The purpose of this documents is to provide guidance on the key requirements for anesthetists to claim Medicare benefits for Relative Value Guide (RVG) anesthesia services.
We have created this document to provide a process which reduces the number of rejections for this billing.
Please note: as you are aware, this billing is comprised on a number of different elements. To ensure that your claims are NOT REJECTED, you will need to enter each component in a specific order on the Impulse billing screen.
Order of Services
Below is the order in which RVG claims must be raised:
- Pre-anesthesia consult;
- Basic unit value, where more than one appears on an account, they should all be listed above the time value unit. A Medicare benefit will only be payable for 1 Basic Value Unit;
- Time unit value;
- Physical status modifier, where applicable;
- Age modifier;
- Emergency modifier, In hours, where applicable;
- Therapeutic and diagnostic services, where applicable, and;
- Emergency modifier, after hours, where applicable.