Medical billing is one of the composite processes which you need to build up gradually and efficiently. Cardiology billing can be said as the most laborious chore in the entire medical billing process as it deals with diverse rules and regulations. Because of its intricate, nature handling that requires the billers and coders to spend a great deal of time to process the claims. The coding experts are required to equip themselves with continuous changes in the coding rules and adhering to compliance standards. Let us get ready for an error-free cardiology billing by following some simple steps discussed below:
Tip 1 - Complete and accurate documentation
The key to successful cardiology billing is by billing all billable procedures performed including patient's comorbidities and by coding all possible and codable elements. For this reason, accurate documentation of all procedures done is of paramount importance. Any difference or miss in the documentation will lead to miss a billable procedure from getting billed and lead to loss of revenue. Once a claim is submitted with improper documentation, it is difficult and time-consuming to rebill the corrected claims with the payer. Hence it is advisable to make sure claims are submitted error-free at the first submission itself.
Tip 2 - Points to focus on cardiology billing
Look for diagnosis to code instead of coding symptoms unless they are required. Check out the payer-specific instructions and before coding symptoms that are not directly associated with the disease and code accordingly. Chart all relevant Comorbid conditions that were considered while treating the patients will help the payers understand the complexity of the procedure. Patient’s Diagnosis along with comorbid conditions when billed may conduce higher reimbursement.
Tip 3 – Accurate Coding leads to Faster reimbursement
Make sure your coding team stays abreast of the frequent changes in medical coding updated by CMS. To avoid coding errors and increase your reimbursement, follow the below:
Tip 4 – Periodic Audit
Auditing billing and coding files will enhance the overall quality of claims and help increase revenue. The periodic audit helps in identifying major shortfalls in the billing and coding process also in taking adequate steps to cease them from reoccurring.
Tip 5 – Highly trained and experienced staff
Cardiology billing and coding requires demanding expertise and skilled billers and coders to understand the hidden nuances in handling the process and work on them efficiently and help smoothen the billing process. It is imperative that the billers and coders assigned to handle Cardiology billing are well experienced and are up to date with all the client-specific coding guidelines as well as the recent updates from the CMS on any changes in ICD 10, CPT or HCPCS coding guidelines.
Tip 6 – Outsourcing Cardiology Billing to Offshore billing company
An offshore medical billing company has a highly trained and experienced team to handle the most complex and profitable Cardiology billing process. Their team would be well versed with the CMS rules and guidelines for cardiology billing and take utmost care to abide by them in handling every claim and follow up on them closely until reimbursed. Outsourcing your cardiology billing to an established medical billing company that has skilled staff and the latest technology can reduce your burden and ensure maximum reimbursement.
About e-care
E-care India is one of the pioneering offshore Cardiology medical billing companies based in India that promises to avoid the risks involved with Cardiology billing and coding. With 20 years of experience in the industry, e-care’s 3 delivery centers have been providing end-to-end medical claims processing services seamlessly to its clients. To know more about e-care and its services, log on to www.ecareindia.com
