The Centers for Medicare & Medicaid Services has granted a new specialty designation for interventional cardiology, according to numerous reports, including a Society for Cardiovascular Angiography and Interventions press release.
The new specialty code will allow CMS to distinguish an interventional cardiologist from a clinical cardiologist when billing Medicare for services. The designation is expected to take effect later this year.
As the American College of Cardiology notes, “Previously, no mechanism existed for CMS to accurately report on this category of physician and some local Medicare carriers have denied claims, citing duplicate billing, when a cardiologist and an interventionalist from the same group practice have billed for patient evaluation services.”
ACC continues, “The new code allows for the reporting of the involvement of two specialty physicians providing distinct services to an individual patient.”
Cardiologists billing is quite complex. It requires extensive experience and knowledge to ensure proper coding and modifier application. This high level of complexity — coupled with frequent changes to cardiology coding and billing rules and regulations — has resulted in more practices outsourcing their billing to a company like PGM Billing.
With more than 30 years of experience in cardiology billing, PGM and its team of certified medical billing and coding experts can manage all aspects of your cardiology billing. They will work with your practice to get clean claims submitted in a timely fashion and therefore ensure you receive proper compensation for services provided.