How your Cardiology can Ensure Appropriate Reimbursements with ICD-10?

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How your Cardiology can Ensure Appropriate
Reimbursements with ICD-10?

• By now it is a well-known fact that failure to
  implement the ICD-10 coding system can lead to a
  domino effect affecting medical
  coding and medical billing backlogs, causing a
  cash flow delay, which in turn can increase claim
  rejections and/or denials thus causing unintended
  shifts in payments affecting Revenue Management.
• Moreover inaccurate clinical coding further leads
  to misinterpreted information about patient care
  which can have disastrous consequences in terms
  of faulty investment decisions to improve health
  delivery. This attack, right at the heart of the
  matter can cause disruption in the smooth flow of
  the Revenue Management Services of cardiology
  services in particular.
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• When implementing ICD-10 into your Cardiology
  practice certain practices should be integrated
  in order to ensure appropriate reimbursements
• Ensure that any product employed in your
  cardiology procedure is FDA approved, as some
  payers, including some Medicare contractors, may
  treat it as a non-covered service.

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How your Cardiology can Ensure Appropriate
Reimbursements with ICD-10?

• Documentation of Timeframes for an incident is
  very vital and should be documented as that is
  now taken into consideration when employing
  the ICD-10 coding system.
• The ICD-10 transition has brought in increased
  Terminology and Specificity of the incidence-
  hence medical coders/Coding services with updated
  knowledge and documentation with great accuracy
  is the need of the hour.
• Medical Coders or those involved in code mapping
  services need to be able to now translate the
  clinical information from the operative report
  into the ICD10 system with greater accuracy. One
  incorrect character can undermine your claim.
• With respect to outpatient billing, Medicare
  reimburses hospitals for outpatient stays of less
  than two midnights under the Ambulatory Payment
  Classification groups. However, comprehensive
  APCs is known to now reimburse a single
  all-inclusive payment for the primary service and
  hence no additional reimbursement for additional
  adjunctive services and supplies used during the
  delivery of the primary procedure is now
  permissible. Hospitals are thus encouraged to
  report device category codes (C-codes) on claims
  when such devices are used in conjunction with
  the procedure(s) billed and paid for under the
  OPPS.

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How your Cardiology can Ensure Appropriate
Reimbursements with ICD-10?

• With respect to inpatient services, ensure that
  new Diagnostic Related Groups (DRG) methodologies
  are put into effect to help translate the new
  codes into DRGs for payment, given that
  reimbursement rates based on negotiated case
  rates tied to specific DRGs will be most
  impacted. Depending upon the Diagnostic Related
  Groupers reimbursement rates may vary with the
  shift to the ICD-10 coding system. For example,
  cases assigned to MS-DRG 003, ECMO, or
  Tracheostomy with Mechanical Ventilation for 96
  Hours and billed according will show a small
  increase in reimbursements. Incorrect coding will
  lead to incorrectly assigned Diagnostic Related
  Grouper which could cause a drop in
  reimbursements thus affecting the Revenue
  Management Services.
• At the heart of the matter is accurate
  documentation, translation of the clinical matter
  into the relevant and appropriate ICD-10 codes,
  and an understanding of Diagnostic related
  Groupers, especially with respect to inpatient
  services, a combination which can help improve
  revenues, which can best be outsourced to Medical
  Coding and Billing Services, while cardiologists
  best focus on the health delivery of the patient
  and use the resources for better implementation
  of healthcare.
• Medical Billers and Coders (MBC) is a leading
  medical billing company providing complete
  revenue cycle services. To know more about
  our Cardiology Billing and Coding services,
  contact us at info_at_medicalbillersandcoders.com/888
  -357-3226.