Linda Suplicki, RN, MSN, ACNP, CCRN, hosts this discussion of electronic medical records (EMR) and their economic impact with Ann Gage, MD, MS, FACC, and Erin Romano, MHA, CPC, CPB. Erin discusses billing landscapes, components of Impella® billing codes, Impella CPT codes, documentation requirements and diagnosis code specificity. Dr. Gage, an interventional cardiologist and critical care doctor in Nashville, TN, discusses her experiences with implementing split/shared billing practices and utilizing EMR to standardize critical care documentation. She emphasizes that tracking Impella billing data has helped capture overall CICU data as well as data on individual provider practice patterns.