Cardiology billing in California isn’t for the faint of heart. Between modifier-heavy
claims, complex payer rules, and constant compliance updates, even the smallest oversight can cost your practice thousands.
That is why leading cardiology practices from Los Angeles to San Diego trust our precision-built billing systems. We do more than just process claims. We create
revenue workflows that anticipate denials, close coding gaps, and accelerate reimbursements with the accuracy your practice deserves.
95%+
Clean-claim rate
<4%
Lowest Denial Rate
15–30%
Faster reimbursements
HIPAA
HIPAA & SOC 2 compliant
Every cardiology practice faces billing obstacles that look small until they start costing serious money. The table below shows the common issues we see and the precise actions we take to close the gap.
What slows cardiology revenue
Varying documentation, prior authorization criteria, and regional edits make claims fragile.
Misapplied modifiers or incorrect CPT/ICD pairs lead to denials or underpayments.
Complex procedures include many billable items that are easy to miss.
Notes and reports that do not support medical necessity trigger audits and denials.
Delayed filings and weak follow-up create aging receivables and cash flow strain.
The same payer errors keep happening because underlying processes are not fixed.
Clinicians and front desk staff spend hours resolving billing issues instead of treating patients.
What slows cardiology revenue
We map payer rules by region and payer. Claims are prepared with the payer rule set applied. Prior authorizations are managed proactively so claims are not rejected for missing approvals.
Certified cardiology coders run a coded-claims checklist that enforces correct modifiers, components separation, and clinical justification before submission.
We reconcile operative logs and device inventories daily with charge entries and flag any unbilled line items for immediate capture.
We provide documentation templates and chart checks and work with clinicians to ensure notes support every billed service.
Claims are triaged for urgency, submitted within agreed SLAs, and routed into focused A/R queues with scheduled follow-up and payer escalation.
We analyze denial patterns, correct process failures, and implement workflow changes to stop the same denials from recurring.
We take over routine billing tasks, provide clear exceptions for clinical review only, and return concise action items so your team spends time on care.
We measure our success by the financial health of your practice. Our clients' experience:
Managing a cardiology practice is complex enough without worrying about billing and revenue. Our full-service Revenue Cycle Management (RCM) ensures every claim is accurate, compliant, and processed efficiently.
Certified coders apply CPT/ICD-10 codes, follow California payer guidelines, and ensure HIPAA/SOC 2 compliance.
Automated submission, real-time payment posting, and underpayment detection.
Root-cause analysis, structured escalation, and timely follow-up reduce A/R days.
Payer enrollment and credentialing handled to avoid reimbursement delays.
Verify insurance & manage prior authorizations to prevent early denials.
Daily reconciliation ensures all cath-lab, imaging, and device charges are billed correctly.
Detailed dashboards provide insights into claims, denials, and revenue trends for full visibility.
The most common CPT codes include:
Frequently billed ICD-10 codes include I25 (ischemic heart disease), I48 (atrial fibrillation), and R07.9 (chest pain). Correct pairing of these codes and proper modifier use is essential to prevent denials.
Request a Free Billing Audit or Talk to a Billing Expert. We will review your current setup, identify revenue leaks, and show you how to improve cash flow without interrupting patient care.
