Cardiology Billing That Keeps Your Practice's Heart Beating Strong
Between complex procedures and ever-changing regulations, cardiology billing can feel like navigating coronary arteries without a map. We get it—that's why our team lives and breathes cardiology revenue cycle management. No more guessing about modifier 26 or stressing over bundled echocardiography codes.
Last month alone, we recovered $287,000 in denied claims for a 12-physician cardiology group. But numbers don't tell the whole story—what matters more is the peace of mind our partners gain knowing their billing is handled by specialists who understand the rhythm of cardiology practice.
CPT & ICD-10 Coding That Speaks Cardiology Fluently
Ever had a claim denied because someone miscoded a stress test with contrast? Our team includes former cardiology practice managers who know that 93015 isn't the same as 93016. We don't just code—we document medical necessity so thoroughly that payers would need a cardiac cath to find holes in our work.
- Specialized knowledge of cardiology-specific modifiers (26, TC, 59)
- Precision in complex procedure coding (catheterizations, EP studies, TAVR)
- Quarterly coding updates specific to cardiology changes
Pre-Authorizations Handled Like a Well-Tuned EKG Machine
Nothing slows down patient care like authorization delays. Our pre-auth specialists know which payers require peer-to-peers for cardiac CTs and which simply need the right clinical notes. We've perfected the art of getting that "yes" so you can focus on the "next."
Real Example:
For a patient needing a myocardial PET scan, we gathered the patient's failed stress test results, previous medication history, and a detailed letter of medical necessity—securing approval in 72 hours when the practice's usual timeframe was 2-3 weeks.
Denial Management That Doesn't Take "No" for an Answer
When claims get denied (and they will), we don't just resubmit—we investigate like interventional cardiologists hunting down coronary blockages. Our denial recovery rate is 89% higher than industry average because we treat every dollar like it's part of your practice's lifeblood.
Common Cardiology Denial We Fix:
Bundled echo components
Incorrect STEMI coding
Missing cath lab documentation
Our Approach:
Root cause analysis
Clinical documentation improvement
Payer-specific appeal letters
Reporting That Actually Makes Sense (No MBA Required)
Our dashboards show you what matters: Which cardiologist's stress tests keep getting downcoded? Which payers are slow-walking your angioplasty payments? We translate data into actionable insights—with color coding so clear, you'll know your practice's financial health at a glance.
"After switching to these guys, our collections for complex PCI procedures increased by 22% in three months. Their cardiology coding specialist caught that we were undercoding our thrombectomy cases—that alone paid for their services for a year."
Dr. Sarah Chen
Interventional Cardiologist, HeartCare Midwest