Cardiology Billing Services
RCM for clinic, cath/EP labs, imaging and device checks — fewer edits, faster reimbursements, stronger cashflow.
98%+ Clean Claims
Edits & eligibility checks built in
30–45% Faster AR
Prioritized worklists & SLAs
24–48h Posting
ERA/EOB reconciliation
HIPAA + BAA
Secure workflows & audits
Billing & Coding Built for Cardiology
We translate complex cardiology documentation into accurate CPT/ICD-10 with payer-ready claims for clinic, cath/EP labs, imaging, stress tests and device checks.
- Review of op notes, tracings, implants & imaging
- Front-end NCCI/MUE edits and global period validation
- Charge capture & reconciliation linked to schedules and reports
End-to-End Cardiology RCM
Clinic & hospital, cath/EP labs, imaging, device checks, and telehealth.
Eligibility & Authorizations
Benefits checks, auth capture, tracking & renewals.
Coding & Charge Entry
EP, interventional, stress, echo, nuclear — accurate CPT/ICD-10.
Claims & Edits
Payer rules, NCCI, global periods, bundling logic.
Payments & AR
24–48h posting, underpayment hunt, prioritized AR.
Denials & Appeals
Root cause, corrective coding, templated appeals.
Analytics & Compliance
Dashboards, KPIs, audit trails, controls.
Payer Nuances We Handle
- Auth & medical necessity for nuclear/stress, advanced imaging
- Device checks frequency limits & remote monitoring rules
- Global periods & bundling for interventional procedures
- TC/PC splits and place-of-service impacts
- Modifier usage (−26/TC, −59/−X, −52/−53) with documentation
Denial Prevention & Appeals
- Front-end edits to catch NCCI/MUE conflicts before submission
- Automated eligibility & auth checks with proof on file
- Appeal playbooks by payer, timely filing tracking & escalations
- Underpayment analysis vs fee schedules & contracts
- Feedback loops to providers for documentation gaps
Cardiology RCM — FAQs
Do you support both clinic and hospital billing?
Yes — professional claims, facility coordination, and cath/EP labs with device, imaging and stress testing.
How do you keep denials low?
Up-front edits (NCCI/MUE), auth verification, coder QA, bundling/modifier checks, and rapid root-cause feedback to providers.
What posting & follow-up timelines do you follow?
Payments posted within 24–48 hours; prioritized AR worklists with SLAs and payer-specific appeal playbooks.
Let’s lift your cardiology collections
Start with a free claims & A/R snapshot — actionable in 48 hours.