Cardiology Billing Mastery
Cardiac procedures demand precise billing expertise. From complex interventional cases to device implants, cardiology billing requires deep understanding of procedure bundling, device registration, and evolving reimbursement policies.
Critical Cardiology Billing Challenges
Device Implant Billing Complexity
Cardiac device procedures require precise coordination between physician fees, facility fees, and device costs. Missing device registration, incorrect modifier usage (-52, -53, -62), or bundling violations frequently result in significant underpayment or denial of high-value claims.
Interventional Procedure Bundling
CCI edits aggressively bundle cardiac catheterization procedures. Billing 93458 with 93460 without proper modifier usage, or missing add-on code opportunities for additional vessels, can cost practices thousands per procedure in lost revenue.
Diagnostic Test Interpretation Rules
Medicare's professional component billing for ECGs, echocardiograms, and stress tests has strict interpretation requirements. Missing physician signatures, inadequate documentation of findings, or incorrect global billing can trigger audits and recoupment demands.
Hospital Consult vs. Inpatient Care
Distinguishing between consultation codes and subsequent hospital care visits confuses many practices. Incorrect use of 99251-99255 versus 99231-99233, especially with Medicare's consultation restrictions, leads to systematic undercoding and revenue loss.
Our Cardiology Billing Expertise
- Our cardiology billing specialists maintain current knowledge of rapidly evolving cardiac procedure codes, including new technology additions and Medicare's annual fee schedule updates for interventional procedures.
- We implement comprehensive device tracking workflows that coordinate with hospital billing systems, ensuring proper documentation and billing of all implantable cardiac devices from pacemakers to complex ICD systems.
- Our quality assurance process specifically targets CCI edit violations and bundling issues, using specialized software to identify missed add-on opportunities and prevent costly bundling denials.
- We provide detailed revenue analysis for cardiac procedures, helping practices understand profitability by procedure type and identify opportunities for improved coding and documentation.
Cardiology Performance Metrics
Maximize Your Cardiology Revenue
Trust our cardiology billing experts to handle your complex procedures and device billing while you focus on cardiac patient care.