Cardiology Medical Billing Services and Practice Management Consultants
Recent changes to coding and billing regulations due to the new Patient Protection and Affordable Care Act has dramatically effected the treatment for reimbursement.
of in-office imaging, echo services, 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.
Health Care Reform and the health care legislation, Patient Protection and Affordable Care Act has had a direct impact on cardiology practices. With the new legislation, Medicare, Medicaid and health insurance reimbursement payments are now focused on episodes of care. Cardiology practice relationships with hospitals have seen intense legislative changes, as well, requiring the need for hospitals to work more closely with cardiologists for effective optimization of care delivery for patients.
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.
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.
PGM has over thirty years of experience in cardiology billing. PGM will work hand-in-hand with your practice to help identify problem areas such as the correct use of modifiers, and educate your practice on best-in-class medical billing practices and procedures. Our team of certified medical billing experts and medical coders will manage all aspects of your cardiology billing to help ensure your practice receives proper compensation for services provided.
To learn more about PGM’s cardiology medical billing services, request a free demo or contact us for more information.
ICD-10 experts who have developed comprehensive training and resources to guide your practice through the ICD-10 transition. Whether you’re a large facility or an independent practice, we have solutions that will fit your needs.
Expert consensus document on ethical coding and billing practices for cardiovascular medicine specialists
provides guidance to cardiovascular specialists on appropriate and ethical coding of physician services and procedures.
Cardiology Medical Billing Services – We provide cost effective onshore cardiology medical billing services to improve your financial outcome.
We provide cardiology billing services to practices, individual physicians and healthcare providers who specialize in the cardiology field.
Cardiology Billing Services – Cardiology Medical Billing
We have partnered with Cardiologists and Cardiology Practices for more than 30 years and have become their trusted medical billing solution.
A cardiology billing company should increase your reimbursements. In fact, it should be more efficient and effective at billing than your own office. A cardiology billing company should let you and your personnel focus on practicing medicine. Whether you own a private practice or work in a hospital or multi-provider facility, a cardiology billing service can make your practice more profitable.
According to industry experts, a claims adjustment rate of between 20% and 35% is considered good and acceptable. At 5 Star, our account executives have an average of eight years in cardiology billing. Their knowledge, ability, and dedicated follow-up is why our adjustment rate is consistently lower – as low as 12% with Medicare. At 5 Star, we achieve AR rates for our practices that are higher than the industry average. Simply put, you and your practice will get a higher average return per processed claim.
5 Star Billing Services is more than a claims processing center, because we offer multiple benefits and billing services. Our state-of-the-art billing system generates accurately-coded claims daily and submits them electronically. Once your superbills are processed, payment can be received in as little as ten days instead of three months.
A Cardiology Billing Company Should Help Reduce Your Expenses
Our clients reduce their office expenses by using our services and software – all you need is a PC and access to the Internet. Our practice management software is all-inclusive and is part of our standard service. There are no costly software updates or support fees. There are no hidden costs or additional charges.
5 Star Billing Services is unique in the field of cardiology billing. We offer a complete business solution to your medical billing and practice management needs, and we do it all for one fee. All the medical billing services and benefits you receive are included, even your overnight mail for shipping your demographics.
Our fee is below the national average. Our goal is to provide the highest return on your claims at a competitive price, without sacrificing service or patient support.