RhythmHelp provides independent, board-certified peer review of cardiac electrophysiology cases for insurance carriers — identifying fraud, waste, and abuse with physician-grade expertise.
RhythmHelp performs granular, data-driven review of electrophysiology ablation procedures — correlating the operative note, intracardiac electrogram tracings, and three-dimensional mapping system data to determine whether the work actually performed fulfills the CPT codes billed.
This is not a chart review. It is a technical analysis of the procedural record by a physician who performs these cases.
Every reviewed procedure is classified into one of three determinations:
The dictated procedure report is cross-referenced against objective data sources to identify discrepancies between narrative and record.
Currently supporting LabSystem™ Pro (Bard / Boston Scientific) recordings. GE and Abbott systems coming soon.
Currently supporting CARTO™ 3 (Johnson & Johnson MedTech). Abbott EnSite™, Boston Scientific Rhythmia™, and Medtronic systems coming soon.
A structured report with clinical rationale, supporting data references, and denial defense — built to withstand appeal.
Our engagement model is designed for simplicity and scalability — from single-case reviews to enterprise-level program integration.
You require the upload of operative note, recording and mapping case files to a secure HIPAA-compliant repository as a condition of payment for EP studies and ablation procedures.
A board-certified electrophysiologist performs a structured clinical evaluation of a selection of your paid cases.
For cases found lacking, you receive a comprehensive, defensible written determination with clinical rationale.
At your discretion, you may demand recovery of inappropriate payment for procedures not performed to the standards required by your provider agreements.
We remain available for peer-to-peer calls, appeals, and regulatory inquiries.
A board-certified EP physician review with a comprehensive written determination. No retainer. No subscription. No commitment required to begin.
When a review supports reversal or partial reclamation, RhythmHelp splits the recovered amount equally — and provides full defense of the denial at no additional cost.
Cardiac electrophysiology is among the highest-cost specialties in medicine. A single inappropriate ablation or device implant can represent tens of thousands of dollars in unnecessary spend.
Generalist reviewers — even experienced cardiologists — often lack the subspecialty depth to challenge EP procedural claims with confidence. RhythmHelp closes that gap.
Our reviews provide defensible, expert-level clinical opinions that withstand appeals and support your Special Investigations Unit in building cases for recovery and fraud referral.
We've designed our intake process to minimize administrative burden while ensuring we have the clinical information necessary to deliver a defensible, thorough review.
A signed BAA is required prior to transmission of any PHI. We provide our standard template or will review yours.
Relevant records including operative reports, device interrogations, EP study data, prior authorization requests, and pertinent history.
Reviews must comply with applicable state utilization management regulations. We'll verify our ability to perform reviews for your members' states.
A straightforward service agreement governs our engagement, covering fees, deliverables, confidentiality, and dispute resolution.
John Garner, MD, FACC is a board-certified cardiac electrophysiologist and the Medical Director of Electrophysiology for the CoxHealth hospital system in Springfield, Missouri — a role he has held since building the program from the ground up into a high-volume, tertiary-care EP service line serving the region.
Dr. Garner completed his cardiovascular fellowship at Baylor University Medical Center under Drs. Clyde Yancy and Rob Kowal, followed by subspecialty training in clinical cardiac electrophysiology at Indiana University School of Medicine under the legendary Dr. John Miller. He served as Chief Fellow in both programs.
His clinical practice spans the full spectrum of electrophysiology, with particular expertise in complex catheter ablation, ventricular tachycardia, and advanced device therapy. He holds active board certifications in Clinical Cardiac Electrophysiology and Cardiovascular Disease through the ABIM, and has served on the ABIM Electrophysiology Board Examination Standard Setting Group.
Dr. Garner has served as principal investigator on multiple landmark multi-center clinical trials, holds patents in cardiac arrhythmia workflow technology, and maintains appointments as Assistant Professor of Medicine at the University of Missouri School of Medicine and as clinical faculty for the US Special Operations Combat Medic training program. He has also served extensively as a medicolegal consultant for both plaintiffs and defendants in cardiac electrophysiology matters.
RhythmHelp represents the convergence of his clinical depth, his experience navigating the operational and financial realities of a major EP program, and his conviction that insurance carriers deserve the same subspecialty rigor on the review side that the operating room demands on the procedural side.
John Garner, MD, FACC
Board Certified — Clinical Cardiac Electrophysiology & Cardiovascular Disease (ABIM)
Medical Director of Electrophysiology, CoxHealth Systems
Assistant Professor of Medicine, University of Missouri School of Medicine
Founder & Medical Director, RhythmHelp LLC
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