Cardiology billing is going through a pool of changes keeping in mind the future of American healthcare. The new cardiovascular codes for 2018, bundled payment, billing compliance, and federal compliance to regulating medical billing. The recent reorganization of billing laws with bundled payment and the Affordable Care Act (ACA) would mean that we would need a new mechanism to make the reimbursement systematize.
Though as a billing company we have to deal with various compliance related to payers both private and insurance and also with federal laws for procedural coding but what has differentiated Medical Billers and Coders (MBC) from the other is more focused on the solution than on the problem.
A five tip solution for you to improve your cardiology billing:
1. Resource Management
- For an in-house biller or outsource billing company one of the major factors that contribute to the growth of the company is a Human
- Cardiology specialty deals with complicated cardiovascular procedure and you need a specialized resource to deal with cardiology coding and billing. This specialized resource includes a team of coders and billers along with a technology to support the claim throughout the process.
2. Updates On Coding
- You need to keep your coding books close to your coding system ICD-10 CM, PCS, CPT, and HCPCS act as a coding good book. Also, you should keep a tab on frequent billing changes and guidelines posted by CMS for coding.
- As an outsource cardiology billing agency we have to deal with various state regulations and with referring to the CMS website for various updates. Also, go through codes with various alphabetical and tabular index but at times we might see a tabular index where we find a note that it disqualifies.
3. Accuracy Of Documentation
- At Medical Billers and Coders (MBC) we have assisted more than 160 cardiology facilities across the United For us, one of the major challenges starting with new clients was to know the documentation for billing was done according to the procedure, once we bill the claim it was difficult for us to change the code and rebill.
- One of the key factors for any medical bill is procedure documentation and additional documents to explain the procedure prevent adjustments. The documentation will also help to keep your billings in line in the case of an audit from payers and federal bodies.
4. Coders According To The Specialty
- Though coding does seem a well-defined structural path that needs to be followed by the coders. A coder does need procedural knowledge before coding in a cardiology specialty. The complexity goes on increasing as the procedure keeps increasing and with acute patient health, it becomes difficult with different physicians working on the same patient with a different
- Cardiology coders in MBC usually have to go through a series of tests before they qualify to become a cardiology coder. Our Cardiology Coders are certified in Certified Professional Coder and Outpatient Hospital, Certified Professional Coder and Payer along with Certified Interventional Radiology Cardiovascular Coder.
5. Auditing For Your Cardiology Billing
- Though auditing of any cardiology claim is done from the payer’s side this result into payment adjustments and deductibles. A coding audit from the coders before the claim is sent to for billing with preventing the time you spend with getting the Account Receivable (AR).
- Auditing guides at different stages of your cardiology billing will prevent reimbursement loss. Once the claim is sent through a process of payment posting the AR days start increasing.
For us cardiology billing is just not providing a service to physicians it is a service to the community to perform better. Keeping a view of this we provide free quotes for your cardiology facility from our expert Revenue managers.