Our Specialties

Cardiology Billing Services

Specialized billing solutions for cardiovascular practices to optimize revenue, reduce denials, and streamline billing for complex cardiac procedures.

Cardiology Billing Services

Our Services

Cardiology Billing Expertise

  • Specialized coding for diagnostic cardiac procedures (ECGs, stress tests, Holter monitoring)
  • Expert billing for interventional cardiology procedures
  • Accurate coding of cardiovascular implantable devices
  • Compliant documentation assistance for cardiac imaging services
  • Specialized appeals for complex cardiac procedure denials
  • Cardiology-specific charge capture optimization
  • Payer-specific cardiac documentation requirements
  • Cardiology compliance program support

Coding Expertise

Common Cardiology CPT Codes

Code Description
93000 Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report
93306 Echocardiography, transthoracic, real-time with image documentation
93458 Left heart catheterization including intraprocedural injection
93351 Stress echocardiogram (TTE) with stress test
93015 Cardiovascular stress test with physician supervision
33249 Insertion/replacement of permanent pacing cardioverter-defibrillator system

Our Process

Cardiology Billing Process

Our comprehensive approach ensures maximum revenue and minimal administrative burden for your cardiology practice.

Patient Registration

Patient Registration & Insurance Verification

We verify cardiac-specific insurance benefits and coverage for cardiovascular procedures, tests, and devices before services are rendered, including:

  • Verification of coverage for diagnostic cardiac tests (echocardiograms, stress tests)
  • Pre-authorization for cardiac procedures and interventions
  • Coverage confirmation for implantable cardiac devices
  • Patient responsibility estimation for high-cost cardiac procedures
  • Coordination of benefits for cardiac rehabilitation services
Cardiology Coding

Specialized Cardiology Coding

Our cardiology coding specialists ensure accurate code assignment for all cardiovascular services:

  • Precise coding for diagnostic cardiology services (ECGs, echocardiograms, stress tests)
  • Expert coding for interventional cardiology procedures (catheterizations, angioplasties)
  • Accurate device coding (pacemakers, ICDs, loop recorders)
  • Proper modifiers for multiple cardiovascular procedures
  • Compliant documentation support for complex cardiac procedures
Claim Submission

Clean Claim Submission

We achieve a 98% clean claim rate for cardiology services through our thorough process:

  • Cardiac-specific claim scrubbing to identify coding errors
  • Verification of medical necessity documentation for cardiac procedures
  • Inclusion of required cardiac diagnostic test results
  • Proper sequencing of cardiac diagnosis and procedure codes
  • Electronic submission to all major payers within 24-48 hours
Denial Management

Cardiology Denial Management

Our specialized approach to cardiac claim denials includes:

  • Expertise in appealing medical necessity denials for cardiac procedures
  • Management of bundling/unbundling issues common in cardiology
  • Documentation support for complex cardiac intervention appeals
  • Appeals for denied device implantation procedures
  • Monitoring and addressing cardiac-specific payer policy changes
Performance Analytics

Cardiology Practice Analytics

Our cardiology-specific reporting and analytics help optimize your practice:

  • Procedure-specific profitability analysis
  • Revenue analysis by cardiac service line (diagnostic, interventional, device)
  • Payer-specific performance metrics for cardiology services
  • Denial trend analysis by cardiac procedure type
  • Recommendations for revenue optimization by service area

frequently asked questions

Cardiology Billing FAQs

Get answers to common questions about our cardiology medical billing services, coding challenges, and revenue optimization strategies.

Common cardiology claim denials include medical necessity issues for diagnostic tests, incorrect bundling of services, missing documentation for cardiac devices, improper use of modifiers, and lack of prior authorization for certain procedures. Our specialized denial management team addresses these issues proactively to minimize denials.

Our approach to cardiac device billing involves comprehensive documentation review, verification of device information (model, serial number), proper coding of the device and associated procedures, and ensuring all required elements for reimbursement are captured. We also manage manufacturer warranties and maintain accurate inventory tracking.

Our dedicated cardiology coding specialists participate in ongoing education, specialty-specific training, and cardiology coding certifications. We monitor updates from the American College of Cardiology, attend cardiology coding webinars, and maintain relationships with cardiology specialty organizations to stay ahead of changes.

For cardiac catheterization procedures, we implement a specialized review process that includes verification of the specific approach, vessels accessed, imaging performed, interventions completed, and any complications. Our team understands the complex rules around cardiac cath coding, including proper use of modifiers and correct component coding.

Ready to optimize your cardiology revenue cycle?

Contact us today for a free consultation and learn how our specialized cardiology billing services can benefit your practice.

How can we help you?

I can help with cardiology billing questions, insurance information, or scheduling assistance.