC place picture
5.0
Based on 63 reviews
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Emily Elandt profile pictureEmily Elandt
01:24 16 Nov 25
Wonderful customer service and quick Credentialing!
Rx Credentialing LLC did an excellent job helping my practice join the MCOs. Their team made the process seamless and stress-free, answering all my questions promptly. I highly recommend them—their service is efficient, professional, and reasonably priced! 😁
I am a licensed psychotherapist and could not be more pleased with the efficient, professional services from RX credentialing services. No AI or bots here. Instead, RX offers real human beings who understand the needs of solo providers or group practice owners who are spread thin and have to wear many hats. Rx has hired talented individuals, like my account manager, Tyler, who will go the extra mile for you to ensure credentialing goes smoothly. We hit a hiccup on the road to becoming credentialed, but Tyler quickly intervened, advocating for my business so that the issue was resolved and I was approved for various insurance panels--some which have very high bars or administrative requirements. RX handled it all, informing me through each step of the process with clear and concise credentialing updates that put my fears to rest. Their services are kind of like therapy for therapists, because when you worry less about admin burdens, you can better focus on the client, while growing your business capacity. I would highly recommend them to any solo or group practice needing such services.
OGADINMA ONWUKWE profile pictureOGADINMA ONWUKWE
02:45 16 Oct 25
Very reliable.
Steve Walsh profile pictureSteve Walsh
22:16 13 Oct 25
RxCredentialing has been a wonderful partner in helping with my credentialing for my new primary care practice as well as are assisting me with a few other services. They are very knowledgeable and most importantly they are not pushy in working with my needed timeline. Moreover, they are very responsive, and I am looking forward to expanding our relationship to include their other services such as medical billing. I was fortunate to find them while searching the web and so refreshing to deal with an organization that is really focused on helping me establish a medical practice the smart way and not just spend money foolishly on things I do not need until the time is right.
Marilyn Batista profile pictureMarilyn Batista
15:50 03 Oct 25
Adam and his team are excellent at what they do. They walk you through every step of the process. Highly recomend Adam and his team. always responding in quickly.
Attention to detail
Very attentive and efficient
Always available to explain things or answer questions or concerns
John Giovanelli profile pictureJohn Giovanelli
15:14 15 Sep 25
Made things much easier for credentialing
Richard WR Garcia profile pictureRichard WR Garcia
13:59 21 Aug 25
Tyler has been an excellent person to work with. He kept us (our clinic) informed of our status throughout the credentialling process. They did the "heavy lifting" tracking down and following up so we didn't need to. Because this company handled our credentialling process, it allowed our company to focus on our number one priority--patient care. Thanks for taking care of us!!
Ahmad Elherfa profile pictureAhmad Elherfa
14:32 20 Aug 25
they handled the issue quickly and professionally. I truly felt supported and confident in their assistance.
Stacy Antwi profile pictureStacy Antwi
18:31 15 Aug 25
I can’t say enough great things about RX Credentialing! From the beginning, they’ve been incredibly efficient, responsive, and always a pleasure to work with. Anytime I had a question or needed assistance, they got back to me quickly with clear, helpful answers. They made the entire credentialing process smooth and stress-free! It truly feels like they care about their clients and go the extra mile to make sure everything is handled correctly and on time. I would highly recommend RX Credentialing to anyone looking for a credentialing partner who delivers every time!
Keisha Asante profile pictureKeisha Asante
17:37 12 Aug 25
David is wonderful very responsive and on top his work. Great experience.
Nicole Ciffone profile pictureNicole Ciffone
20:58 08 Aug 25
Making the decision to use Rx Credentialing for my billing service was a game changer for my practice. Solo practice as an NP and lipid specialist has been challenging for sure. Rx Credentialing has provided the professional knowledgeable support I needed. I am so grateful to be partnering with them for my billing and credentialing needs.
Takeisha Judkins profile pictureTakeisha Judkins
18:40 04 Aug 25
The staff is great and very helpful. I have been with them for 2 years with no complaints. I am very satisfied with their service.
Ehab Waly profile pictureEhab Waly
22:44 31 Jul 25
Tyler is doing good work
Samir Zaqdan profile pictureSamir Zaqdan
00:14 25 Jul 25
Kassandra Barthelemy profile pictureKassandra Barthelemy
05:31 24 Jul 25
I have been working with this company for over a year and I have no complaints…They are really the best at what they do.
Victoria Boateng profile pictureVictoria Boateng
18:42 23 Jul 25
Trusting a third party with your sensitive information can be difficult. I encountered this challenge while seeking credentialing services for my business with various insurance providers. Although I received numerous proposals from credentialing firms, I was uncertain about the security of my personal data. A trusted colleague recommended Rx Credentialing LLC, based on her positive experience. I decided to engage their services, and I’m pleased to report that they handled my information securely. Moreover, their expertise and competitive pricing make them an excellent choice for anyone needing credentialing support.
DaniCare Psychiatry profile pictureDaniCare Psychiatry
16:03 21 Jul 25
great service, highly professional. thank you!
Tamara Gordon profile pictureTamara Gordon
23:43 17 Jul 25
Adam is very professional and kind, always responsive when I need assistance. I have billing service through this company which has been going good so far. I was lucky enough to get a wonderful virtual assistant from Adam, I don’t know what I would do without her.
Daniel Montenegro profile pictureDaniel Montenegro
19:21 15 Jul 25
Rx Credentialing did a phenomenal job assisting with credentialing for my Ophthalmology practice start-up. Tyler is responsive and kept me up to date throughout the entire process. I would recommend Rx Credentialing to anyone hands down the best. Dr. Montenegro.

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We serve all 50 states.

Rx Credentialing provides medical billing services to clients across the United States