Ensure Cardiology Billing Compliance the Sunknowledge Way

Cardiologists face numerous difficulties with billing and coding workflow in the constantly changing healthcare industry. You must make sure that the procedure is properly documented, and that cardiology billing compliance is maintained if you want to keep your practice operating smoothly and financially stable. In this post, we discuss how Sunknowledge Services Inc. can serve as a valuable ally in ensuring compliance, and in turn maximize the return on investment in cardiology practices.

Understanding the Regulatory Landscape in Cardiology Billing

Sufficient documentation and accurate coding are essential components of efficient cardiology billing. However, being a provider, you must work your way through the intricate web of healthcare laws, which include, but are not limited to, MACRA, HIPAA, and CMS regulations. Maintaining compliance is crucial to win over patients’ trust and confidence, in addition to avoiding fines that might get imposed by regulatory entities for non-compliance.

1. Compliance with HIPAA-HITECH: Complete adherence to HIPAA-HITECH regulations is crucial for safeguarding patient data. This implies that there is no unapproved access or disclosure to PHI, allowing you to build a solid rapport with your patient. Additionally, this guarantees a data management system that is more effective, saving you time and money.
2. MACRA compliance: Adherence to the Medicare Access and CHIP Reauthorization Act enhances the quality of your services. On one hand, it improves patient satisfaction. On the other, it lets you maintain your existing revenue and market share. Hence, the overall integrity of your cardiology practice is preserved.
3. CMS adherence: CMS facilitates accurate billing and reporting processes within the healthcare practices through an exhaustive set of norms and mandates. As you maintain them within your practice, you also eliminate the aspects of fraud and abuse, and ensure accurate reimbursements for your rendered services.

Best Practices in Cardiology Billing Compliance

1. Accurate patient information and insurance verification: Collecting patient information and verifying insurance coverage is pivotal to accurate cardiology billing. You need to collect data regarding the patient’s demography, medical history and insurance plan to initiate a streamlined workflow of the billing process.
2. Coding accuracy: Appropriate coding for diagnosis, procedure and equipment is necessary for a streamlined billing process and desired reimbursements. You must avoid using generalized codes to ensure compliance within the process.
3. Comprehensive documentation standards: You should maintain a standardized documentation process to ensure provider consistency. You need to maintain accurate documentation in every step of revenue cycle management from prior authorization to payment collection.

How Sunknowledge Can Help You

For close to two decades, we have been offering medical billing and coding services to some of the biggest healthcare providers in the nation. Equipped with the latest advancements and changes in cardiology billing, our certified coders and billers prevent revenue loss and maintain compliance within the process. We maintain 100% HIPAA-HITECH compliance to maintain data security and safeguard you against any financial or legal consequences. As our experts stay updated with the changes in coding regulations and payor rules, you stay compliant within your billing and coding services. This reduces billing errors, claim denial rates and revenue loss. At Sunknowledge, RCM experts understand the intricacies of compliance and provide a comprehensive solution at just $7 per hour. As you prioritize compliance, let us be your partner guiding you towards sustained success and maximum ROI.