Billing & Reimbursement Essentials for CV Professionals-Download the Syllabus

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Pdf Summary

The 2025 MedAxiom "Billing & Reimbursement Essentials for CV Professionals" course provides foundational education on cardiovascular (CV) billing processes to clinicians, administrative personnel, and operational staff. Designed for newcomers and those needing a refresher, the course emphasizes accurate billing, denial reduction, and financial performance enhancement within the cardiovascular revenue cycle.<br /><br />Presented by experts Linda Gates-Striby (Revenue Cycle Consultant and Compliance Director) and Nicole Knight (Executive VP, Revenue Cycle Solutions), the curriculum contains four modules: <br /><br />1. Professional Services Billing & Reimbursement Fundamentals – covering physician/provider billing including E/M coding, procedural billing, modifiers, and Medicare Physician Fee Schedule rules.<br />2. Hospital & Facility Billing Structures – detailing inpatient and outpatient CV hospital billing, including MS-DRG/APC methodologies and coding-reimbursement relationships.<br />3. Common Billing Pitfalls & Denials – addressing frequent errors and denial causes like authorization issues and charge capture gaps, plus prevention and workflow improvement tactics.<br />4. Tracking KPIs & Driving Performance – focusing on key performance indicators (denial rates, days in A/R, charge lag) and data-driven strategies to improve revenue cycle management through accountability and timely interventions.<br /><br />The course supports a diverse audience including practice administrators, billing and coding staff, front desk and scheduling teams, nursing/clinical staff involved in orders, and revenue integrity professionals, regardless of prior billing experience (though CV terminology familiarity is recommended). <br /><br />Required materials include AMA CPT Professional and ICD-10 CM coding resources, complemented by electronic links to AMA, CMS, and HFMA online resources. Each module features 60-90 minute instructional videos followed by quizzes requiring 80% or higher for passage. Learners have up to 12 months to complete the course, which is graded pass/fail based on quizzes and evaluation survey completion. Upon successful completion, participants receive CEU credits and a certificate.<br /><br />Overall, the course aims to empower CV teams with billing knowledge, reduce denials, and strengthen revenue cycle performance in cardiovascular programs.

Keywords

Cardiovascular billing

Revenue cycle management

E/M coding

Medicare Physician Fee Schedule

MS-DRG/APC methodologies

Billing denials

Key performance indicators

Charge capture

Revenue integrity

CEU credits