Cardiology articles

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Cardiology: Avoid denials and appeals -- new dual diagnosis requirements for cardiovascular stress test procedures

First Coast is receiving several appeals of cardiovascular stress test claims that now require dual diagnoses. Please review this article for details on avoiding unnecessary denials and appeals by…

Cardiology: Avoid denials and appeals -- new dual diagnosis requirements for cardiovascular stress test procedures

First Coast is receiving several appeals of cardiovascular stress test claims that now require dual diagnoses. Please review this article for details on avoiding unnecessary denials and appeals by…

POS 19 added for preventive, CR, and ICR services

Change request (CR) 14070, effective June 23, 2025, reflects the addition of POS 19 allowed for preventive services, CR, and ICR services.

Cardiac and pulmonary rehabilitation programs

Medicare pays for cardiac rehabilitation (CR), intensive cardiac rehabilitation (ICR), and pulmonary rehabilitation (PR) programs if specific criteria are met. This criterion includes coverage…

Checklist: Cardiac rehabilitation services

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac rehabilitation services.

Checklist: Cardiac rehabilitation services

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac rehabilitation services.

Cardiology - additional resources

Here are additional educational resources identified specifically for cardiology services.

Checklist: Endovascular cardiac valve replacement and supplement procedures

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for endovascular cardiac valve replacement and supplement procedures (DRG 266…

Checklist: Cardiac defibrillator implant w/o cardiac cath

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac defibrillator implant w/o cardiac cath (DRG 226 and 227) services.

Checklist: Endovascular cardiac valve replacement and supplement procedures

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for endovascular cardiac valve replacement and supplement procedures (DRG 266…