CardioAudit

CardioAudit  offers a proactive approach to ensuring that a hospital’s cardiovascular procedures are medically necessary, helping facilities to meet the challenges of Medicare and Medicaid audits and preventing potential U.S. Department of Justice (DOJ) investigations and penalties. Developed by a group of cardiologists with the goal of ensuring adherence to evidence-based medicine and established guidelines, CardioAudit is an external peer review program that helps hospital administrators identify and correct any potential problems before they occur.

This review process is the first of its kind to systematically evaluate specific cardiovascular procedures to determine medical necessity in accordance with guidelines set forth by professional medical societies, and to determine compliance with Medicare National Coverage Determinations (NCDs) and with necessity outside of NCD language.

CardioAudit Benefits:

• Improves compliance with Centers for
• Medicare & Medicaid Services (CMS) reimbursement criteria for cardiology procedures
• Limits risk and exposure to RAC and MIC audits
• Reduces risk of False Claims Act liability
• Demonstrates commitment to upholding the integrity of care and patient safety
• Improves compliance with evidence based guidelines

Procedures for Review:

• Percutaneous coronary interventions
• Peripheral vascular interventions
• Carotid artery interventions
• Coronary artery bypass graft surgeries
• (CABG) and valve surgery
• Electrophysiology procedures: ICDs, biventricular pacemakers, single and dual chamber pacemakers, radiofrequency ablations

Download our datasheet to understand how CardioAudit can help your organization and learn the simple steps needed to develop this process.

Watch our latest webinar and read our in-depth white paper outlining how CardioAudit can help hospitals better defend themselves against the growing government audits.