CONSULTS: Crackdown May Hit Your Subspecialty Consults Extra Hard

Article Overview

This article explains how consult claims involving cardiology subspecialties are drawing more denials, especially in the hospital setting. It focuses on the general reasons payers may question these claims, the kinds of coding and documentation issues raised by billers, and the appeal/resubmission approaches that are being discussed. The piece is relevant to coding professionals, cardiology practices, electrophysiology offices, and compliance staff who manage consult billing and payer responses.