Reduce Cardiology Denials with Proper Documentation

Importance of Proper Documentation in Cardiology Billing A lot of cardiology claims got denied due to improper and incomplete documentation. It’s really frustrating not to receive insurance reimbursement for the delivered services, though you completed all steps in cardiology medical billing. While focussing on billing and coding guidelines, sometimes cardiologists might not maintain proper documentation. […]

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Appropriate Use of Modifier 25 in Cardiology

Defining Modifier 25 Modifier 25 is defined as a significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service. It may be necessary to indicate that on the day a procedure or service identified by a CPT code […]

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Billing Guidelines for Leadless Pacemakers

NCD for Leadless Pacemakers The leadless pacemaker eliminates the need for a device pocket and insertion of a pacing lead which are integral elements of traditional pacing systems. The removal of these elements eliminates an important source of complications associated with traditional pacing systems while providing similar benefits. Leadless pacemakers are delivered via catheter to […]

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ICD-10 Codes for Myocardial Infarction (Type 1 and Type 2)

Myocardial Infarction has defined six types of MI. The two most commonly encountered are type 1 (primarily due to CAD) and type 2 (primarily due to myocardial supply/demand mismatch). For these two types, MI is defined as myocardial necrosis identified by a rise and/or fall of cardiac biomarkers to or from a level greater than […]

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Things to know about Cardiology Billing and Coding

Cardiology billing and coding are complex for several reasons. This specialty experiences regular amendments of key procedure rules, complex contractual adjustments, and codes, and that is the reason while using the modifiers requires attention. However, we know the complexities of this specialty and with many happy clients, we have focussed in providing correct cardiology billing […]

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Documentation Guidelines for Cardiology

Specifying anatomical location and laterality required by ICD-10 is easier than you think. This detail reflects how physicians and clinicians communicate and to what they pay attention to – it is a matter of ensuring the information is captured in your documentation. In ICD-10-CM, there are three main categories of changes Definition Change; Terminology Differences; […]

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Cardiology Billing and Coding Updates: 2021

Cardiology billing services are designed to help you maximize collections by meeting government regulations and private payer requirements. Since 2016 when ICD-10 became the official code set for the United States we saw several changes to cardiovascular diagnosis codes. No more hypertension table, we now have a new way to code hypertension (I10 – I15). […]

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Cardiology Coding Got You Down? Use These 5 Tips For Success!

Your cardiology practice isn’t alone if you’re concerned about overcoming reimbursement hurdles in the coming year. Apart from nailing down CPT, ICD-10, and HCPCS code changes, you’ll also need a firm grasp on documentation requirements, quarterly CCI edits, regulatory updates, and revisions to modifiers, payer policies, the fee schedule, OIG watch list, and more. Understand […]

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Essential Tips for Handling Cardiology Coding and Billing

Cardiology billing and coding comes with multiple procedure rules, complex contractual adjustments, and codes that change regularly. CPT code assignment has the potential to be challenging, particularly when modifiers are used, and staying up to date with new codes, code revisions, and deleted codes takes a significant time investment. Cardiology billing also offers a unique […]

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