MBS for Physicians
Cardiology
Billing Services
Optimize Your Practice Revenue & Billing Efficiency
Getting Started
Our Cardiology Medical Billing Services are tailored to effectively manage the detailed nature of billing in cardiac care. Emphasizing accuracy and adherence to compliance standards, we support cardiologists in handling the complex aspects of coding and reimbursement.
Whether it’s interventional treatments or sophisticated imaging techniques, our certified billing experts ensure that claims are submitted promptly and correctly, helping to prevent denials, improve cash flow, and lighten administrative workload. Let our team manage your billing processes, so you can stay focused on delivering outstanding patient care.
Medical Billing At A Glance
Explore the key performance metrics that reflect our dedication to accurate coding, reduced denials, and maximized reimbursements for healthcare providers.
Claims Processing Metrics
First Pass Resolution Rate
Percentage of claims paid successfully on first submission.
Average Days to Payment
Average number of days it takes for claims to be paid, typically within 21 days.
Financial Metrics
Net Collection Rate
Percentage of total charges collected successfully.
Denial Resolution Velocity
Average number of days taken to fix and resolve a denied claim, typically within 30 days.
Operational Metrics
Average Monthly Claims
Volume of claims submitted.
Staff Productivity Rate
Claims processed per biller per day.
Cardiology Billing Services
Driving Claim Accuracy and Compliance for Enhanced Revenue Outcomes
As diagnostic and treatment methods for cardiac conditions continue to evolve, cardiologists must maintain a high level of attentiveness. However, with the growing demands of clinical care, managing billing and coding processes often becomes a challenge.
Certified billing specialists play a key role in improving revenue outcomes, increasing patient referrals, and streamlining operational workflows.
Professionals with cardiology billing expertise ensure claims are accurate and denial-free, leading to significant improvements in reimbursements.
Our experienced team skillfully handles the complexities unique to cardiology billing.
Our cardiology billing and coding experts are highly credentialed, technologically adept, and extensively experienced. They ensure precise and prompt claims processing, which leads to improved reimbursement outcomes.
We have a strong success history across various cardiology subspecialties, including nuclear and interventional cardiology.
Our tailored services boost revenue cycle performance and enhance the overall efficiency of cardiology practices.
We specialize in managing claims for complex procedures such as cardiac surgeries, transplants, and heart failure management.
We ensure that cardiology billing is meticulously aligned with all applicable industry protocols, payer-specific guidelines, and federal regulatory requirements, minimizing compliance risks and promoting accurate reimbursements.
Specific CPT codes such as 93451, 93456, and 93503 must not be submitted with modifier 51, as they are not eligible for multiple procedure discounting.
Most cardiology procedures for non-congenital conditions should be reported using a single, comprehensive code to ensure proper claim processing.
In cardiac catheterization, imaging supervision, interpretation, and reporting are considered inclusive and are bundled with injection services, making them non-billable as standalone items.
The integration of cutting-edge technology platforms plays a vital role in streamlining the billing and coding processes within cardiology practices, ensuring high accuracy and operational efficiency.
Proficiency in leading billing software such as NextGen, Medisoft, Eclipse, Lytec, Inception, and Misys allows for precise and timely processing of claims.
We utilize advanced coding tools including EncoderPro, Flashcode, and CodeLink to accurately assign diagnosis and treatment codes.
Outsourcing to our technology-enabled billing services accelerates claims submission, minimizes human errors, and contributes to near denial-free reimbursement outcomes.
Our cardiology billing services cover a wide spectrum of diagnostic and interventional procedures and are executed using advanced and reliable medical billing technology. We ensure that each procedure, whether routine or complex, is captured and billed accurately to reflect the exact services rendered. Our process is aligned with best practices to ensure proper reimbursement and full regulatory compliance. This attention to detail helps cardiologists maintain a smooth revenue cycle without interruptions.
Routine procedures: Electrocardiograms, Holter monitors, echocardiograms, diagnostic cardiac catheterization, and coronary angiography.
Complex procedures: Cardiac MRI studies, PET scanning, catheter-based ablation, myocardial perfusion imaging, and coronary intervention.
Invasive procedures: Percutaneous coronary intervention (PCI), balloon dilatation of the mitral valve, and percutaneous angioplasty.
Our cardiology billing services are built upon the foundation of applying industry best practices to maintain coding integrity, maximize reimbursement, and reduce administrative hurdles. By implementing precise coding strategies and addressing unique billing challenges—such as services not typically covered and incident-to scenarios—we ensure smoother claim processing. Our dedicated team remains vigilant in identifying opportunities to reclaim denied claims and enhance billing efficiency, ultimately supporting cardiology practices in focusing on what matters most: patient care.
Expertise in coding integrity and applying suitable modifiers to reclaim denied claims.
Continuous research on coding regulations to ensure up-to-date knowledge.
Proven ability to reduce administrative burden and enhance the focus on patient care.
Our team brings years of hands-on experience in managing and submitting claims to both private insurance providers and government-funded healthcare programs. We understand the unique submission protocols, billing nuances, and reimbursement structures specific to each payer, allowing us to navigate the complexities of cardiology billing with precision. From initial charge capture to resolving claim rejections, our process is designed for reliability and financial accuracy, ensuring cardiology practices receive timely payments and reduced denials.
Successful partnerships with major carriers like UnitedHealth, Aetna, Kaiser Foundation, and Humana.
Expertise in handling Medicare and Medicaid billing for cardiology services.
Our specialists ensure comprehensive billing solutions, including accurate charge capture and multi-tiered denial management.
Our dedicated cardiology billing services are specifically designed to reduce common financial and operational challenges faced by cardiology practices. By identifying billing inefficiencies early, we proactively minimize issues such as claim delays, payer audits, and growing accounts receivable. Our proven workflow and expertise help ensure claims are submitted accurately and on time, resulting in quicker reimbursement cycles and improved practice stability.
Reduction of claim submission delays and audit risks.
Decrease in account receivables, with claim cycles completed within 60 days.
Our expert services help lower overhead costs for clients and ensure quicker reimbursements.
Outsourcing your cardiology billing to our specialized team offers numerous benefits, including:
Expert Handling of Billing Processes: Reduces the administrative burden for your practice, allowing your team to focus on patient care.
Regulatory Compliance: We ensure all claims are in line with the latest coding standards and regulations.
Improved Financial Outcomes: Let us manage the technicalities of billing and coding to boost reimbursements and financial performance for your practice.