Cardiology medical billing practices are known to face many challenges not typically encountered by other specialties. This is due to its fast-paced environment and complexity of services rendered to patients. With its unique specialties such as General Cardiology, Interventional Cardiology, Cardio-Thoracic Surgery, Electrophysiologist, Nuclear Cardiology, and Transplant Cardiology, it is hard to keep up with the evolving guideline changes. Cardiology coding requires specialized skills with terminology and billing guidelines, which change constantly, making it impossible for in-house billers or a small team of billers to stay up to date. The cost involved in training can pose many issues for practices, and staff turnover can be problematic if work is disrupted.
Many practices accept the paid claims and leave a large amount of denied claims unworked. In Cardiology medical billing, under-coding, over-coding, and incorrect usage of modifiers when coding multiple procedures may cause denials of high-value claims. Appealing a denial requires billing and coding expertise that your staff may simply not have time for, as they focus on other tasks in your office.
Cardiology billing has many 'pain areas' that we have created solutions for, just to name a few:
Results Reflected in Our KPIs
| Collections up to |
96% |
| Reduction in days in AR |
19 days |
| Error Ratio |
<2% |
| TAT for processing a claim |
<48 hrs |
| Reduce ‘No Response’ |
<1% |
| TAT for Payment |
28 |
| Years of experience |
15 |
