Recent changes to coding and billing regulations have led to considerable fee reductions in cardiology over the last several years. While the average Medicare fee increased by 1.1%, Medicare fees for cardiology have declined by nearly 2% year over year. Changes in the treatment of in-office imaging, echo services like Doppler and color flow, follow-up on implanted devices and external devices including new codes for interrogation and reprogramming of ICM and ICD devices often lead to billing errors and reduced payment. If your cardiology billing department is not fully aware of these ongoing changes and the necessary response methods, you may see a significant negative impact on your practice’s bottom line.
In addition, cardiology billing is complex and requires a high level of experience and knowledge for appropriate coding, modifier application and general medical billing procedures. Billing specifics such as checking medical necessity verification, selective and non-selective catheterization coding, component coding, etc., require ever increasing levels of billing expertise and efficiency