The Revenue Cycle Blog
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CABG Claims Under Review: Documentation Gaps That Trigger Denials
CABG procedures involve some of the highest-value claims in cardiovascular surgery, making accurate documentation essential for timely reimbursement.
TAVR Billing and Coding: Why High-Value Claims Lose Reimbursement
Every TAVR procedure represents significant revenue, but even small documentation or coding errors can lead to denied claims and delayed reimbursement. This guide explores the most common TAVR billing and coding challenges, medical necessity requirements, documentation best practices, and proven strategies cardiovascular practices can use to protect reimbursement and optimize revenue cycle performance.
Cardiovascular Surgery Global Periods: What Can Be Billed Separately?
Not every service provided during a cardiovascular surgery global period is bundled into the original procedure. Learn which postoperative services can be billed separately, how modifiers 24, 25, 57, 58, 78, and 79 apply, and the payer-specific billing rules that help reduce denials and protect reimbursement.