Cardiology Coding and billing tasks are complicated. They are considered specialties that require sufficient training, staying up to date with regular changes on critical procedure rules, codes, and contractual adjustments. It’s often best to outsource the function to specialists with extensive experience in medical billing and revenue cycle management. With their help, you can focus on providing excellent care while staying up-to-date with new and revised cardiology codes.
Access to expertise
Cardiology medical billing specialists are trained on the latest and acceptable documentation standards. That makes them qualified to offer applicable recommendations to improve your billing practices. They have the expertise to handle complex coding procedures in hospital, laboratory, cath lab, and office settings, whether you’re dealing with pediatric or adult patients. Reputable service providers can also track hospital consultation payer rules according to the carrier. That way, only the correct initial code will be billed for outpatient and inpatient visits.
Keeping up with updates
Coders have to be aware of all new, revised, and deleted codes. For instance, ablation codes 93652 and 93651 were eliminated and replaced with new CPT codes from 93653 to 93657, and eight new codes (36221-36228) were implemented for cervicocerebral angiography.
Denials typically occur in cardiology coding because of an invalid diagnosis code and failure to follow LCD guidelines. Cardiology billing experts will track the LCDs for every cord range and keep their LCD up-to-date every week. They will provide you copies and educate you on correct coding, so everyone works consistently and claims can be filed correctly.
Reduce the guesswork
Cardiology medical billing experts know cardiology-related terminology, patient insurance authorization rules, and office, operative, and SOAP notes. They’re well-versed in pre-billing audits, complex cardiology billing rules and codes, LCD guidelines, denial management and prevention, and payer-specific policies and guidelines. They offer cardiology coding and billing in areas like cardiac catheterization, echo studies, cardiac electrophysiology study, stress test, venous duplex, and much more.