U.S.-based cardiology billing experts ensuring accurate coding for EKG, echo, stress tests, cardiac cath, and EP studies—with 97% clean claims and 60% fewer denials.
Request a Free RCM AuditExpert application of cardiology-specific codes—including EKG (93000), echo (93306–93352), stress tests (93015–93018), cardiac cath (93451–93532), and EP studies—with correct global vs. component billing.
Accurate use of -26 (professional), -TC (technical), -52 (reduced service), and -76 (repeat procedure) modifiers based on service setting and payer rules to prevent 100% denials.
Pre-submission scrubbing catches missing modifiers, incorrect units, or NCCI bundling edits—preventing avoidable denials for complex cardiac studies.
Auto-capture study details from Epic, Cerner, GE/Vivid, Philips, or Siemens systems—ensuring no missed charges for contrast, Doppler, or 3D imaging.
Denied claims are appealed within 72 hours with physician notes, tracings, and clinical justification—recovering 87% of lost cardiology revenue.
Your U.S.-based expert tracks procedure-specific KPIs: reimbursement per CPT, denial trends, and payer contracts for echo, stress, and cath labs.
Cardiology billing is highly nuanced—missing modifiers, incorrect global/component splits, or unbundling errors trigger automatic denials or severe underpayment.
Failure to apply -26/-TC for hospital-based echo labs leads to claim denials. Missing -52 for incomplete stress tests causes recoupments.
Submitting global when only professional or technical is allowed (e.g., in ASCs or shared-facility models) results in payer takebacks.
Commercial payers bundle contrast with cardiac cath or stress echo with nuclear imaging—missing these edits causes irreversible denials.
Missing details like “contrast used,” “Doppler,” or “3D echo” in reports leads to downcoding or claim rejection.
Built for cardiologists, echo labs, and cath labs that demand precision in every claim.
Verify eligibility, benefits, and prior auth (for advanced imaging or EP studies) before the patient arrives.
Extract CPT, laterality, contrast, Doppler, and 3D details directly from finalized cardiology reports or device logs.
Apply -26, -TC, -52, -76, or global billing based on service location, provider role, and payer policy.
Submit scrubbed claims daily with real-time NCCI and payer-specific cardiology bundling checks.
Monthly dashboard: avg. reimbursement per echo/cath/stress test, top denials, and payer performance by CPT code.
Clean Claim Rate
Fewer Denials
Higher Net Collections
Based on 53 cardiology clients served in 2024. Results may vary.
Learn how to avoid common billing pitfalls and maximize reimbursement for every cardiac study.
Read Our Cardiology Billing GuideThe average cardiology practice loses $70K–$200K/year to missing modifiers, incorrect component billing, and unbundled studies.