Anesthesia Claims – change in increments

January 13, 2012

In order to comply with HIPAA Version 5010, MaineCare will change from 15-minute increments to 1-minute increments for anesthesia services. Anesthesia providers should bill 1-minute increments for dates of service January 3, 2012 and later. This also applies to claims submitted in the HIPAA Version 4010 format.) Both physicians and CRNAs are affected by this change. (Note: Dentists will be advised on billing anesthesia units in a future message.)

If you have already submitted a claim for a 2012 date of service using 15-minute units, you will need to submit an adjustment.

For claims and billing questions, contact Provider Services at 1-866-690-5585.