Cardiology is one of the highest-denial specialties in medicine. Complex procedure codes, strict prior authorization requirements, and payer-specific rules create constant revenue leakage, often without your team even knowing it.
Cardiology billing isn’t like general medical billing. Echocardiography, stress testing, catheterization lab procedures, electrophysiology studies, and device implant claims each carry their own coding rules, bundling restrictions, and payer-specific prior authorization requirements. One wrong modifier or missing documentation note triggers a denial that takes weeks to appeal.
Managing cardiology billing in-house means staying current with constantly shifting payer policies, authorization requirements, and coding updates, on top of everything else your team is already responsible for.
Our team is trained in the full range of cardiology CPT codes, including diagnostic (93000-93278), interventional (92920-92944), electrophysiology (93600-93662), and beyond. We know how to apply the right modifiers, handle bundling edits, and document the clinical justification that payers require.
Most denials in cardiology are preventable. We run pre-submission audits on every claim to catch coding errors, missing prior authorizations, and eligibility issues before they reach the payer. This reduces your denial rate from the start.
Clean claims get paid faster. Our pre-submission review process means your claims go out right the first time. We cut down on the back-and-forth that delays your cash flow.
When a denial occurs, our team acts immediately. We investigate the reason, prepare supporting documentation, and file a timely appeal. We track every case until it resolves.
You receive clear monthly reports showing claim submission rates, denial trends, collection performance, and outstanding balances. No guesswork at all. You always know exactly where your revenue stands.
We work within your existing systems, including Kareo, AdvancedMD, NextGen Healthcare, Oracle Cerner, and others, so your workflows stay uninterrupted during and after onboarding.
Your account is managed by a dedicated billing specialist who knows your practice. Reach us anytime with questions, and get a real answer, not a ticket number.
Every process, system, and team member at Med Claims operates under full HIPAA compliance protocols. Your patient data and billing records are handled with the highest security standards.
Specialized coding and proactive follow-up mean more of your submitted claims are paid in full and on time.
Your front desk and clinical staff stop chasing claims. We handle the billing complexity, so your team can focus on patients.
We manage prior authorization tracking and submission for cardiology procedures to reduce scheduling delays that cost your practice appointments and revenue.
Our billing specialists stay current with CMS updates, payer policy changes, and cardiology coding guidelines, so your claims stay compliant without you having to track every change.
Whether you’re a solo cardiologist or a multi-physician group, our services scale with your practice. No need to hire additional billing staff as your volume grows.
We handle billing for the full spectrum of cardiology services, including:
We are experienced in billing for Medicare, Medicaid, Medicare Advantage plans, and all major commercial payers, including payer-specific documentation requirements and contract terms that affect your reimbursement rates.
We track and submit prior authorizations for high-volume cardiology procedures to reduce delays that hold up both your schedule and your revenue.
We start by reviewing your current billing performance, claim denial rates, collection gaps, coding accuracy, and payer mix. You get a clear picture of where your revenue is leaking before we begin.
We connect with your EHR and practice management system, establish workflows with your front desk team, and complete a full setup, with no disruption to your operations.
Our certified cardiology billing specialists code and review every claim before submission. We apply the correct CPT codes, modifiers, and ICD-10 diagnoses, and confirm prior authorization status, before anything goes wrong with the payer.
We actively track every submitted claim. Unpaid or denied claims are addressed immediately, investigated, documented, and appealed with supporting evidence until they are resolved.
We post all payments, reconcile EOBs, and flag underpayments against your contracted rates. You receive a monthly performance report with plain-language insights on your revenue cycle health.
Our cardiology billing services cover your entire revenue cycle, including:
We handle every step, so your practice receives timely, accurate reimbursements.
Cardiology involves some of the most complex billing in medicine. Procedures like echocardiography, EP studies, cardiac catheterization, and device implants each have specific coding rules, bundling restrictions, and prior authorization requirements. A coder without cardiology-specific training is far more likely to trigger denials, underpayments, or compliance issues. Our team is trained specifically in cardiology billing.
Many medical practitioners have in-house billing staff who focus on front-end functions, including scheduling, eligibility checks, and patient collections, while Med Claims handles the complex back-end claim processing, denial management, and appeals. Outsourcing the specialized work reduces your staff’s workload without eliminating their roles, and typically improves overall collection performance.
We do not wait for denials to pile up. Our pre-submission review process catches the most common denial triggers before claims reach the payer. When a denial occurs, our team identifies the root cause, prepares the necessary documentation, and files a timely appeal. We track each case through to resolution and report outcomes back to your practice.
We integrate with most major EHR and practice management systems, including Kareo, NextGen Healthcare, AdvancedMD, Oracle Cerner, and others. We work within your existing systems, so your team doesn’t need to change any workflows.
Most practices are fully onboarding within 5 to 7 business days. We handle the technical integration and workflow setup, and we keep your team informed at every step to ensure a smooth transition.
Billing errors, claim denials, and delayed reimbursements are not unavoidable. They are the result of working with a billing partner that is not built for the complexity of cardiology. Med Claims is.
Start with a free, no-obligation billing audit. We will review your current revenue cycle, identify exactly where your practice is losing money, and show you what a specialized cardiology billing operation looks like in practice.