Codebusters Coding Teams are an on-demand, always on, coding solution for complex interventional cardiology and radiology departments.
Accurate claim submittals are fundamental to meeting compliance requirements and financial needs.
- Immediate access to hundreds of fully vetted physician-based coders
- Zero start-up cost to build and train the Coding Team
- Per record and hourly billing options
- Multi-specialty coding team support
- 100% accuracy guaranteed
- Continuous auditing and transparent reporting
- Proprietary workforce management platform
- Outsource one or more departments, or use as a backup staffing support
- Reduce claim denials, improve AR
Codebusters provides a full complement of IVR coding and auditing services. Our consultants have the expertise needed to accurately assign codes and provide feedback on documentation guidelines. Our auditors review documentation of vascular access sites, with thorough knowledge of the vascular families and their branch of vessels. Our experts make sure to code all catheterizations and injections and code and edit for Healthcare Common Procedure Coding Systems (HCPCS) device codes to prevent the denial of device-dependent Ambulatory Payment Classifications (APC) payments. The Center for Medicare and Medicaid Services (CMS) denies complete payment of a claim without the proper device HCPCS codes on the device-dependent APCs. Codebusters’ coders and auditors also understand the importance of coding correct diagnosis codes to meet medical necessity for each procedure performed. After the results of the review are compiled, an educational inservice is provided to physicians and coding staff.
Interventional radiology, neuro-interventional, and endovascular surgery are some of the most complex clinical specialties to code. This segment of medicine continues to grow at a fast pace and provides significant market opportunities for providers. The expense of the equipment, devices, and the professionals who use them necessitates that facilities capture every dollar of reimbursement.
It Pays to Use Codebusters’ Expert IVR Coders
Due to the complex and constantly changing nature of the coding guidelines for these procedures, facilities have difficulty attracting and retaining the necessary coding talent. Facilities may experience changes in billing rates by as much as 50%. This can lead to hundreds of additional dollars per encounter. Often the job is pushed off to diagnostic radiology coders, technicians, or even the physician. None of these professionals are ideal candidates.
Your Physicians Will Thank Us
Diagnostic coders may lack the anatomy and physiology background to decipher the myriad of procedures and new technologies involved in IVR coding. Diagnostic coders and technicians may also not fully comprehend the specific coding rules and edits that apply to IVR coding and billing. Therefore, much of the coding rests on the shoulders of highly-paid providers who may not have the time or inclination to code properly. Without professional IVR coders, facilities may be incorrectly submitting claims which can result in denial of the claim or in severe under-billing. It can also trigger the attention of the Office of Inspector General (OIG) or Recovery Audit Contractor (RAC) auditors.