Performance-Driven Cardiology Billing Services

Looking to maximize your cardiology practice revenue and cut administrative costs by 50%? Get ready – you’re about to experience one of the most accurate, compliant, and specialty-focused cardiology billing services in the USA.

Where Every Cardiology Claim Pumps Profits

Your cardiology practice shouldn’t be drowning in claim edits, modifier confusion, or A/R backlog. We handle the operational pressure so your team can focus on care not coding errors.

We help you meet the AAHAM cardiology denial benchmark (<5%) while supporting value-based care, bundled payments, RVU accuracy, and LCD/NCD compliance.

Our electrophysiology (EP) billing services include:

Billing Wins for Your Practice:

RPA-Powered Cardiology Revenue Cycle Management

Still stuck with manual tasks?
We automate your cardiovascular billing end-to-end using RPA bots, AI scrubbing, and predictive denial analytics built specifically for cardiology.

Results of our AI-powered technology? Let’s have a look:

Our Achievements (Cardiology-Specific Benchmarks)

Our top-notch electrophysiology (EP) billing services scale your cardiology clinic's growth and reduce your AR recovery rate.

We leave no chance of losing money!

Collection Ratio
93 %+
Reduction in AR
0 %
First Pass Clean Claims Rate
50 %+
Revenue Increase
Up to 10 %
Lowest Denial Rate
0 %
Days Turnaround Time
7- 6

We Turn Your Billing Challenges Into Wins

Cardiology Billing Is High-Risk — We Remove the Risk
Our certified team handles complex cardiology coding including:

One mis-typed CPT or wrong modifier can cost thousands. That’s why cardiology billing requires specialists not generalist billers

High-Complexity CPT Codes We Manage Daily

93000–93999 (ECG, stress, echo)
93306 (TTE)
93454–93461 (Cath/Coronary Angiography)
92920–92944 (PCI procedures)
93297 (2025 RPM for cardiovascular monitoring)
93264, 93297 (remote device interrogation)

Common Frustrations We Fix Immediately

We distinguish routine vs. EP-level testing, pass all claims through AI scrubbers, and eliminate human error before submission.

Complex Coding

We distinguish routine vs. EP-level testing, pass all claims through AI scrubbers, and eliminate human error before submission.

Strict Payer Policies

We track all CMS, ACC, MACRA, RVU, and payer-specific cardiology rules to prevent inconsistent reimbursements.

Proper Documentation

We ensure each echo, PCI, intervention, EP study, and device interrogation meets AUC, medical necessity, and audit-proof documentation.

Unbundling and Modifier Misuse

We apply correct cardiology modifiers, including -26, -TC, -25, -59, -XS, -Q0, -Q1, preventing denials from bundling mistakes.

Cath-Lab & PCI Billing Nuances

Correct FFR coding, supply bundling rules, PCI sequencing — we manage the details so your claims stay compliant.

Your Claims Reimbursed. Your Data Protected.

We follow ACC, SCAI, HFMA, MGMA, and HRS billing protocols, maintaining:

  • 30–40 days HFMA A/R benchmark
  • RVU accuracy aligned to MGMA medians
  • 0 risk of documentation-triggered audits
  • Full compliance with LCD/NCD cardiology policies

We don’t let your cardiology practice snowball into:

2x Less Denial Rate

Using AAHAM’s recommended benchmark (<5%), we maintain 4% denial rate across all cardiology claims using:

  • Predictive denial analytics

  • Payer-specific cardiology edits

  • Proactive appeals & root-cause fixes

A 75% MIPS score jump is not luck - it’s engineered.

We Serve All Cardiology Practices

Choose Yours?

Hospital-based cardiology
Multi-specialty cardiovascular groups
Small practices
Tele-cardiology
Academic cardiology
Outpatient cardiac clinics
Critical Access Hospital Cardiology Units
Concierge Cardiology Services
Cardiac Rehabilitation Centers

Cardiology Telehealth Billing

Remote cardiology is growing  but reimbursements are tricky.

We ensure compliance with:

  • CY 2025 telehealth codes
  • New virtual check-in changes (CPT 98016 → HCPCS G2012)
  • Remote monitoring & follow-ups
  • RPM/RTM cardiology-specific billing pathways

Our Satisfied Clients

Discover how physician groups thrive with us.

Frequently Asked Questions

What makes cardiology billing more complex than general medical billing?

Cardiology billing involves a wide range of procedures, tests, and diagnostic services — from EKGs and stress tests to catheterizations and device implants. Each service may require specific codes, modifiers, and documentation to ensure accurate billing. Additionally, cardiology often encompasses both professional and technical components, which must be billed accurately to prevent denials.

Some of the most frequent errors include:
  • Using incorrect or outdated CPT/ICD-10 codes
  • Missing or misused modifiers (like -26, -TC, -59, -Q0, -Q1)
  • Bundling errors for services that should be billed separately
  • Failing to document medical necessity properly
    These can result in claim rejections, underpayments, or audits.

A specialized cardiology billing company helps:

  • Manage your operational tasks, including charge capture, eligibility verification, and prior authorization
    Reduce denials and billing errors
  • Ensure accurate reimbursement
  • Keep up with coding updates and compliance rules
  • Save time on administrative tasks
  • Improve overall revenue cycle performance

Let’s Grow Your Cardiology Practice Together

Getting confused about outsourcing your cardiology billing in USA?
We help you manage your RCM, clear your aging A/R backlog, and boost your practice by 10x.