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Billing for in-clinic and remote follow-up for patients with 2 devices

  • 1.  Billing for in-clinic and remote follow-up for patients with 2 devices

    Posted 03-01-2023 14:15

    Colleagues, would you please share your practice regarding billing for patients with 2 active, implanted devices. A SQ ICD and a pacemaker. We complete a report for each one. Do you bill for both or just one? Thanks.



    ------------------------------
    Linda Schwartz
    [Supervisor]
    Mayo Clinic Arizona, Heart Rhythm Services
    4802168898
    ------------------------------


  • 2.  RE: Billing for in-clinic and remote follow-up for patients with 2 devices

    Posted 03-01-2023 14:27
    Before I retired, we always completed a report for each and submitted a bill for each. I believe this is still valid.

    Laurie



    Sent from my Verizon, Samsung Galaxy smartphone




    Original Message


  • 3.  RE: Billing for in-clinic and remote follow-up for patients with 2 devices

    Posted 03-03-2023 15:36

    Thank you Laurel!



    ------------------------------
    Linda Schwartz
    [Supervisor]
    Mayo Clinic Arizona, Heart Rhythm Services
    4802168898
    ------------------------------

    Original Message


  • 4.  RE: Billing for in-clinic and remote follow-up for patients with 2 devices

    Posted 03-01-2023 14:57
    We bill for each one separately with separate report for each. 

    Sent from my iPhone



    Original Message


  • 5.  RE: Billing for in-clinic and remote follow-up for patients with 2 devices

    Posted 03-03-2023 15:37

    Thanks Erica!



    ------------------------------
    Linda Schwartz
    [Supervisor]
    Mayo Clinic Arizona, Heart Rhythm Services
    4802168898
    ------------------------------

    Original Message


  • 6.  RE: Billing for in-clinic and remote follow-up for patients with 2 devices

    Posted 03-03-2023 15:46
    You're welcome 

    Sent from my iPhone



    Original Message


  • 7.  RE: Billing for in-clinic and remote follow-up for patients with 2 devices

    Posted 03-01-2023 18:38

    Hi Linda,

     

    We billed each device, separately, with accompanying reports.  We usually have different dates to make it simple.

     

    Regards,

     

    Martha G. Ferrara, DNP FNP CCDS FHRS

    Assistant Director EP Services

    White Plains Hospital

    HRS AP Council Chairwoman

    MFerrara3@wphospital.org

    @MGMayanrn

     




    Original Message


  • 8.  RE: Billing for in-clinic and remote follow-up for patients with 2 devices

    Posted 03-03-2023 15:36

    Thanks so much for responding, Martha. Different dates will work well for remote monitoring. What do you do for an in clinic check (full testing) of both devices on the same day?



    ------------------------------
    Linda Schwartz
    [Supervisor]
    Mayo Clinic Arizona, Heart Rhythm Services
    4802168898
    ------------------------------

    Original Message


  • 9.  RE: Billing for in-clinic and remote follow-up for patients with 2 devices

    Posted 03-03-2023 15:46
    In office, we bill both devices. They have separate codes and separate diagnoses to associate with each (ie sinus node dysfunction for pacer and vt for ICD) so usually not a problem. 

    Sent from my iPhone



    Original Message


  • 10.  RE: Billing for in-clinic and remote follow-up for patients with 2 devices

    Posted 03-06-2023 15:09

    Hi Linda,

        As everyone else has mentioned, I bill for both devices in office and we try to stagger the remotes so they're due a day or two apart from each other.  As long as the documentation is there, it's generally not an issue.  The only time it's been an issue is when it wasn't documented appropriately.  

    James



    ------------------------------
    James O'Hara PhD, PA
    Virginia Heart
    ------------------------------

    Original Message


  • 11.  RE: Billing for in-clinic and remote follow-up for patients with 2 devices

    Posted 03-07-2023 10:02

    Good morning,

     

    Would this include patients that have an ICM implanted and then undergo implantation with another device?  Normally, the ICM is removed but we have had instances where patients have both.  We normally don't bill for the ICM.

     

    Thanks in advance for the information,

     

    Michael Silva, RN, RCES, CCDS
    Device Clinic Manager

    WellSpan Heart & Vascular Center
    msilva@wellspan.org
    Office 717-741-8672
    30 Monument Rd York, PA 17403

    Chat with me on Microsoft Teams

     

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  • 12.  RE: Billing for in-clinic and remote follow-up for patients with 2 devices

    Posted 03-08-2023 07:11
    Michael,
    If the ICM continues to be interrogated and monitored remotely, you could bill for it. If you no longer process any remotes or write up any documentation for it, then you would not bill for that device.

    Rebecca Yapejian, MSN, FNP-C, AACC


    Original Message


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