decisionhealth Newsletters, Coder Pink Sheets - 2009 Issue 7 (July)
New remote codes prompt some to phase out phone checks
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Article Overview
This article is aimed at cardiology practices, billing staff, and coding/compliance professionals who handle device-monitoring services. It explains the operational and reimbursement impact of newly introduced remote monitoring codes, discusses billable versus non-billable device checks, and highlights payer-processing issues and internal tracking considerations that practices may want to review.
Why This Topic Matters
The article helps practices evaluate whether their current device-monitoring workflows, billing patterns, and claim-edit handling align with newer remote-service options and payer expectations.
Article Sections
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Remote device checks and practice transition
Introduces the shift from telephone-based checks to Internet-based remote monitoring and discusses why practices may review their workflows. It also frames the broader operational and financial context for cardiology practices.
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Billable vs. non-billable device checks
Reviews how practices may compare billable and non-billable device-monitoring services and why those ratios can matter. The section also addresses internal auditing and distinguishing different in-office device services.
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Additional remote monitoring billing concerns
Covers payer and claim-processing issues associated with remote monitoring services, including third-party billing concerns and denials tied to claim edits. It also notes practice-level follow-up steps discussed in the article.
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How to track non-billables
Describes an internal tracking approach for monitoring non-billable device services over time. The focus is on using internal coding totals for practice management analysis.
What You Will Learn
- How the article frames the move from telephonic to Internet-based remote device checks
- What practice-management topics are raised around billable and non-billable device-monitoring services
- Which billing and claims-processing issues are discussed for remote monitoring services
- How practices may organize internal tracking of non-billable device checks
Who Should Read This
- Cardiology practices
- Medical coders
- Billing staff
- Compliance managers
- Practice administrators
Codes Discussed
Code Ranges Discussed
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