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Saving lives is something noble, and that is what doctors are specifically supposed to do. But despite this noble course, a clinic is a business to the doctor and therefore apart from saving lives, he also aims at getting profits from it. They therefore charge for every service that they provide, this means that patients will always expect to go home with a bill whenever they visit a hospital. This calls for medical practitioners to have skills in business management in order to run a practice that is profitable. Medical payments involves paper work that is sometimes tedious, this therefore requires billing specialists to maintain a healthy revenue stream. In cardiology the billing is done with the help of coding systems that are based on the types of conditions treated, the body system covered and the common procedures performed (Williams, 2010).
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The purpose of medical practice is not just to save lives but to make profit as well, and that is why medical practitioners need proper billing to avoid additional costs and control expenses. This needs billing specialists. These specialists use billing codes to carry out their duties, the common one being the Healthcare Common Procedure Coding System (HCPCS).
These are just numbers that are assigned to each and every task or service that is given to patients by medical practitioners. We will look at how new specialists can be trained to effectively carry out billing in a medical office (Torrey, 2009). The block note below gives examples of the codes which are used in cardiology:
00.66 Percutaneous transluminal coronary angioplasty or atherectomy (Abbot, p.1)
Number of vascular stents inserted
00.45 Insertion of one vascular stent/Number of stents unspecified
00.46 Insertion of two vascular stents
00.47 Insertion of three vascular stents
00.48 Insertion of four or more vascular stents (Abbot, p.1)
Number of vessels treated
00.40 Procedures on single vessel/Number of vessels, unspecified
00.41 Procedure on two vessels
00.42 Procedure on three vessels
00.43 Procedure on four or more vessels (Abbot, p.1)
First, in cardiology there are many types of conditions that are treated. These include; irregular rhythms and electrical disturbances of the heart, high blood pressure, blockages in the major arteries of the heart, neck and extremities, heart attacks, and low blood pressure.
They also deal with the risk factors that cause heart attack, stroke and also heart failure.
The most common procedures which are involved in the practice of cardiology are discussed below:
Cardiac Catheterization and Coronary Angiography
This is a very common practice among cardiologist which mainly performed in order to measure the pressure inside the heart. Pictures of the coronary arteries are also taken with an aim of identifying atherosclerotic plaques (1) which in severe cases are causes of heart attack (myocardial infarction). This procedure involves the use of catheters which are placed in an artery in an arm or even in the groin region and pictures are taken (Hall, 2010).
Angioplasty and Stenting
This is yet another common practice which is used to remove the many common blockages which are found by angiography. The procedure involves the passing of a wire through the blockage after which a small balloon is passed through the wire meant to be inflated while still in the artery. This has been shown to help in opening up such blockages. The procedure also makes use of intracoronary stents (2) which were developed specifically to avoid the artery from closing down (Hall, 2010).
Carotid Angiography and Intervention
This is a recent procedure (3) which is used to clear blockages. It is used to clear blockages formed in the Carotid arteries in the neck region which likely are the causes of neurologic symptoms (Hall, 2010).
Aortic endovascular aneurysm repair
At times the walls of the aorta of weaken and dilate leading to the formation of aneurysm either in the abdominal aorta or thoracic aorta. This procedure is performed to reconstruct the aorta when it threatens to rapture (Hall, 2010).
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