Collections and Appeals for the Cardiology Specialty

Best Practices for Efficient Collections and Appeals for the Cardiology Specialty

Medical billing services for cardiology can be more challenging than for other specialties due to the fact that cardiology medical procedures tend to be more intricate and complex. This means that medical coders working for cardiology facilities should be specialized in cardiovascular terminology, services and procedures. Besides having a high level of coding experience, they should also understand general billing procedures and processes, such as modifier application, component coding and more.

Join this session by Terry Fletcher to get insights on how to be efficient in the billing office for the Cardiology specialty. During the session, Terry will go over rules for collecting from payers and patients with a focus on Medicare. Also, specific cardiology examples will be given to use as guides for your next appeal. The objective of this session is to maximize your reimbursement with assistance on denied claims follow up for Cardiology.

Session Highlights

• Office policy language to assist in setting the standard for collecting patient share of cost
• Written financial plans
• Steps to expediting claim payments
• Dealing with self-pay patients
• Successful claims appeals
• Discussion of "waiving" patient out of pocket
• Understanding "cash discounts"
• Can I offer a time-of-service discount?
• Can I offer a “sliding-scale” to patients experiencing financial hardship?
• Working with insurers to capture reimbursement the first time
• Fixing easy claim mistakes
• When to send an appeal or a reconsideration form or a rebill
• Negotiating contracts

Session Snapshots:

• Office policies
  • Patient registration policy
  • Financial policy
• Federal poverty thresholds and guidelines
• Insurance claims
  • Medicare and commercial payer
  • Collections and appeals
• Prerequisites for sending the appeal
• Denial and appeal examples
• PV tips for peripheral intervention clean claims and appeal language
• PV infusion therapy denials
• Payer request for refunds and refunds on overpayments
• Renegotiating payer contracts for 2017
• Recommended cardiology tools for better efficiency

Who should attend?

• Coders
• Billers
• Collectors
• Central Billing office employees
• Front office
• Administrators
• Physicians

At the Q&A session following the live event, ask a question and get advice unique to your situation, directly from our expert speaker.

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