decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 9 (September)
Be prepared to support device checks on ICDs and CRT-Ds
Subscribe or sign in to view the full article.
Article Overview
This article discusses growing scrutiny of billing for cardiac device checks, especially for implantable cardioverter defibrillators and cardiac resynchronization therapy defibrillators. It explains why Medicare and private payers are asking more questions about the medical necessity of monitoring services, how recall-related follow-up is drawing attention, and what kinds of documentation requests practices may face. The piece is relevant to cardiology practices, physicians, and coding/billing staff who handle device monitoring claims.
Why This Topic Matters
Payers are increasingly reviewing whether device checks are medically necessary or tied to manufacturer recalls, which can affect reimbursement and documentation burden. Practices that bill these services need to understand the general compliance and audit environment surrounding remote and in-office monitoring.
What You Will Learn
- Why device check claims for cardiac implantable devices are attracting payer scrutiny
- What kinds of documentation and audit questions Medicare and commercial payers may raise
- How recall-related monitoring can affect billing and reimbursement review
- Why cardiology practices should be prepared to support the need for repeated device checks
Who Should Read This
- Cardiology practices
- Physicians
- Medical coders
- Billing staff
- Compliance staff
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com