A clear understanding is critical to full reimbursement
The coding and billing rules for CRM procedures continue to baffle providers across the country, as technology evolves and the CMS issues new directives. Consequently, many hospitals and practices leave precious dollars on the table, while others may be over coding and exposing themselves to regulatory action. MedLearn’s Cardiac Rhythm Management Coder is proving to be a valuable tool for coders, billing departments, technical staff and others, as they navigate through the complexities. Highlights:
- Easy-to-understand explanations of the technology and rules pertaining to CRM coding, coverage and reimbursement for inpatients and outpatients
- Fundamentals of coding and reimbursement for automated implantable cardiac defibrillators (AICDs), diagnostic electrophysiology and oblation procedures, spanning professional, inpatient and outpatient components
- Step-by-step guidance through coding for CRM therapies
- CPT® codes for the analysis of pacemakers, AICDs and physiological monitoring devices
- Updated 2011 payment policies and payment tables
- NEW FOR 2011:
- Detailed guidance with the new code for the transeptal approach used in ablation studies — has a financial impact of $2,700 (hospitals) and $150 (physicians) per patient
- New information on coding changes and guidelines for external device monitoring, including clarification of how to bill for 48-hour Holter monitoring
Findings from MedLearn consulting experts
MedLearn consulting experts speak from their real-world experiences regarding the potential benefits of Cardiac Rhythm Management Coder to healthcare organizations:
Wrong code for AICD procedure — “One of my hospital clients discovered that coders were assigning the wrong code for AICD procedures, a potential loss of $64,000 per patient. Multiplied by many patients over the course of a year, this could have had a huge negative hit to their bottom line.”
Expanding practices — “Many cardiology practices are hiring EP specialists. This book can be a tremendous help in training staff to code and bill for EP procedures.”
Educating HIM coders — “CRM procedures are among the most challenging for new coders. With this book at their fingertips, they’ll have an easier time getting up to speed with CRM technologies and the corresponding codes.”
CPT is a registered trademark of the American Medical Association
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