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 Sacramento 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
Sacramento serves as both the state capital and a major regional healthcare hub, with UC Davis Health, Sutter Health, Dignity Health, and Kaiser anchoring the market. The Greater Sacramento area bridges urban and rural populations, which creates a payer mix with significant Medi-Cal volume alongside commercial and Medicare plans. Anesthesia groups operating in this market face the challenge of billing accurately across a wide range of payer types while keeping up with high case volumes at multiple facilities.
Cosentus, through our Accreda division, provides full-cycle anesthesia billing and revenue cycle management built for the Sacramento market. Our team understands the Medi-Cal managed care plans that dominate this region, along with the commercial and Medicare payers that round out the mix. Every case is coded by anesthesia specialists who handle base units, time units, modifiers, and concurrency rules with the accuracy this specialty requires.
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
Sacramento's payer environment is shaped by high Medi-Cal enrollment, multiple managed care organizations, and a mix of commercial and Medicare plans. The Accreda team tracks the authorization protocols, fee schedules, and filing deadlines for every major payer in the Greater Sacramento market, which translates to cleaner claims and faster collections.
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 nationwide, but your Accreda team knows Sacramento. They understand the local health systems, the regional payer dynamics, and the specific challenges that come with billing in a market that spans urban centers and surrounding rural communities.
Frequently Asked Questions