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Specialty — Cardiology

Medical billing and RCM for cardiology practices

Cardiology loses revenue where primary care never does: procedure bundling, device and implant billing, prior authorization on imaging, and a payer mix that pays very differently for the same CPT.

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A physician listening to a patient’s heart with a stethoscope
Denial drivers
Prior authorization, bundling
Coding pressure
Modifiers, device codes
Where A/R ages
Imaging and procedures
Underpayment risk
High - contract variance
The challenges

What actually costs cardiology practices money

Prior authorization on imaging and procedures

Requirements change without warning, and one payer policy update can deny weeks of studies before anyone sees the pattern.

Bundling and modifier accuracy

Interventional and diagnostic work bundles in ways that are easy to under-code and expensive to over-code. Both cost you.

Device and implant billing

High-dollar claims with documentation requirements that differ payer to payer - the largest single claims to lose.

Contract variance

The same CPT paid three ways across three payers. Without a contract comparison, underpayments look like normal payments.

How we work a cardiology account
  1. 1 Authorization tracking on every study and procedure, with expiry alerts before the date of service
  2. 2 Coding QC by coders who work cardiology daily, not a general pool
  3. 3 Contract-based payment checking so underpayments are caught at posting
  4. 4 High-dollar claim watch - device and implant claims worked first, every time

Other specialties

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How healthy is your cardiology revenue cycle?

We will review your denials, A/R and payer performance and tell you what we find.

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  • Under two minutes to request
  • No patient information needed to start
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