CARDIOLOGY MEDICAL BILLING SERVICES
Healthy Hearts Deserve Healthy Revenue. We Keep Both Beating.
Cardiology billing combines imaging components, cath lab procedures, device monitoring and strict medical necessity rules. Expert Medical Billing Services gives your practice cardiology-focused coders and billers who code it right, file it clean and chase every unpaid claim.
CARDIOLOGY CLAIM PULSE
Built around the way cardiology actually bills
- Global, -26 and -TC split reviewed on every imaging claim
- Cath lab and PCI coding checked against the procedure note
- Device checks and remote monitoring tracked by billing period
- Stress, echo and nuclear studies matched to medical necessity
- Prior authorization on advanced imaging and procedures
99.9%
Claim acceptance target
30%
Typical drop in denials we target
50
States served
@1.99%
Starting rate on collections
WHERE REVENUE LEAKS
Six Quiet Ways Cardiology Practices Lose Money
Cardiology revenue rarely disappears in one big denial. It leaks through small, repeatable errors. We find them, fix the cause, and keep them from coming back.
Component confusion
Billing global when the practice owns only the technical or professional part of a study.
Medical necessity gaps
Diagnosis codes that do not support the stress test, echo or nuclear study ordered.
Cath lab bundling
Diagnostic and interventional codes billed together without the right modifiers and vessel detail.
Device and monitoring periods
Remote monitoring and device interrogations billed outside payer time and frequency rules.
Missed authorizations
Advanced imaging and elective procedures performed before approval is on file.
Unworked denials
Small and mid-size denials left unappealed because nobody has time to chase them.
Cardiology Service Lines We Bill
From a single-physician clinic to a multi-site heart group, our coders work from current CPT, HCPCS and ICD-10 guidance.
Clinical Cardiology
Office and hospital E/M, consults, preventive cardiology and chronic care visits with correct level selection.
Echo and Stress Testing
Echocardiography (93306), exercise and pharmacologic stress testing (93015) with component logic.
Nuclear Cardiology
SPECT and PET myocardial perfusion imaging (78452), radiopharmaceutical supply and authorization.
Cath Lab and PCI
Left heart catheterization (93458), stent and angioplasty coding (92928), vessel-level documentation.
Electrophysiology
EP studies and ablation (93653), cardioversion, device implant and programming (93279).
Vascular and Peripheral
Peripheral angiography, venous and arterial studies, and interventions with correct modifier use.
Cardiac Rehab
Supervised exercise (93798) with session limits, eligibility checks and diagnosis requirements.
Remote Monitoring and CCM
Remote patient monitoring (99454) and chronic care management with time and period tracking.
Global, Professional or Technical? We Get It Right.
Getting the component wrong is one of the most common causes of cardiology underpayment. We confirm who owns the equipment and the read before every imaging claim goes out.
GLOBAL
Practice owns equipment and interpretation
Bill the study with no modifier. Used when your office performs the test and your physician reads it.
MODIFIER -26
Professional component only
Bill the physician interpretation when equipment belongs to a hospital or imaging facility.
MODIFIER -TC
Technical component only
Bill the equipment, supplies and technician work when the physician reading is billed elsewhere.
DENIAL PREVENTION
We Stop Cardiology Denials Before They Start
Every claim is scrubbed against payer edits and cardiology-specific rules. When a denial still comes back, our appeals team works it with the clinical documentation attached.
- Diagnosis does not support stress or imaging medical necessity
- Missing prior authorization on nuclear or advanced imaging
- Cath and PCI codes bundled without proper modifiers
- Component modifier -26 or -TC missing or reversed
- Device checks billed outside allowed frequency
- Remote monitoring billed without required days or time
- Same-day E/M denied without modifier 25 support
- Claims past timely filing limits
Our Cardiology Billing Lifecycle
01
Practice Review
We study your services, payer mix, denials and A/R to set a baseline.
02
Credentialing and Setup
Payer enrollment, EHR connection and clearinghouse setup, handled for you.
03
Coding and Charge Capture
Certified coders match every order, study and procedure to documentation.
04
Clean Claim Submission
Claims are scrubbed, submitted electronically and tracked daily.
05
Denials and A/R
Dedicated follow-up and appeals until each claim is paid or closed.
06
Reporting and Growth
Monthly dashboards on collections, denials and days in A/R.
TRANSPARENT PRICING
Cardiology Billing Starting at @1.99% of Collections
You pay a percentage of what we collect, with no long-term contracts. Final rates depend on collections volume and scope of services.
- Cardiology-certified coding and charge review
- Claim scrubbing and electronic submission
- Denial management and appeals
- A/R follow-up and payment posting
- Prior authorization and credentialing support
- Monthly performance reporting
Cardiology Billing FAQs
Charge capture, CPT, HCPCS and ICD-10 coding, claim submission, denial management, A/R follow-up, payment posting, prior authorization and reporting for cardiology services.
Yes. We verify global, professional and technical component billing, medical necessity and authorization requirements for each study.
Yes. Our coders review procedure notes for vessel, stent and intervention detail so diagnostic and interventional services are coded and bundled correctly.
Yes. We track device checks and remote monitoring by billing period, days and time requirements to keep claims compliant.
Yes. We integrate with your existing EHR and practice management software, so you can keep your systems.
Pricing starts at 1.99% of collections. The final rate depends on your monthly collections and services needed.
Most practices are onboarded in about two weeks, with our team handling setup, integration and go-live support.
Ready for a Stronger Revenue Heartbeat?
Request a free cardiology billing review. We will show you where components, authorizations and denials are costing your practice, with no commitment.
- 100% HIPAA Compliant
- AAPC and AHIMA Certified Coders
- All 50 U.S. States
- No Long-Term Contracts