EnSite Precision

This one-hour webcast addresses coding and payment surrounding electrophysiologic procedures. First, we provide an overview of an EP ablation procedure. Then we discuss 2020 coding and payment for EP ablations, EP studies and other add-on services. Finally, we review common clinical scenarios and how to appropriately report them to Medicare.

This PDF provides Medicare guidance on coverage when the procedure is performed in a location other than a hospital.

This guide includes Medicare Physician Payment Rates for cardiovascular procedures. For more detailed information, please refer to the CY Physician Fee Schedule Final Rule on the CMS website.

This guide provides a summary of the Medicare Hospital Inpatient Prospective Payment System (IPPS). It includes information on the Readmission Reductions Program, Value Based Purchasing and Hospital Inpatient Reimbursement Rates for select cardiovascular DRGs. For more detailed information, please refer to the FY IPPS Final Rule on the CMS website.

This guide provides a summary of the Medicare Hospital Outpatient Prospective Payment System (OPPS) Update. It includes updates to the Comprehensive APC Policy, Site Neutral Payments, Device Intensive Procedures, the Transitional Pass-Through Payment Policy and Hospital Outpatient Reimbursement Rates for select cardiovascular APCs. For more detailed information, please refer to the CY OPPS Final Rule on the CMS website.

Local coverage determinations (LCDS) are defined in Section 1869(f)(2)(B) of the Social Security Act (the Act). This link shows whether a particular item or service is covered on an intermediary- or carrier-wide basis under such parts, in accordance with section 1862(a)(1)(A).

Focusing on coverage, billing and payment rules for specific provider types, these articles explain national Medicare policy in an easy-to-understand format.

Developed by CMS, the initiative promotes correct coding methodologies to control improper coding leading to inappropriate payment.