CV Procedures in the ASC: Coding, Billing and Reimbursement for Cath, PCI, Vascular, EP and Device Services

Description

As cardiovascular procedures continue to expand in the ambulatory surgery center (ASC) setting, coding and revenue cycle teams must understand the unique billing and reimbursement requirements associated with these services. This session provides coders, revenue cycle teams, physicians, cath/electrophysiology (EP) lab staff, ASC billing teams and leaders a cardiovascular-specific review of procedures performed in ASCs, with an emphasis on accurate coding, documentation, bundling, modifier use and payment considerations.

Using practical examples, participants will examine differences between professional and ASC billing, identify separately reportable versus bundled services, and address common reimbursement and claim challenges for cardiovascular procedures in the ASC.


Objectives:
• Apply coding and billing requirements for procedures performed in the ASC.
• Identify bundled and separately reportable services, including appropriate modifier use.
• Understand Medicare ASC payment and reimbursement considerations for cardiovascular and EP services.
• Recognize documentation and claim issues that may affect reimbursement, denials and revenue integrity.

Speakers

Jammie Quimby, CPC, CCC, CEMC, CCS-P, CPMA, CRC, CDEO, CPCO
Director of Coding, Revenue Cycle Solutions, MedAxiom

Joline Bruder, CPC, CPMA, CCVTC, CGSC, CCC
Manager, Revenue Cycle Solutions Surgery Coding, MedAxiom