Cardiac Rhythm Management Coder-e-Book

An expert resource to streamline coding output and quality for unmatched success in CRM/EP services

Cardiac rhythm management (CRM) and electrophysiology (EP) procedures generate substantial revenue for hospitals and physician practices. But reimbursements can be elusive due to low coding accuracy rates, inconsistent and highly technical physician documentation, along with the sheer complexity of the procedures themselves. Even if revenues are meeting expectations, your claims may be vulnerable to auditors who are fully prepared to find mistakes and take back payments.

Could it get any tougher? The answer is a resounding “yes,” because many coders find themselves struggling with many of the new, deleted and revised codes that have been implemented in recent years, including new codes for remote physiologic monitoring and leadless pacemakers.

Protecting vital CRM/EP revenues hinges upon making certain you have the most dependable and trusted how-to resources at your fingertips. Besides helping you navigate the inherent challenges of CRM coding, billing and documentation, our Cardiac Rhythm Management Coder book will guide you through many recent changes that profoundly impact reimbursements and compliance.

Features and Benefits

Our experts address common questions, concerns, and problem areas:

Overcoming physician documentation issues, specifically the highly technical language and critical missing details, that can prevent you from assigning the correct codes

Comprehending subtle differences among procedures and how they relate to code selection

Coding for ablation procedures, including the use of add-on codes

Diagnostic EP — what may and may not be coded

Coding rules and guidelines for the implantation, replacement and removal of temporary pacemakers

The unique challenges and nuances of coding and billing for device remote monitoring — an area of growth for many facilities

Insight on important topics including:

Information on all new, deleted and revised codes for the year

Guidance with remote physiologic monitoring codes and information on telemedicine/virtual visits as it relates to remote monitoring

Instruction and tips to clarify use of leadless pacemaker codes, as well as revisions to codes for imaging guidance and device evaluations

Information on implantable cardioverter defibrillator procedures and the corresponding category III subsection

Responses to frequent areas of concern, including coding for remote monitoring, HIS bundle lead with insertion of pacemaker system, electrode repair, diagnostic EP and ablation procedures

Updated information on NCCI edits and their impact on CRM services