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3:25-4:15 p.m.

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Utilizing Automation and Specialized CAPD to Drive Accurate Coding and Reimbursement for Cardiovascular Procedures

Cardiovascular disease is the leading cause of death in the U.S. and therefore makes up a significant portion of hospital and healthcare services. Documentation for the most common cardiovascular services -- cardiac catheterization, coronary and peripheral interventions – is particularly complex and especially difficult to code and bill. Changing code standards, the complexity of coding rules, and challenges in documentation and billing workflows contribute to inaccurate coding of cardiovascular procedures.

ZHealth, the leading authority on interventional cardiology coding, aggregated and audited data from 51 U.S. hospital systems to understand the impact of documentation errors and lack of specificity and inaccurate coding on both financial outcomes and compliance efforts. This research shows that as many as 45 percent of cardiovascular reports contain coding errors, too many devices go unbilled, and about 3 percent of cases pose a compliance risk from over-coding.

Presenters at this session will discuss the detailed results of these audits and data analysis, as well as strategies to overcome these challenges for hospital administrators, revenue cycle leaders, and cardiovascular service line owners.

Learner Outcomes

After completing this session, participants will:

• Understand the complexities of documenting interventional cardiovascular procedures and the effects of inaccurate coding.
• Review aggregated and audited data from 51 U.S. health systems to understand the impact of these complexities on financial outcomes and compliance efforts.
• Know how workflow and technology advancements can have positive impacts on documentation accuracy, compliance, coding, billing, and reimbursements.


ZHealth Brentwood, TN

Kenneth Kolenik
Clinical Documentation and Coding, Nuance Communication, Inc Pittsburgh, PA
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