How to Know Your Cardiology Billing Better? - PowerPoint PPT Presentation

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How to Know Your Cardiology Billing Better?


Cardiology being a highly specialized field requires accurate and efficient cardiology billing and coding practices. – PowerPoint PPT presentation

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Title: How to Know Your Cardiology Billing Better?

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How to Know Your Cardiology Billing Better?
Cardiology being a highly specialized field
requires accurate and efficient cardiology
billing and coding practices. Due to the regular
changes, innovations, treatment options, and
technology updates in cardiology, the billing and
coding team too must be aware of the constantly
changing medical billing and coding regulations,
coordination of benefits procedures, and
knowledge of Medicare, Medicaid, and other
insurance providers policies. If the billing
practices are superior, by and large, the outcome
is positively impacted.   One of the key areas of
billing and coding is to effectively read and
bill for the physicians prescription. Coders
must be aware of the specialized coding with
respect to surgical procedures such as heart
catheterization, pacemakers, coronary
interventions, and peripheral vascular
procedures. It is also critical of cardiology
billing and coding experts to be aware of other
treatments in cardiology such as in-office
imaging, Doppler, implanted devices, and other
echo services and other follow-ups. Applying
modifiers is another critical element to
strengthen the cardiology practice. Challenges
regularly occurring in cardiology billing
and coding are human errors, insufficient
knowledge about billing and coding rules or not
coding to the highest specificity. Mistakes can
also occur as cardiology includes other services
such as blood tests, radiology tests, etc.
Further charges differ as per care and medication
in a hospital or a daycare facility.
How to Know Your Cardiology Billing Better?
So which are ways in which cardiology revenues
can be increased and growth tracked   Minimize
Human Error The in-house or the outsourcing team
must double-check on the documentation and
CPT, ICD-10, and HCPCS codes.   Training The
billing and coding team must stay updated and be
constantly trained on the latest changes in the
billing and coding regulations. Documentation Al
l documentation must be complete without any
inaccuracies. If this occurs too often, bills are
denied and revenues get affected. Coding Documen
ting the diagnosis is better than documenting the
symptom. Correct diagnosis documentation will
enhance correct coding.
How to Know Your Cardiology Billing Better?
Audit Have regular internal and external
audits, especially before Medicare does one. This
ensures that common coding errors are caught
early and documentation errors are
corrected. Modifiers Sometimes it is necessary
to mention modifiers along with CPT code. They
are used in claims and are useful for payment
policies. Post-Op Billing Opportunities Diagnost
ics tests like device checks, defibrillator
checks, pacemaker checks if performed during a
postoperative period (within 90 days) must be
billed for separately. Remote monitoring is also
recommended for the above-mentioned
devices. Heart Failure and Psychological
Status Medicare compensates for both these
ailments. These also lead to an increase in
patient visits thereby higher revenues.
How to Know Your Cardiology Billing Better?
EHR Electronic Health Records must be used for
customizable flow sheets, smart charting, and
connections to other labs. EHRs also help in
tracking patient data and assist in inaccurate
documentation. Billing is sometimes affected by
sudden complications in a patient which requires
added attention and time, or sometimes additional
services/procedures require to be conducted for
treating the patient. Accurate documentation is
thus required at each step in the billing
process. It is also suggested and becomes
feasible too to outsource the cardiology billing
and coding services as there are dedicated
professionals for increasing the profitability of
the practice.   They are well aware of the
billing and coding rules and leave only the
patient care to cardiologists. They are regular
with filing claims, coding, and documentation and
ensure the least denials and if any, follow up on
them soon enough too without leaving any gaps for
further issues. Following compliances also give
faster returns in the revenue cycle and assist in
growing the cardiology practice. When an increase
in revenues is evident, it is an indication that
the billing procedures are being managed well.
How to Know Your Cardiology Billing Better?
Medical Billers and Coders (MBC) is a leading
medical billing company providing complete
revenue cycle services. To know more about our
cardiology billing and coding services, contact
us at
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