Learning Materials

Name	Description	Codes	Size
Diagnostic codes and rejections	Alberta Health Services will reject your claims if diagnostic codes are usedwhen billing an anesthetic. This results in longer wait times for you to get reimbursed. You can find out how to solve these issues here.	DX	933 KB
APS Billing	16.91B Epidural followup visit. You may bill up to 4 visits per day. Each visit must be entered as a separate encounter up to 2 visits may be billed with a unscheduled surcharge (WK, EV, NTPM, NTAM).	16.91B	983 KB
Multiple encounters OB	Multiple claims for 16.91G on the same day will not pay on the same encounter Epidural Monitoring (16.91G ) is billed in 5 minute units. Generally these units must be aggregated for each patient of the course of an OB shift and then submitted together in one encounter.	16.91G	499 KB
Out of Province Invalid ULI	Alberta Health Services in at certain sites generates hospital specific ULI codes that can't be used for out of province billings. This results in out of province rejections.	Multiple	933 KB
OB billing - Epidural insertion/monitoring and C-Section billing	Generally 16.91C and 16.91G should be billed together on the same encounter C-sections are usually a new encounter they must submitted separately with a different encounter number or they will be refused.	16.91C and 16.91G	412 KB
Modifying claims that have already been paid by Alberta Health	If I make an error or want to change a claim that has already been paid, how do I change this claim? ? How can I alert StatGO agents if I feel there is a problem with a paid or resolved claim?	Multiple	714 KB
Pay your invoice via Credit Card	Securely and conveniently pay your bill via credit card	N/A	349 KB
Billing Reports	Reports to help you understand your billing!	N/A	593 KB
Good Faith Billing	Good Faith Billing is intended to cover Alberta residents who are eligible for health care - but do not yet have an AB Health Care Number. The scope of Good Faith payments is quite limited and the rules are restrictive	Multiple	1 MB
Modifiers causing Rejection/Underpayment	Specific surgical modifiers are not payable to anaesthesia. If added these will cause rejection or underpayment of your claims.	Multiple	188 KB
Billing Multiple Encounters	Multiple encounters can be entered into the software by changing the encounter number Submitting with the correct encounter number will reduce your rejections	16.91	738 KB
Split Cases	Cases "split" between colleagues are usually billed by one physician who then reimburses the other. Can your agents help me figure how payments for the case should be divided?	N/A	2MB
Organ Donor SOMB Codes	Suggested advice from the organ donation program on anesthesia billing for organ donation cases	62.3B, 45.6B, 49.5B, 45.5B, 64.81B, 13.99M	368 KB