Specific areas of medicine bring distinct Medical billing challenges, and cardiology is no exception. Cardiovascular medicine includes very noxious procedures; it has some of the most draconian documentation demands in all of medicine. Billing in this area of medicine is not for novices.
We know that cardiology billing services must be precise, compliant, and structured to yield the greatest return. This is why reliance on a partner with real medical billing services knowledge for cardiology can significantly impact the financial health of your practice.
Why Cardiology Billing is More Complex Than You Think
Like many other specialties, cardiology has multiple diagnostic and therapeutic procedures including tests, imaging, catheterizations, electrophysiologic studies, and even surgery. Each service has its own set of CPT codes, modifiers, and billing guidelines per insurance. The risk of missing out on reimbursements brings with it denials which can be financially impactful.
Some prevalent cardiology billing issues include:
- Correct ICD-10 and CPT coding
- Modifier application (e.g. 26, TC, 59, 51)
- Correct accounting of billed bundled services
- Control of global periods and follow-up visits
- Undocumented medical necessity gaps
Failure in adhering to specialized cardiology billing knowledge may lead to enticing claims as reimbursements which can spiral into under or over coding.
Key Features of Expert Cardiology Billing Services
- Specialty- Niche Coding Particularities
Each of our team members is trained in cardio-based billing and coding. From EKGs through to stent placements, we ensure to do the billing correctly.
- Successful Submission of Claims
Our usage of sophisticated claim-scrubbing technology helps in catching errors prior to submission and therefore reduces claim rejections and denials.
- Customized Tools for Workflow Optimization in Cardiology Practices
As an individual practitioner, or as an institute encompassing several heart specialists, we provide tailored customizable solutions for every practice structure.
- A/R and Denial Management in Real-Time
Strong documentation coupled with timely appeals are used in fighting claim denial while our specialists actively manage the accounts receivable.
- HIPAA-Compliant, Secure Systems
Protection against Unauthorized Disclosure of Information Processes, Systems and Policies
Working in a cloud environment aids in full HIPAA compliance while reporting makes the information secure. The information is safe and undergoes secure processing for access.
Why Choose imedisphere?
Through decades of providing medical billing services for a wide range of specialties, we have established proficiency in cardiology billing. Our services encapsulate honesty, precision, and results.
We offer:
- Comprehensive revenue cycle management
- Verified medical coders
- Tailored cardiology billing reports
- Denial prevention plan
- Assigned account directors
Final Thoughts
Your business needs an expert in cardiology billing and coding; a generalist will not do. You deserve a billing partner that understands the nuances of your specialty, appreciates the importance of every code and modifier, as well as every payer guideline.
Allow us to optimize reimbursements and denials while enhancing your practice’s financial workflows.