| Reporting Element | Why It Matters | What We Do Differently |
|---|---|---|
| Start & Stop Time | Defines units; core to reimbursement | Pulled from OR/PACU logs; cross-validated |
| Modifier Mapping | Determines payment structure (CRNA, MD, direction) | Applied using real-time role logic + concurrency rules |
| Concurrency Validation | Required for CMS compliance on directed cases | Flags overages, relief gaps, and misaligned logs |
| Split Claims (MD + CRNA) | Needed for team model accuracy | Dual-claims structured and synced with supervision docs |
| Post-Op Blocks | Enables additional reimbursement for pain control procedures | Billed separately with CPT and attestation |
| Enrollment & NPI Match | Prevents claim rejections or denials | Verified before submission against live payer data |
| Traditional Reporting | Vigilant Medical Group |
|---|---|
| Generic time fields | Time synced from OR + PACU logs |
| Manual modifier logic | Auto-applied with concurrency + supervision validation |
| No OB-specific visibility | Tracks blocks, conversions, and hourly OB earnings |
| No claim risk insight | Flags denial-prone claims before submission |
| Static dashboards | Live, provider-level analytics with secure access |














Anesthesia claims carry a high risk of audit — especially when split billing or supervision is involved. That’s why we structure every claim with audit defense in mind. Aligning reporting with MACRA billing for anesthesia ensures compliance with CMS quality and reimbursement frameworks while reducing audit exposure.
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