Advances in cardiology in recent years have increased the success of treatment but have also resulted in new and more complex medical billing requirements. Outsourcing to an experienced cardiology billing service has proven to increase revenue and reduce stress.
The medical billing process starts in the scheduling phase when insurance coverage has to be confirmed. Even little details such as whether the appointment happens in an in-patient, out-patient, or emergency room/urgent care setting must be correctly coded or the claim will be denied. Med Billing RES coders and billers pay attention to those details.
Modifiers are an important part of cardiology billing and coding. These additional subcategories of numeric codes are required to give the necessary details to be reimbursed for all services delivered.
While inexperienced billers and coders can look up the general code for a procedure, they often do not know how many levels of modifiers they need to include or all the numerically coded information that needs to be added.
Payers are trending towards more bundled codes, which can simplify billing—but coders must recognize any variance from the standard bundled items and know how to itemize them to avoid over- and under-coding. Med Billing RES billing and coding team is trained to recognize these special cases and know how to handle them. Get in touch if you’d like to find out more about how we can simplify your medical billing
A family medicine practice may see hundreds of patients daily, resulting in a huge number of low-dollar claims being filed. But in cardiology, examinations and treatments are more in-depth and time-consuming, so far fewer patients are seen each day. If a cardiologist sees 10 or 15 people on a normal day, the loss of revenue for a single unpaid claim can result in the loss of up to 10% of the day’s income. Our cardiology billing services reduce denials and increase payments. We also track each claim, so none ever get lost or abandoned, which often happens with less experienced billers or in the absence of a proven system for claims management.
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