decisionhealth Newsletters, Coder Pink Sheets - 2009 Issue 10 (October)
Cardiology RoundUp: Lost revenue alert: Contract for your informal EKG requests
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Article Overview
This article discusses cardiology revenue-cycle issues related to informal electrocardiogram interpretation requests and the move toward more formal contracting with facilities and hospitals. It also notes Medicare payment pressure affecting EKG-related services and highlights why practices should review their billing arrangements and reimbursement outlook. The content is aimed at cardiology practices, compliance staff, and billing professionals who manage diagnostic testing revenue.
Why This Topic Matters
It helps practices recognize where interpretation work may be performed without corresponding reimbursement and understand why formal agreements and fee-schedule awareness can affect revenue planning.
What You Will Learn
- How informal EKG interpretation requests can lead to missed reimbursement opportunities
- Why cardiology practices may consider formal contracts with facilities or hospitals
- How Medicare fee changes can affect planning for EKG-related services
- What revenue-cycle issues are associated with interpretation services
Who Should Read This
- Cardiology practices
- Practice managers
- Compliance staff
- Medical billing professionals
- Revenue cycle teams
Codes Discussed
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