Anesthesia-Specific Coding
Base units, time units, modifiers, concurrency. Coded accurately for every case type including cardiac, OB, pain, and regional.
About Cosentus
Cosentus is a healthcare revenue cycle management company combining specialty-trained experts with AI-native technology. With 25+ years of experience, we manage the full revenue cycle for anesthesia practices in Fresno and across California through our Accreda division. From coding to collections, every step is connected through Zeus AI, which runs 23 modules, and managed by people who stay in anesthesia.
98%
Net Collection Rate
48hrs
Charge Lag
99%
Clean Claim Rate
<15%
AR Over 90 Days
Local Expertise
Fresno is the largest city in California's Central Valley and a critical healthcare hub for the region. Community Medical Centers, Saint Agnes Medical Center, and Kaiser Fresno serve a population with high Medi-Cal enrollment and significant agricultural workers compensation volume. Anesthesia groups in Fresno face a payer mix that demands careful attention to government-sponsored plan rules and workers comp billing requirements alongside commercial and Medicare claims.
Cosentus, through our Accreda division, provides full-cycle anesthesia billing and revenue cycle management for practices in Fresno and the Central Valley. Our team understands the Medi-Cal managed care plans and workers compensation dynamics that shape this market. Every case is coded by anesthesia specialists who handle base units, time units, modifiers, and concurrency rules with the accuracy needed to collect fully across every payer type.
Complete Anesthesia Revenue Cycle
Payer-Specific Billing Rules
Each payer reimburses anesthesia differently. Our team knows the rules for every major carrier and adapts accordingly.
Credentialing & Enrollment
Provider credentialing managed across all payers and facilities. DEA, OIG, and CAQH kept current.
Prior Authorization
Authorizations tracked and cleared before scheduled procedures. No OR delays. No revenue surprises.
Denial Management & Appeals
Every denial gets a root cause review. Clinical rationale built by anesthesia experts. 95%+ appeal success rate.
AR Follow-Up & Collections
Chris calls payers thousands of times per week for claim status, escalations, and resolution. Your team focuses on patients.
Ai AGENT — CHRISPatient Billing & Support
Cindy handles patient balances, pre-procedure cost estimates, and billing questions in over 50 languages.
Ai AGENT — CINDYAnalytics & Visibility
Live dashboards by provider, case type, facility, payer, and denial category. No waiting for month-end reports.
Pre-Service Payment Collection
Priya contacts patients before procedures with verified cost estimates, lifting pre-service collections 30–40% vs post-service. She handles the volume so your team focuses on clinical care.
30–40%
Higher Collection Rate
3–7 Days
Before Procedure
Priya
Pre-Service Cost Estimates
Leadership Combined Experience
250+years exclusively in anesthesia RCM
Logan Lowry
President
Mark Wines
Chief Growth Officer
JR Thompson
Sr. VP Chief Operating Officer
Joseph Demory
Director Anesthesia Services
Laurie Allen
VP Anesthesia Operations
Melissa George
Sr. RCM Manager
Evan Sewell
Director RCM
Liz Hussey
Credentialing Manager
Maisie Villegas
Director Quality Improvement
Thomas Wilson
Regional Director- Anesthesia Services
Why Local Knowledge Matters
We Know California Payers
Fresno's payer environment is shaped by high Medi-Cal managed care enrollment, agricultural workers compensation carriers, and a mix of commercial and Medicare plans. The Accreda team tracks the authorization requirements, fee schedules, and filing deadlines for every major payer in the Fresno and Central Valley market.
Dedicated to Anesthesia
Accreda by Cosentus brings 250+ years of combined anesthesia billing experience to every account. Our coders and billers work exclusively in anesthesia. They understand modifier stacking, medical direction rules, concurrency documentation, and time-based billing. This is not general billing applied to anesthesia. It is anesthesia billing, start to finish.
National Reach. Local Focus.
We manage anesthesia revenue cycles across the country, but your Accreda team knows Fresno. They understand Community Medical Centers, Saint Agnes, and the Central Valley payer dynamics that affect your bottom line. National infrastructure with real local knowledge.
Frequently Asked Questions