Reviewing Medicare Part B claims is a big area of focus in 2013 for the HHS Office of Inspector General (OIG).
And it is anticipated that Cardiology revenue cycle management will be hit significantly with coding changes.
Before the New Year, get to know all areas of change in compliance and how they will impact your Cardiology medical coding, billing and collections.
With all the compliance regulations today, it’s a struggle to optimize Cardiology revenue cycle management, particularly when compliance needs to be upheld, denied claims need to be appealed and grueling technical questions about diagnoses and procedures need to be answered.
Updating your Cardiology practice compliance plan is essential before the New Year. Will your plan fully identify areas of risk and key areas to correct? Even one inadvertent oversight can cost your Cardiology practice significantly.
To help you understand some of the changes on the horizon, the following includes pertinent OIG regulations for 2013:
- Electrodiagnostic Testing—Questionable Billing (New)
- Claims Processing Errors—Medicare Payments for Part B Claims With G Modifiers (New)
- Evaluation and Management Services—Use of Modifiers During the Global Surgery Period
- Physicians and Other Suppliers—Noncompliance With Assignment Rules and Excessive Billing of Beneficiaries
- Physicians—Error Rate for Incident-To Services Performed by Non-physicians
- Physicians—Place-of-Service Coding Errors
- Evaluation and Management Services—Potentially Inappropriate Payments in 2010
- Laboratory Tests—Billing Characteristics and Questionable Billing in 2010
- Laboratory Tests—Part B Payments for Glycated Hemoglobin A1C Tests
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Keeping you continually up to date on compliance, while maximizing your return from Cardiology coding, billing and collections, is revMD’s specialty… and passion.
Formerly known as Asterino & Associates, revMD is the results-proven alternative for Cardiology revenue cycle management based just east of Phoenix, Arizona. They specialize in Cardiology practice compliance and continually maintain tight adherence to OIG regulations. revMD works closely with Cardiology practices to ensure a compliance plan is in place. Fully prepared for OIG regulation changes in 2013, revMD ensures that Cardiology medical coding, billing and collections reduce denied claims with the highest levels of compliance while yielding optimal revenue reimbursement. And they eliminate the headache for in-house Cardiology coding, billing and collections teams that try on their own to juggle all the changes along with their delivery of patient care.
Any more, it takes an industry insider with the experience that only builds when your services have responded to the specific needs of Cardiology revenue cycle management for more than 25 years.
For further OIG Work Plan details: Download a PDF of the 2013 OIG Work Plan.