Cardiology medical billing practices are known to face many challenges not typically encountered by other specialties. This is due to its fast pace 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.
Billed Right has AAPC-certified cardiology coders (CCC™) on staff, who have extensive experience serving cardiology practices for over a decade. The complexity of Cardiology billing poses no issues for a large team trained to handle any software and meet high demand consistently and efficiently. We are also fully compliant with HIPAA regulations and stay up to date with changes in Medicare guidelines and the constantly updated ICD and CPT code lists. We offer you monthly and quarterly education on areas that need improvement in your documentation and coding. We help you stay in control of your documentation but understanding how to capture all the details in your encounter.
How We Can Help
Cardiology billing has many 'pain areas' that we have created solutions for, just to name a few:
Multiple Procedure Reductions
Delay in claim submission
Inability to construct proper documentation for procedures and E&M visits
Not understanding the complex contractual adjustments
Inability to send effective appeals
Losing money to denied claims for missing key components
Inaccurate coding leading to non-compliance
Too many billing and coding changes and hard to stay up to date
Performing procedures that are not cost-effective, with no return on the upfront cost
If these problems have surfaced in your practice, contact us today to find how we can help!
- Increase in collections up to 97%
- Reduction in days in AR to < 30 days
- Error Ratio < 1%
- Appeal success rate
- Coding compliance
- Reduce 'No Response' claims to <5%
What clients say
Psychiatry Group, Ohio.
"I have been very happy with Billed Right and have seen a significant increase in collections since switching to them 8 months ago. They are professional, efficient, and respond to all my questions and concerns thoroughly and promptly. I highly recommend them and have referred them to my colleagues."
Internal Medicine Provider, Altamonte Springs, Florida
“As a practice entering commercial insurance for the first time, we briefly tried to manage our own billing before realizing that we really needed to bring in a professional. After interviewing several companies, we selected Billed Right who was committed to understanding our business model and become a true partner in our success. Over the past 18 months we have seen significant organizational growth and Billed Right has partnered with us to help facilitate that growth as they remain a key asset to our organization.“
Behavioral Health Provider, Connecticut
Account Managers are always readily available to help me. I appreciate their efforts daily! Our AM is a true gem and gift to any client account she manages. Her knowledge and suggestions aid me and my clinic in many ways. I would never have been able to execute a few items without her help. I was not in my current role before they chose to use Billed Right, however, I do see reports that show substantial increases in Revenue for my company. I appreciate the transparency of reporting, coding, and claims with the team and within the system. I would highly recommend Billed Right to others. In fact, at the most recent Meditab conference, Billed Right’s contact information was given freely with praise to several small business owners in need of financial assistance.
Practice Administrator of Urgent Care, TN
Billed Right has depth that similar service organizations do not. There is not a one or two-person team that handles everything. It is an organization that as a team understands our account. We have senior leadership, on the ground leadership and day to day team members that know our account. That is not easy to replace and certainly, at our size, not something we could bring internally without a significant commitment to infrastructure. While we cannot speak to how they may align with a specific set of needs…they are a professional organization with solid tools. Ultimately you will choose an outside billing partner for the simple reason of increasing collections. This will happen with Billed Right…but to us…as much as increasing our cash flow is their team of professionals. I like them, respect the contribution they make to our company and openly offer my personal recommendation.
CEO, Pain Management, CA
I have been associated with Billed Right for the past two years since I started my practice. Billed Right have been incredibly helpful in assisting my practice with initial credentialing, providing prompt responses to all my requests and excellent service to address my concerns. I am very satisfied with their timely insurance billing, collections, low AR, and patient accounts management. My Account Manager meets with me regularly to review and discuss management reports and address my questions in a professional and promptly manner. I am very satisfied and could not ask for better service. For these reasons I highly recommend Billed Right to anyone looking for a reliable practice management service.
Psychiatry Provider, FL
Billed Right is very knowledgeable in every aspect of business. When our Dr. First acquired the practice, it was a huge mess because one provider was leaving, and one was coming in but Billed Right stuck in there with patience and loyalty. Account Managers are top notch when it comes to every aspect of the business and make sure that you are comfortable in what they teach you. Staff members are very competent and have patience of saints to put up with credentialing and enrollment processes. Staff are polite and know what they are doing and go out of their way to help in every situation. I want to thank each one of the teams. Patient call rep is awesome and is also top notch in the field.