A provider's success or failure in the value based reimbursement system will be heavily dependent on patient visits. Visits are where quality measures will be captured, where medical plans will be established, and where a growing amount of fee-for-service revenue is already being generated.
We are very effective at enabling providers to efficiently document visits and to feel confident when assigning service levels.
Omitting a critical word or two can cut reimbursement for EP procedures in half
Having unqualified people assign codes to ablation procedures can cut reimbursement in half
Every electrophysiologist needs to understand how drastically their wording impacts revenue and compliance. They should also be proficient at coding their own procedures.... Jim makes that easy.
Cardiac Rhythm Management Procedures
In addition to coding, Jim explains timely and pertinent issues that impact physicians who perform pacemaker, defibrillator, and loop recorder surgeries.
Clinical indications vs. Medicare coverage for devices
Left ventricular lead coverage
Wait periods for NIDCM, MI, and PCI
NCD/LCD status of pacemakers
Modifiers, registriy ID numbers, diagnosis codes, etc...
Invasive & Interventional
Subtle wording nuances are frequently the only things that differentiate codes for procedures in the coronary and peripheral vasculature. Premium reimbursement is available for some procedures as long as the operative reports accurately establish the nature of the lesion or the technique used. Providers and coders can benefit greatly from a structured presentation of the applicable coding and documentation rules.