Avoid These Mistakes in Cardiology Billing

The treatment has advanced the leaps and bounds in the last few decades. However, heart diseases remain one of the leading causes of death in the U.S. Along with this, the demand for cardiology practices have increased as well. However, high demand and top-tier salaries do not matter much if you are facing issues with cardiology billing services within your small practice.

To maintain a streamlined cardiology billing and coding you must learn about the major mistakes you might be making within your practice which is hampering your revenue growth. In this blog we discussed the fatal mistakes of cardiology coding and billing practices and identified a feasible solution that can maintain functionality and financial stability of your practice.

Major Pitfalls in Cardiology Billing

Cardiology coding, claims and reimbursements can get complex due to the daunting requirements of documentation. And you might find yourself juggling between the administrative tasks and clinical responsibilities and yet the margins are thinning. Here are some of the pitfalls you must avoid to maintain a streamlined revenue cycle management.

  1. Not checking coverage guidelines: When there is a medical necessity, rendering the service as a practitioner is your priority. However, instigating a proper revenue cycle management starts from the moment a patient enters your facility. Not checking the insurance coverage guidelines and providing the service can put your reimbursement at stake and continuation of the same can result in a downfall of your revenue.
  2. Missing codes for comorbidities: Cardiology patients often face more than one diagnosis, also known as comorbidities. Usually, a patient with heart disease can also suffer from diabetes, hypertension and COPD. When it comes to accurate cardiology billing and coding, documenting these comorbidities ensures you get accurate reimbursements for rendered services.
  3. Missing modifiers: Along with ICD-10 and CPT codes if you do not document accurate modifiers for the rendered services, you might face the issue of claim rejection. Moreover, it has been identified that several practices submit symptom codes instead of diagnosis codes. To obtain a precise reimbursement for the rendered services always submit symptoms codes if they are unrelated to the diagnosis.

Wrapping Up

Navigating through the complex realm of cardiology billing and coding is difficult when you have numerous clinical responsibilities. Outsourcing of the medical billing and coding services has gained popularity in the last few years and greatly impacts the revenue of healthcare practices. When you partner with an offshoring RCM company, you can leverage the benefit of dedicated virtual assistants handling your pre and post billing services. They are well-versed with the industry guidelines and norms when it comes to coding and billing practices. Also, they use comprehensive technologies to analyze your process and provide you with actionable support to enhance your revenue. They help you to eliminate errors in billing and coding practices and submit cleaner claims. Find a reliable outsourced team of medical billers and coders who can drive your ROI in the long run.