Sounds like my place. Admin always thinking that just because volume is good for THEM, it must be good for Anesthesia. These admins have NO clue how Anesthesia billing works. I even asked the head honcho of the “clinically integrated network” that we’re affiliated with (a good guy who has helped improve our billing greatly, while we continue to enjoy our “independence”), who WAS a hospital CEO for years—-“Did you ever know how anesthesia billing worked, when you were a Hospital CEO??”- His response—-“Nope!”.
We don’t even clear $200 on our average GI. By the time you figure in the downtime, and the fact that the greedy/disrespectful GI’s wanna do it from 2-6pm (off peak hours), we LOSE money (no to mention, morale). Think about it—-we’d have to do 1500 of the damned things to even pay ONE CRNA (salary plus bennies) (1500 x $200= $300k). A complete joke.
“Hey!! Let’s recruit some Vascular Surgeons!!!” Again—-a bunch of long, complicated, poor paying (Medicare and unfunded) cases. Sure, the HOSPITAL makes money. Anesthesia?? Nope.
Then they have the GALL to ask us why we can’t reduce the stipend. These cases make YOU money (hospital), but we LOSE money on nearly every one….