Cardiology billing is one of the most complex medical billing processes for physicians and billing experts. Policy changes made by the insurance payers, new regulations announcements have made cardiology billing a more complex one. These challenges impact the physician’s revenue cycle. Let us discuss the challenges in cardiology billing.
Understand Modifiers for Cardiology
MGSI knows that Cardiology billing is difficult and requires knowledgeable professionals for appropriate medical coding & billing procedures, modifier application. Billing details such as medical necessity verification, coding, etc., increase the levels of billing expertise and efficiency.
Modifiers are one of the critical components in medical coding. If it is used incorrectly, it will impact the revenue. By using the correct modifiers, we can get faster revenue and audit compliance improved.
MGSI will work with your practice to find out the problem areas such as the correct use of modifiers and maximize the revenues for the services rendered.
Documentation
Inaccurate documentation leads to coding inconsistencies that directly impact the revenue cycle and lead to decreased reimbursements. If some procedures are not documented that will end up missing potential codes. Documentation should include supplies used, medications used outside the standard, etc.
Understand the Combo Codes
For cardiology coding, a lot of combination codes are available with ICD-10-CM. Based on the patient’s conditions accurate combination code need to be used. Here a few instructions for cardiology coding, such as,
- Use additional code
- Code also or Code first
Stay Updated on Cardiology Coding
CPT and HCPCS codes change frequently. So billing experts should stay update on these codes. To stay updated on coding, refer to CMS website.
Focus on Diagnosis Instead of Symptom Coding
Try to avoid the symptom coding when the symptom reporting is not needed. If the diagnosis is confirmed for patients, then use the diagnosis report and avoid the symptom coding. Symptoms usually are not associated with a disease that may be reported according to ICD-10 official guidelines.
About MGSI
MGSI is one of the experienced and reputed medical billing companies in Florida, US. MGSI is an A+ rated company with Better Business Bureau. We are a HIPAA compliant, ensuring high levels of security to patient information. We have 25 years of experience in the healthcare industry. We provide cardiology billing services, radiology billing services, anesthesia billing services, AR follows up, Denial management, etc. For error-free claim submission, we use the latest technologies and software. To learn more about our medical billing and coding services, visit us at www.mgsionline.com.