Coding & Billing

2014 EP Coding and Reimbursement Frequently Asked Questions
Biosense Webster Resources to help optimize reimbursement and minimize denials.

How to Maximize EP Service Revenue- A Coding & Billing Primer
A review of the coding and billing process with several suggestions for how to maximize your reimbursement. Text. EPreward.

Medicare Access and CHIP Reauthorization Act of 2015, also known as MACRA
On April 27, 2016, the Centers for Medicare and Medicaid Services released the proposed regulations establishing the Medicare Access and CHIP Reauthorization Act of 2015, also known as MACRA. The new physician payment system permanently eliminates the Sustainable Growth Rate and provides positive annual payment updates through 2019. Beginning in 2019, physicians can choose between two different pathway models: Merit-Based Incentive Payment System (MIPS), or Alternative Payment Models (APMs) The Heart Rhythm Society has developed a high-level summary explaining the composition of this program, as well as how this new program will affect heart rhythm care practices.

Navigating the Open Payments Program
The Physician Payments Sunshine Act requires manufacturers of drugs, medical devices and biologicals that participate in U.S. federal health care programs to report certain payments and items of value given to physicians and teaching hospitals. As required by the legislation, The Centers for Medicare & Medicaid Services (CMS) implemented the Sunshine Act and developed the transparency program called it the Open Payments. Manufacturers now are required to submit annual data on payment and other transfers of value that they make to covered recipients, which are published on an annual basis at the end of June. Physicians have the opportunity to review and disputed the data submitted by the manufacturers prior to its publication during a 45 day review period.

The CardiologyBiller.Com EP & CRM Superbill A form tool that can be used in practice on how to code a-fib cases.

Top Ten Regulatory Landmines in EP
The government is spending approximately $1.8 billion to audit and prosecute healthcare fraud this year. You minimize your risk of being penalized by becoming familiar with the top ten regulatory landmines faced by electrophysiologists when billing for their services. Text. EP Lab Digest.