Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Current Pulmonology Reports

19-04-2024 | Echocardiography | REVIEW

Navigating Point-of-Care Reimbursement in Critical Care, Challenges and Current State

Authors: Travis Yamanaka, Malvika Kaul, Nicholas Barreras

Published in: Current Pulmonology Reports

Login to get access

Abstract

Purpose of Review

Point-of-care ultrasound (POCUS) use in the intensive care unit has continued to grow, year over year with more faculty having some training and many programs training fellows. This review is to help summarize recent publications related to credentialing, coding, and billing for POCUS studies.

Recent Findings

While there have not been significant changes in advice from regulatory agencies related to POCUS billing and reimbursement, there has been more guidance on training, documentation, and coding issued by different specialty organizations.

Summary

Credentialing for POCUS remains open for practitioners but is dependent on local governing bodies. Billing for POCUS studies in the Intensive Care Unit (ICU) requires documentation including retention of images, diagnosis, and report containing findings. In seeking reimbursement for POCUS in the ICU, developing a workflow that includes all requirements can help to ensure avoid rejected claims.
Literature
1.
2.
3.
Spencer K, Kimura B, Korcarz C, Pellikka P, Rahko P, Siegel R. Focused cardiac ultrasound: recommendations from the American Society of Echocardiography. J Am Soc Echocardiogr. 2013;26:567–81.CrossRefPubMed
4.
• Frankel H, Kirkpatrick A, Elbarbary M, Blaivas M, Dasai H, Evans D, Summerfield D, Slonim A, Breitkreutz R, Price S, Marik P, Talmor D, Levitov A. Guidelines for the appropriate use of bedside general and cardiac ultrasonography in the evaluation of critically Ill patients - part 1: general ultrasonography. Crit Care Med. 2015;43:2479–502. Articles published in Critical Care Medicine provide a thorough review of evidence supporting different uses of POCUS in the ICU, broken up into cardiac and non-cardiac.
5.
• Levitov A, Frankel H, Blaivas M, Kirkpatrick A, Su E, Evans D, Summerfield D, Slonim A, Breitkreutz R, Price S, McLaughlin M, Marik P, Elbarbary M. Guidelines for the appropriate use of bedside general and cardiac ultrasonography in the evaluation of critically Ill patients - part II: cardiac ultrasonography. Crit Care Med. 2016;244(6):1206–27. Articles published in Critical Care Medicine provide a thorough review of evidence supporting different uses of POCUS in the ICU, broken up into cardiac and non-cardiac.
6.
7.
8.
9.
• Panebianco N, Mayo P, Arntfield R, Brown S, Diaz-Gomez J, Hernandez A, Koenig S, Noble V, Sekiguchi H, Subhiyah R, Mulvagh S, Saric M, Troianos C, Labovitz A. Assessing competence in critical care echocardiography: development and initial results of an examination and certification processes. Crit Care Med. 2021;49(8):1285–92. Articles published in Critical Care Medicine provide a thorough review of evidence supporting different uses of POCUS in the ICU, broken up into cardiac and non-cardiac.
10.
Hughes D, Corrado M, Mynatt I, Prats M, Royall N, Boulger C, Dahner D. Billing I-AIM: a novel framework for ultrasound billing. Ultrasound J. 2020;12(8):1–10.
11.
Moon-Grady A, Jones D, Abo A, Bornemann P, Lindsley W, Lyshchik A, Moore C. AIUM practice parameter for documentation of an ultrasound examination. J Ultrasound Med. 2020;39:E1–4.
12.
•• Koenig S, Lou B, Moskowitz Y, Narasimhan M, Mayo P. Ultrasound billing for intensivists. Chest. 2019;156(4):792–801. Article by Koenig et al. in CHEST 2019 is a detailed review of the topic of billing of critical care ultrasound services. This review utilizes a case-based approach to standards of documentation and billing for critical care providers performing POCUS in their routine practice.
13.
Zeidan A, Liu EL. Practical aspects of point-of-care ultrasound: from billing and coding to documentation and image archiving. Adv Chronic Kidney Dis. 2021;28(3):270–7.CrossRefPubMed
Metadata
Title
Navigating Point-of-Care Reimbursement in Critical Care, Challenges and Current State
Authors
Travis Yamanaka
Malvika Kaul
Nicholas Barreras
Publication date
19-04-2024
Publisher
Springer US
Published in
Current Pulmonology Reports
Electronic ISSN: 2199-2428
DOI
https://doi.org/10.1007/s13665-024-00347-y
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Pediatric Cardiology Video

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

Cardiopulmonary Comorbidity Video

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Valvular Heart Disease Video

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

Watch now

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits