Protect your CRM revenue stream and keep the auditors at bay
Your facility depends on the high reimbursements from cardiac rhythm management (CRM) and electrophysiology (EP) procedures. However, low coding accuracy rates, exacerbated by complex and/or inadequate physician documentation, may be opening the door to auditors eager to find mistakes and take back some of that revenue — exactly why you can't afford to be without this proven resource.
Features and Benefits
Our EP/CRM experts address common questions, concerns and problem areas:
- Overcoming physician documentation issues, specifically the highly technical language and critical missing details, that can prevent you from assigning the correct codes
- Coding for ablation procedures, including the use of add-on codes
- Diagnostic EP — what may and may not be coded
- Coding rules and guidelines for the implantation, replacement and removal of temporary pacemakers
- Coding and billing for device remote monitoring — an area of growth for many facilities
Updated annually to address new and problematic areas including:
- Step by step guidance through any new, deleted and revised codes for reporting CRM services and devices
- Guidance addressing NCD updates, coverage concerns or possible auditor targets
- Expanded guidance with coding for new technologies (such as leadless pacemakers) in this rapidly evolving specialty
Clear, step-by-step guidance through the tasks you perform every day:
- Coding, billing and documentation for a broad range of CRM devices and procedures, including pacemakers, cardioverter-defibrillators, subcutaneous defibrillators, electrodes, noninvasive program stimulation, EP studies, ablation and cardiovascular electronic device analysis
- Covers code assignments by both hospital (technical) and physician (professional) entities
A proven approach to effective learning and quick reference for busy professionals:
- Easy to navigate for all patient settings; content is organized into three main sections:
- Basics and background information — includes explanations of common procedures, along with indications and Medicare coverage
- Outpatient coding and billing — includes the various coding systems, hospital OPPS and ASC payments and coding for specific procedures
- Inpatient coding and billing — includes ICD-10 coding system, MS-DRG payments and coding for specific procedures
- Each section on specific procedures includes:
- Description of the procedure and how it's performed
- Appropriate CPT®/HCPCS or ICD-10 code assignments
- Billing tips
- Clinical examples to reinforce the correct application of current procedural codes and coding rules
CPT® is a registered trademark of the American Medical Association.
For certain MedLearn Publishing publications, you will see an 'AMA Royalty Fee' in your shopping cart. This charge covers the licensing fee MedLearn Publishing pays to the American Medical Association (AMA) for references to CPT® codes. The AMA owns the copyright for CPT codes.
When will my book ship? We will begin publishing our 2020 books immediately after the CMS releases the 2020 Final Rule. We anticipate this will be in early November, and estimate our books will begin shipping in December.