Billing errors in any medical practice can lead to rejected claims, late payments, and wasted time. As a result, any efforts to streamline the process and improve accuracy are worthwhile. What are some of the ways that you can keep mistakes from happening in cardiology billing? Here are some of our best tips!
Documentation is essential when you complete cardiology billing or other types of medical billing. Make sure you are using the most recent codes, and check to ensure that each patient receives the correct number of codes for the services you provided to them. You need to enter the correct procedural codes to ensure insurance claims are accepted, and you will need to spend time and effort correcting and resubmitting your claim.
Pay Attention to Code Changes
Your cardiology billing team should be familiar with current codes and changes to codes when they go into effect. Additionally, you should stay abreast of any changes with your local or state billing regulatory bodies. If you accurately submit your claims, they will likely be accepted, cutting your time spent on billing, and increasing revenue. The right billing team makes it easy to ensure that you are getting prompt payment.
Properly Using Combination Codes and Symptom Codes
In cardiology billing, combination codes sometimes allow for greater specificity as to what is happening with the patient. Any time you use a code that includes a comment like “use additional code” or “code first,” you should provide as much information as possible and use other codes to create a complete picture of what occurred. However, you should not add symptom codes if there is no request for additional codes. This can negatively impact your reimbursements and increase your claim rejection rates.
When you are completing your cardiology billing, you should factor in any comorbidities that the patient has. For example, consider a patient who has anemia and congestive heart failure. At their appointment for a procedure, you should mention those two comorbidities and diagnosis codes so that the insurance company reimburses you accordingly. Leaving off this relevant information can decrease the reimbursement you receive.
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