Cardiac Monitoring Billing & Reimbursement
In a era of major change within the healthcare industry, it is vital that medical professionals are maximizing their reimbursement models employed in their medical practice. It is no secret that Cardiology is under assault being one of the biggest targets under the Affordable Healthcare Act. With that being the case, we have compiled some useful tools to keep the Cardiology community thriving and sustaining profitability under today’s evolving guidelines.
Our analysis is based on real-world practicing cardiology where time & money is paramount. Our insight is designed to assist you to improve diagnostic utility while maximizing practice revenue & profit. After all, Cardiologists are now faced with new challenges forcing an increased emphasis on the ‘business’ aspects rather than the focus on medicine. Although times may appear grim, you will be pleasantly surprised that there are still sound investments in ambulatory cardiac monitoring. You just may need to make some small adjustments towards new & more profitable reimbursement structures. To cut right to the chase on how you can significantly increase revenue and profit, please visit Mobile Cardiac Telemetry Reimbursement.
Holter Monitoring Reimbursement
Holter monitoring reimbursement is fairly straight forward. You have two choices: Perform your own Holter monitoring analysis (recommended) or outsource the analysis of the Holter monitoring study. In today’s market, Holter monitoring reimbursements have virtually diminished making it difficult to recover investments in staff and equipment. The good news with Holter is both the technology and pricing to own your own instruments has become more favorable. Holter Monitoring equipment can be purchased for $5,000 – $6,000 for a few Holter monitors and Holter analysis software. And these prices are for the top of the line Holter monitoring equipment. Anything more, should not be considered.
Holter monitoring scanning technology has become much faster & accurate in analysis capabilities. This is essential for making your Holter monitoring program efficient as reimbursements have decreased to less than $100 per study. You or your staff performing the technical analysis should NOT be investing more than 15 minutes per Holter Study. If your staff is taking more time, you should consider superior analysis software and/or outsourcing this component so free your staff for other responsibilities.
Download Billing & Reimbursement Guide for Holter Monitoring
Mobile Cardiac Telemetry (MCT) Reimbursement
Mobile Cardiac Telemetry (MCT) represents one of the greatest opportunities to increase revenue and profitability by simply re-structuring your program. Although most Cardiologists in the U.S are aware of MCT monitoring, many remain unaware of how much money can be made in this segment. As discussed in other areas of our site, mobile cardiac telemetry is the most advanced ambulatory cardiac monitoring technology that exists. MCT combines all of the benefits of Holter monitoring & event monitoring into one, useful diagnostic tool.
Based on the national average from Medicare, mobile cardiac telemetry reimburses $750 per study. That is more than 6 times that of Holter and 2.5 times greater than traditional cardiac event monitoring. With that being the case, today’s Cardiology facilities can no longer afford to participate in the traditional service model and recover no revenue and profit. Mobile cardiac telemetry in your practice is not much different (in terms of staff involvement) than hooking up a Holter monitor. From there, the mobile cardiac telemetry Service company will remain in contact with the patient and generate all reports for the duration of the study. In summary, mobile cardiac telemetry is smart business!
Download Mobile Cardiac Telemetry Reimbursement Guide
Cardiac Event Monitoring Reimbursement
Cardiac event monitoring is a simple, and profitable study that is also not a burden to your medical personnel. Cardiac event monitoring reimbursement structures are similar to mobile cardiac telemetry monitoring in that you invest in the instruments, bill globally and outsource the 24/7/365 coverage for the duration of the study for a small fee. This structure maximizes revenue and profitability with little impact or burden on staff.
Further, it is important to note that cardiac event monitors should be a tool in the bag of diagnostics as it serves as a useful and profitable study in cases where long term monitoring is needed. Cardiac Event Monitoring is covered by Medicare and virtually all insurances which is handy in cases where Mobile Cardiac Telemetry reimbursement is not covered.
Resources:
- Download Holter Monitoring Billing & Reimbursement Guide
- Download Mobile Cardiac Telemetry (MCT) Reimbursement Guide
- CMS Physician Fee Schedule
- CMS / Medicare Reimbursement Guidelines for Ambulatory Cardiac Monitoring (on right)
