2009 Technical Reimbursement Rate







You calling us liers??? Tell me how and show you have no clue what is going on. Keep it up and if we find out who you are, you will be the one at risk.
I am actually calling you "liars". Name one insurance company that gave you authorization to bill a daily holter code instead of an event monitor code?
 






I am actually calling you "liars". Name one insurance company that gave you authorization to bill a daily holter code instead of an event monitor code?

Insurance companies do not give authorizations to bill codes. You bill the code that fits the service. It was fine for you to bill the same code last year (even though your service does not meet the code) and tell your accounts to continue to use it now. But eCardio reps are liars for using a code that fits the service. OK, whatever you say!!!!!! Like I said before, stay in the dark and watch your hook ups disappear.
 






Insurance companies do not give authorizations to bill codes. You bill the code that fits the service. It was fine for you to bill the same code last year (even though your service does not meet the code) and tell your accounts to continue to use it now. But eCardio reps are liars for using a code that fits the service. OK, whatever you say!!!!!! Like I said before, stay in the dark and watch your hook ups disappear.
They do if it is for for new technology. Let's say I agree with you.

Don't you fit the standard event code more than the holter code?
What makes you different from a standard event, just because you are cellular does not meet that code. The code says nothing about transmitting. You can fit a standard event in 93237 by using your same logic, correct?
How could you bill the same as a MCOT last year when you do not do the same thing?

Pull your head out, these are obvious questions.

That is a holter code that insurance companies told MCT units to bill. They never told you to use these codes. It will catch up to you pretty soon. Your offices will be coming after you soon for United, BSBC, and Aetna patients. Good luck.
 






I have a question. If all of you are talking about the code 93237. It says on page 408 of the AMA code book to see the codes 93228, 93229 when billing 93237. Then under the codes 93228, 93229 there is a paranthetical statement to " only report once per 30 days." So how can eCardio, with good intentions, tell their physicians to bill daily for the 93237? And telling your accounts that you "designed the device to fit the code" is a load of crap. You did not design anything. Braemar designed this to expensivley attempt to get into the wirleless arena.

Answer the question about what the AMA code states and we will get off your case. By the way, the AMA is the source which CMS follows. Not Ingenex or whatever the company name is. They were sued for over 50 million dollars for fraud in billing. Would not be quoting that source.

Prove us all wrong.
 






They do if it is for for new technology. Let's say I agree with you.

Don't you fit the standard event code more than the holter code?
What makes you different from a standard event, just because you are cellular does not meet that code. The code says nothing about transmitting. You can fit a standard event in 93237 by using your same logic, correct?
How could you bill the same as a MCOT last year when you do not do the same thing?

Pull your head out, these are obvious questions.

That is a holter code that insurance companies told MCT units to bill. They never told you to use these codes. It will catch up to you pretty soon. Your offices will be coming after you soon for United, BSBC, and Aetna patients. Good luck.

"Pull my head out" Ha, you are the one in the dark asking all the questions. I know the answers and if I tell you, well then you might get too smart and I do not want to see that happen. If you read the code book you will see that eCardio's eVolution meets every line of 93237. Let's end this and you sell your device and I will sell mine. Stop calling us liars and scaring the accounts into thinking they are going to get in trouble. Not going to happen. I will tell you that we are contracted with one of the companies you mentioned to bill 93237, but I am not going to tell you how!!! Good luck!!!
 






I have a question. If all of you are talking about the code 93237. It says on page 408 of the AMA code book to see the codes 93228, 93229 when billing 93237. Then under the codes 93228, 93229 there is a paranthetical statement to " only report once per 30 days." So how can eCardio, with good intentions, tell their physicians to bill daily for the 93237? And telling your accounts that you "designed the device to fit the code" is a load of crap. You did not design anything. Braemar designed this to expensivley attempt to get into the wirleless arena.

Answer the question about what the AMA code states and we will get off your case. By the way, the AMA is the source which CMS follows. Not Ingenex or whatever the company name is. They were sued for over 50 million dollars for fraud in billing. Would not be quoting that source.

Prove us all wrong.

eCardio does not bill 93228, 93229 beacuse the eVolution is not telemtry. We bill 93237 because it is the code that best describes the service for the eVolution.

We do not have to prove you wrong, you need to figure it out!!!
 






Why the pissing match? The docs are going to pick the service that works best for them. Cardionet has about 8-10% of market, ecardio less than 2%, Life watch 5%, that leaves the regional players and all the folks not being tested. Lots of market to go after. Grow up and service the accounts and you will get the business.
 






"Pull my head out" Ha, you are the one in the dark asking all the questions. I know the answers and if I tell you, well then you might get too smart and I do not want to see that happen. If you read the code book you will see that eCardio's eVolution meets every line of 93237. Let's end this and you sell your device and I will sell mine. Stop calling us liars and scaring the accounts into thinking they are going to get in trouble. Not going to happen. I will tell you that we are contracted with one of the companies you mentioned to bill 93237, but I am not going to tell you how!!! Good luck!!!
FDA designation is Looping event monitor. Doesn't your unit fit every line of the event codes? Looping memory is not 24 hour continuous just because a patient is hooked up the whole time. Wouldn't all auto triggers fit that description? Your management has BS'd you. Your accounts will be after you any day now... EOB's are starting to come back!!!!!!
 






eCardio does not bill 93228, 93229 beacuse the eVolution is not telemtry. We bill 93237 because it is the code that best describes the service for the eVolution.

We do not have to prove you wrong, you need to figure it out!!!
Nothing to figure out, you just said it. You are not telemetry, but you billed the same code as MCT last year. Which is it, BS last year, or this year. You can't say you were right both years.
 






FDA designation is Looping event monitor. Doesn't your unit fit every line of the event codes? Looping memory is not 24 hour continuous just because a patient is hooked up the whole time. Wouldn't all auto triggers fit that description? Your management has BS'd you. Your accounts will be after you any day now... EOB's are starting to come back!!!!!!

You are so in the dark. It is 24 hour continuous monitoring because the patient is hooked up to it. It is not 24 hour recording!!!! The EOB's are coming in and being paid. Keep thinking the way you are. I hope you are in my area so we can take away most of your hook ups.
 






Nothing to figure out, you just said it. You are not telemetry, but you billed the same code as MCT last year. Which is it, BS last year, or this year. You can't say you were right both years.

BS last year. Cardionet's MCT does not meet the criteria to bill 93237. Never has, never will. As I said before, The eCardio eVolution meets the criteria to bill 93237. To give the other poster a clue (if you are different) the eVolution is not the same as the Braemar unit. Yes on the outside, but not inside!!!!!
 






You are so in the dark. It is 24 hour continuous monitoring because the patient is hooked up to it. It is not 24 hour recording!!!! The EOB's are coming in and being paid. Keep thinking the way you are. I hope you are in my area so we can take away most of your hook ups.

I have to say you have point. Looping memory does monitor continuous- it actually does record, it just does not save the recording- only when the event is "locked in" and then it only saves that portion. So the other poster has a point too. What would be the difference in the eVolution and an auto trigger event recorder ( in terms of fitting the code )? The code doesn't say anything about ECG triggered transmissions.

By the way, from what is circulating, the guts of the eVolution is the same as the all the autotriggers that Braemar makes for everyone else, with the exception of the cell phone aspects.
 






Why the pissing match? The docs are going to pick the service that works best for them. Cardionet has about 8-10% of market, ecardio less than 2%, Life watch 5%, that leaves the regional players and all the folks not being tested. Lots of market to go after. Grow up and service the accounts and you will get the business.

Well said!!!! There are rogue reps everywhere and they usually don't last long. Just make the calls and do the work.
 






I have to say you have point. Looping memory does monitor continuous- it actually does record, it just does not save the recording- only when the event is "locked in" and then it only saves that portion. So the other poster has a point too. What would be the difference in the eVolution and an auto trigger event recorder ( in terms of fitting the code )? The code doesn't say anything about ECG triggered transmissions.

By the way, from what is circulating, the guts of the eVolution is the same as the all the autotriggers that Braemar makes for everyone else, with the exception of the cell phone aspects.

What is circulating is being provided by Cardionet reps and is not correct.
What makes the eVolution different is something eCardio adds to the unit that is exclusive to them. This addition makes billing 93237 possible.
MCT also meets the critera to bill 93268 (traditional 30 day event monitor) but you pick the code that best fits the service.
 






What is circulating is being provided by Cardionet reps and is not correct.
What makes the eVolution different is something eCardio adds to the unit that is exclusive to them. This addition makes billing 93237 possible.
MCT also meets the critera to bill 93268 (traditional 30 day event monitor) but you pick the code that best fits the service.

You don't add anything or you would have a 510k on record and you don't but Braemar does.
You can't pick and choose your codes, what are you smoking?
 






What is circulating is being provided by Cardionet reps and is not correct.
What makes the eVolution different is something eCardio adds to the unit that is exclusive to them. This addition makes billing 93237 possible.
MCT also meets the critera to bill 93268 (traditional 30 day event monitor) but you pick the code that best fits the service.
Even LW and CN had problems with patients not being covered by 93237. You will soon find out, life is going to get rough for you, very very rough.
 






I have to say you have point. Looping memory does monitor continuous- it actually does record, it just does not save the recording- only when the event is "locked in" and then it only saves that portion. So the other poster has a point too. What would be the difference in the eVolution and an auto trigger event recorder ( in terms of fitting the code )? The code doesn't say anything about ECG triggered transmissions.

By the way, from what is circulating, the guts of the eVolution is the same as the all the autotriggers that Braemar makes for everyone else, with the exception of the cell phone aspects.
You are correct, Braemar is calling it a "digital looping event monitor" and is recommending it to be billed as such. eCardio was down the list of marketers for this product, It was presented to LW and CN long before they got it.
 






You don't add anything or you would have a 510k on record and you don't but Braemar does.
You can't pick and choose your codes, what are you smoking?


You can believe any thing you want, you are always right and have to end every post with "what are you smoking or pull your head out." The fact is; the eCardio eVolution meets the criteria to bill 93237, accept it. It is not the same as the Braemar unit and you do "select" your codes. Read the Instructions for use of the CPT codebook.
I find it very funny that it was OK for Cardionet to bill 93237 last year to private insurance companies, but now that you have a different code that "best describes your service", it is not OK for eCardio. Remember, MCT never met the criteria to bill 93237, eVolution does. The code clearly states non-continuous recording yet representitives of Cardionet told accounts to bill for its service when MCT records for how long? (96 hours) If anyone has misinformed customers about billing it is Cardionet reps not eCardio.
 






Stupid? Ask me any question about MCOT. I probably understand it better than you. I would be careful too if you challenge me clinically. I do seem to get a rise out of you Cardionet people.

The cell phone portion of your device just happens to be an important part of all MCOT devices. I was only referencing one aspect of the service. Without it what are we? Just event monitoring. You guys at CN can not even produce the promised 24 hours of data when a physician asks for it. What do you do with all the data once a patient goes inactive?
What if a physician wants information a few days after the patient is finished with their service?

Back to the cell phone portion. Some CN reps are making too much out this. Just as you say there is more some of your co-workers think it is the only thing. They promote MCOT as an emergency detection device. This opens the door to those poor event monitoring guys and lessens all of our credibility when it comes to MCOT.

I'm not stupid, just a bad comedian.
Sure we can provide 24hrs if we needed or wanted. It would be 7200 pages of report. That is why we don't.

BTW we keep the data for 7 years after the patient goes inactive per HIPPA guidelines.