We Handle the Billing. You Handle the Healing
Cardiology is one of the most complex specialties in medical billing and coding, with high-RVU procedures, strict modifier rules, payer-specific documentation, and invasive vs non-invasive services that require precise coding.
Most general billing companies cannot handle cardiology’s intensity, leading to:
We eliminate these issues with cardiology-specific billing workflows, supported by certified coders, software compatibility, payer intelligence, and optimized A/R follow-up.
Our cardiology revenue cycle management services cover the full billing lifecycle,
combining cardiology coding and billing services with proactive
reimbursement optimization.
This includes cardiology prior authorization billing and payer-specific
cardiology claims management services for complex procedures.
Angiography
Echocardiography
(TTE, TEE)
Stress tests (treadmill,
pharmacologic)
Holter monitoring
Cardiac diagnostic imaging
Tilt table testing
Stent evaluations
Myocardial perfusion imaging
Angioplasty (PTCA)
Atherectomy
Thrombectomy
Fractional flow reserve
(FFR) testing
Fractional flow reserve
(FFR) testing
Intravascular ultrasound (IVUS)
Percutaneous coronary
interventions (PCI)
Cardiac catheterization billing with
payer-specific documentation validation
EP studies
Ablation (SVT, AFib, VT)
Loop recorder
insertion/removal
Cardiac mapping
Event monitoring
Cardioversion
ICD/Pacemaker
interrogation
Pacemaker implantation
ICD implantation
Generator change
Biventricular device placement
Device pocket revision
Device monitoring (remote + in-office)
EKG / ECG billing services with accurate CPT and modifier application
Congenital heart defect evaluations
Pediatric
echocardiography
Pediatric cardiac
catheterization
Pediatric EP studies
Pediatric device
follow-ups
We operate as a specialized cardiac device billing company supporting pacemaker and ICD procedures
Lipid disorder
management
Hypertension
evaluation
Heart disease risk
assessments
Preventive
cardiology visits
Cardiac rehabilitation
billing
Telehealth cardiology
consults
We support cardiology RPM billing and CCM billing, including remote patient monitoring billing for cardiology practices.
For each cardiology service, we provide
Documentation verification
Correct CPT/ICD mapping
Bundling & NCCI edit checks
MUE frequency validation
Modifier review
Prior authorization verification was required
Payer-specific guidelines (Medicare, Medicaid,
BCBS, UHC, Aetna)
Compliance checks for medical necessity
Cardiology requires precise use of 25, 26, TC, 59, and XU, depending on whether the facility or professional is billing.
Our fix: Auto-modifier validation engine + coder review.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
CO-50
CO-16
CO-97
CO-109
PR-1
CO-151
Not medically necessary
Missing info
Bundled service
Not covered
Deductible
Frequency limit
Echo/Stress test diagnosis mismatch
The device or EP procedure lacks documentation
PCI bundled with diagnostic cath
Preventive or rehab services
Medicare cardiac visits
Multiple echo/stress tests
Correct ICD pairing + submit notes
Attach op report + device log
Apply modifiers when allowed
Verify coverage + PA
Collect upfront
Documentation + medical necessity
No extra training. No workflow disruption. No downtime
We support cardiology practices, cardiology clinics, cardiology physician groups, and hospital-based cardiologists, including cardiology imaging centers.
Ensures faster payments.
Through coding precision + payer-specific
rules.
EP, interventional, and imaging-trained coders.
Track revenue, denials, RVUs, and device
reimbursements.
Every claim follows strict regulatory rules.
One team is assigned to your practice.
We provide nationwide cardiology billing services for US-based practices,
delivering compliant cardiology billing services across the USA.
Speak directly with cardiology billing specialists who understand
complex procedures, modifiers, and payer rules.
Cardiology requires precise use of 25, 26, TC, 59, and XU, depending on whether the facility or professional is billing.
Our fix: Auto-modifier validation engine + coder review.
Many interventional procedures trigger NCCI bundling.
Our fix: NCCI real-time edit detection before submission.
Especially common in echo, stress tests, & diagnostic imaging.
Our fix: ICD-10 cross-mapping + documentation review.
Frequent bundling or “diagnosis not consistent with procedure.”
Our fix: Device-specific workflows + dedicated device team.
EP coding requires mapping comprehensive vs limited studies.
Our fix: EP-trained coders only.
Yes. We bill Remote Patient Monitoring (RPM) and Chronic Care Management (CCM), including remote cardiac monitoring, EKG reviews, and device follow ups using correct CPT and telehealth rules.
We review underpaid claims, correct coding or modifier issues, submit appeals with documentation, and follow up until full payment is received.
