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January 2015 - Courtesy of the National Center for Policy Analysis …. Consumers Have Less Choice in ACA Exchanges… - Read More

November 2014 - Obamacare’s enrollment growth during the first ½ of 2014 was not made up of people purchasing private health insurance coverage via the states or federal exchange but was made up mostly of individuals enrolling in the expensive and inefficient Medicaid system, 71% of all enrollments in the first ½ of 2014 were Medicaid enrollments. Medicaid reimburses providers at a fraction of the reimbursement from the non-governmental payer sectors as well as discriminates against some providers based upon licensure and certification, ie. The states that do not recognize CRNAs and allow for their enrollment in the state’s Medicaid plans are restricting access for their patient populations, and what is worse, is that the individual signing up have no idea of such restrictions. Furthermore, HHS concluded recently that 17% of those that did enroll in a plan in 2014 will not be renewing in 2015. The average costs have continued to rise and as a US House of Representative’s Ways and Means Committee report indicates, the average cost has increased by 24+% with at least 13 states who have seen increases in excess of 50%. Courtesy of the Daily Signal. - Read More

November 2014 - From Jessie Krone, BCS Credentialing Administrator, In order for CRNAs and their employers to be paid by the Federal Medicare Part B Program, each CRNA must complete the CMS 855-I (Complete individual practitioner enrollment application) or the CMS 855-R (Reassignment of payable Medicare Part B Benefits document) with the Medicare Part B contractor for the state in which they plan to provide anesthesia services. - Read More

November 2014 - The 2015 Medicare Part B annual deductible will be $147.00 This is the same annual deductible amount as 2014. - Read More

November 2014 - Courtesy of the NCPA... Obamacare... how did we get to this point?... Here are the top 5 broken commitments to the American medical community and to the American people... - Read More

November 2014 - Reminder... in Jan 2013 rules were published to further clarify the conditions of Pass Thru for CRNA services in qualifying hospitals to include Railroad Medicare patients and to include not only CRNA anesthesia services but also to include out of OR services that would normally be performed by CRNAs – invasive monitoring, emergency services, etc. - Read More

November 2014 - Courtesy of CSN News and MGMA... Deductibles unpaid, so high they are unaffordable, and then there is the 90 day clause / waiting period. Over 214,000 Doctors Opt Out of Obamacare Exchanges - Read More

November 2014 - By now Your Practice should be ICD-10 Compliant – BCS is fully ICD10 and 5010 compliant. Is your Health Information Management (HIM) / Coding Staff ready to code in ICD10 tomorrow? How about your Information Systems and their support staff, your EDI connections and 5010 testing completed, your Patient Accounting Staff, and other business office personnel, are their systems compliant and are all staff members educated and aware of the upcoming conversion from ICD9 to ICD10? - Read More

October 2014 - 50% -or more likely far more if the respondents better understood the current state of the US healthcare industry – of the US Physician community awards Obamacare a performance grade of D or F -- The various networks around the country are shrinking, especially those that are offered to the patient community as an exchange product or those that are new offerings in the Medicare Advantage product lineup. - Read More

April 2014 - The conversion to the ICD10-CM coding system from the current ICD9-CM coding system has been delayed until at least October 1, 2015 - Read More

April 2014 - The Affordable Care Act (ACA) will intensify the United States' health care professional shortage, says Amy Anderson, a graduate health policy fellow at the Heritage Foundation. - Read More

Questions & Answers
Q. How are we certain we are maximizing CRNA reimbursement within our facility?

See Answer.

Q. What is the necessity of obtaining an NPI -National Provider Identifier?

See Answer.

Q. Does an entity as well as an individual provider need an NPI?

See Answer.

Q. What does the term "most favored nation" mean as it appears in many third party payer reimbursement agreements and participation agreements?

See Answer.

Q. What is an RFP?

See Answer.

Q. Does it make any difference if I select CPT-4 codes from the Surgical or Anesthesia Sections?

See Answer.

Q. Since the Medicare Modifier -QS is not valid for actual reimbursement calculation, does it really need to be used?

See Answer.

Q. How long will it take to develop a cash flow from a new practice opportunity?

See Answer.

Q. I have graduated from Anesthesia School, but have not taken my certification examination, can I still bill for my services since I have completed my required anesthesia program?

See Answer.

Q. In evaluating a practice opportunity what questions or data should I be requesting from the practice?

See Answer.

Q. I plan to do all of my own procedure and diagnosis coding, -CPT-4 and ICD9-CM coding) is this a good idea?

See Answer.

Q. Is it necessary to have type of contract with a facility/hospital before I commence providing anesthesia services?

See Answer.

Q. Why would I use an ABN-Medicare Beneficiary Advance Benefit Notification document?

See Answer.

Clientele Comments
Comments directly from BCS Clientele:

“….I would like to take this opportunity to say thank you to you and your staff for doing such a good job for our facility and anesthesia group. I have no complaints.”

A southern US hospital based anesthesia practice

“…Lee … I have been very satisfied with your services in many ways.”

A CRNA group in the western US

“…you guys {the staff of BCS} are fantastic!.... we would be happy to be listed as a reference…”

A group of hospital based CRNAs on the west coast.

“…I have absolutely no reservations regarding providing the highest recommendation for you and your company! Please feel free to use me as a reference…”

A private practicing CRNA from the northwest.

“…Lee… As always you exceed my expectations.”

…A Director of Nurse Anesthesia Services in a large urban Midwestern health system.

“…Lee… Thank you. And thank you for your guidance in this matter…… We appreciate all you do for us……”

an anesthesia practice manager from America’s heartland.

“…Today's webinar lecture was perfect. You presented all the information that the CRNA's wanted and more. As always Lee, BCS is amazing!”

A Michigan Director of Nurse Anesthesia from a large urban practice.

Hello Lee and all at BCS,
Thanks! I appreciate your work.

A CRNA from MO

"Mr Broadston:
Thank You for the excellent information. It was a pleasure to hear you and speak with you at the MANA convention. I agree quite wholeheartedly with you re:healthcare reform(transform!). Hopefully free-market reforms will result but I'm not holding my breath.

I have heard great things about you from other CRNAs in the state. If I am ever in a position requiring your services, I will definitely use your excellent services. Thank You again for the information provided and for all you do for CRNAs.

A CRNA from the Upper Midwest"

“....Your talk really added to our seminar and we got lots of comments about how valuable your talk was. I think most people are grateful that there is a guy like you with a good business sense helping guide us through current times and stand up for us at the national level!” ...

A CRNA Continuing Educational Program Director

“The students loved your presentation, you and BCS are an excellent resource...”

An Anesthesia Program Director

“....It has been my pleasure to work with you and others at BCS over the years. The billing expertise is exceptional and numerous times over the years I have stated that to other facilities.”

“...Thank you also for all of the work you have done and time you have taken throughout this year in assisting me personally and our members as well when we are in need of some solid "BCS Guidance.”

"...Thank you [BCS] for your help throughout the years. Your services have been outstanding..."

An anesthesiologist from the Eastern US

"....Lee, Thank you for the reply. Am looking at attending your next meeting. Thanks again for coming to our meeting!"

A CRNA from the Midwest.

".....I will tell you though, now, that I think they {Sessions by Broadston} were by far the favorites for the weekend ...You really opened some {CRNA Attendees} eyes and made some people {CRNAs} think."

A CRNA from the Upper Midwest.

"....Do you have your presentations on video- something I could present to our workplace?..."

A CRNA from South Dakota

"...Do you think you could come back next year and expand on what you shared this year?..."

A CRNA Educational Program Director

“BCS has worked for me for 10 years and please let everyone know what a wonderful, professional and personable organization BCS is. Thanks to everyone for their commitment to my success in private practice and billing.... ”

A CRNA Practice in Colorado.

"From my very first interaction with you, to my review of the packet your company presented ... I have been impressed to the highest possible level. Every conversation ... has been carried out with a highly professional tone ... has made me feel that I am a very important client, and not just another customer.

The professionalism speaks loudly."

A CRNA Anesthesia Practice

"...you have been a tremendous help with my new assignments. I really appreciate all you and your staff have done ..."

A BCS Hospital client from the southern USA.

"BCS...thanks for the special practice analysis... very prompt, very useful.. Thanks a whole bunch!"

A CRNA Practice from the Upper Rockies

"profuse thanks for being a friend to CRNA's..."

A Michigan CRNA

"BCS has done a great job for us. We thank you,and recommend you to other CRNA groups.

Your presentation at the SD meeting was excellent."

A CRNA from Central USA

Comments directly from BCS Clientele:

“…Incredible work BCS …. Thank you Lee. Happy New Year!” … A urban CRNA anesthesia practice VP from the southeast.

“Lee… I am impressed with how thorough BCS is in these matters. Thank you for the great service.” …CRNA Practice from the Midwest…

“…thank you so much for everything, I appreciate your excellent work…” - An Anesthesiologist from New England

“…Lee, you and your staff are the greatest contribution anesthesia can have…”

“…Lee, please share with all of the BCS staff our overwhelming satisfaction with all aspects and interactions with BCS…”

"Hello, BCS… hope you are all well and prospering… thanks a million, BCS is the best!"

"…I appreciate the great work BCS has done. I would be bankrupt now if it weren't for you."

“Excellent service…refreshing from what we experienced previously…”

“Always prompt in your replies, thanks to all BCS staff…”

“…practice projections were right on target…”

“…I appreciate the certified coding staff at BCS…”

“…believe me, we sincerely appreciate and acknowledge the complexities that BCS provides to our group…”

"…90% of all attendees Strongly Agreed, Lee S. Broadston met or exceeded their expectations and the outcomes set forth for the sessions he presented."

"…90% of all attendees Strongly Agreed, Lee S. Broadston was an effective presenter…"

"…Very timely topic for my practice and issues in rural practice…"

"…Great Information!"

"…Interesting……informative……Excellent presenter…"

"Very important topic - thanks for including it in the program…"

BCS Health Information Technology - Safe - Secure - Compliant
  • All BCS Operations are ICD10-CM and 5010 Compliant, tested, operational.
  • Certified Procedure and Diagnosis Coding Services
    • CCS, CCSP-Anes, RHIA

  • Proven, Experienced Outsourcing Solutions Based 100% in the USA
    • Solutions Fully Operational Today Ready and Waiting - Plug in
  • Payer Credentialing Services
  • Reimbursement Contract Evaluations and Negotiations
  • ePatient Payment Systems
    • Utilizing Technology to enhance Financial Performance

Who We Are
    BCS, Incorporated is a healthcare practice management firm providing a impressive outsourcing alternative to the complex and comprehensive details of day to day patient accounting operations of your healthcare practice. For more than 25 years we have been hard at work for providers just like you. From Anesthesia to General Surgery, to Pathology BCS has the expertise and more than two decades of experience to tailor a specific turn key operation for your practice. Cost effective, cost controlling, comprehensive, detailed and innovative in each practice's design. We will work with you as closely as is necessary to develop a practice management service for your practice that meets all of your needs. We are customized to your specific requirements, not forcing you into a cookie cutter design platform.

    We have been known to greatly increase efficiency, cash flow, HIPAA and coding compliance, and overall AR performance in a way that maximizes the available reimbursement for your professional services. Our innovative and creative practice solutions are hard at work today in hospitals and healthcare systems across the country as well as within small to large private group practices. Let BCS get to work for you and allow you the freedom to practice your specialty as you intended, free of the complex issues surrounding the administration and practice management of today's healthcare practice.

Lee S Broadston

Anesthesia Billing, Medical Claims Billing, Healthcare Billing, Patient Billing