Are you losing revenue because of ever-changing payer rules? Our cardiology billing keeps up with frequent changes in codes that occur in procedures such as iliac repair, angioplasty, stent replacement, ECG recording, etc., and prevents revenue loss while maintaining the financial health of your practice. Our coders are experts in ICD-10, CPT, and HCPCS coding based on CMS and AMA guidelines
Now, financial growth is made easier with us because we ensure every claim moves you closer to success. Our strength lies in staying ahead of healthcare changes. In constantly evolving CMS regulations and AMA guidelines, we keep an eye on every update. Our team safeguards your practice’s financial health while reducing costly errors.
DoctorMGT provides dependable cardiology medical billing services that keep every diagnostic test, evaluation, and cardiac procedure documented with clarity. As a trusted cardiology billing company, we handle complex coding and claims so cardiologists can focus on patient care. Our team manages detailed cardiology medical billing, supports clinics searching for cardiology billing services near me, and ensures all cardiology billing services run smoothly for consistent reimbursements.
We validate every claim before it reaches the payer, checking CPT accuracy, diagnosis linkage, and modifier placement for ECGs, stress tests, echoes, cath lab procedures, and device implantations. Our cardiology medical billing services use this proactive approach to keep your reimbursements consistent and predictable.
Cardiology billing denials often stem from minor documentation gaps or overlapping codes. We identify why claims are rejected, correct the underlying cause, and resubmit fast. This improves your payer score and long-term reimbursement rate. That’s how our cardiology denial management services prevent costly denials.
Each cardiology procedure carries unique coding challenges, from diagnostic EKGs to interventional cath procedures. Our AAPC-certified coders stay current with the latest CPT and ICD-10 updates, ensuring that every test and treatment is billed accurately.
We handle prior authorizations for stress tests, echocardiograms, nuclear studies, and invasive procedures, managing each request from documentation to approval.
Your revenue cycle shouldn’t be a mystery. Our monthly follow-up reports give you a clear snapshot of cash flow, payer performance, and denial causes, to turn complex billing data into simple, actionable insight.
\We help you reduce the denial rate under 3% and achieve up to a 97% First-Time Pass Rate with Doctor Management Services.
Our Stats
Cardiology involves diagnostic, interventional, and surgical coding. Each CPT has its own modifier, global period, and component split. Our cardiology billing services handle this complexity by validating every claim against CMS and NCCI edits before submission, ensuring nothing is miscoded or missed.
Bundling happens when modifiers aren’t properly applied or documentation doesn’t justify separate reporting. As a cardiology billing company, we review every claim for modifier accuracy (26, 59, 76, 91) and confirm that your notes support each distinct service before sending it to the payer.
Yes. We manage everything from routine ECGs and Holter monitoring to cath lab procedures and device implantations. Each category requires unique CPT mapping and modifier usage, and we make sure every service is coded and billed according to payer-specific rules.
We monitor surgical global periods automatically. If a follow-up service falls within the global window, it’s linked correctly to the parent claim or adjusted with the proper modifier. That prevents denials for “inclusive” or “bundled” services.
Absolutely, we submit authorizations through payer portals, attach clinical documentation, and follow up until approval is confirmed, preventing delays that slow down scheduling and revenue flow.
Yes, we do that. We connect directly with leading cardiology EHRs and reporting tools such as NextGen, Athenahealth, Allscripts, and Merge. This integration allows us to pull charges automatically and eliminate manual entry errors.
We separate professional and technical components clearly, applying correct place-of-service codes and modifier usage. This ensures both the cardiologist and the facility are reimbursed appropriately under CMS rules.
Every claim is cross-checked with CMS and AMA guidelines before submission. We also conduct quarterly internal audits that flag underpayments, missed add-on codes, and documentation gaps to keep your cardiology medical billing fully compliant.
Yes, and that is the advantage of partnering with a cardiology billing company in California. We understand the unique CPT structure and global periods tied to pacemaker and ICD implantation, interrogation, and follow-up. Our coders ensure correct component billing and compliance with frequency limitations.
With our outsourced cardiology billing services, you’ll get monthly reports covering AR days, collection percentages, denial trends, and payer performance. Each report gives you full visibility from diagnostic to interventional revenue streams so you can make data-driven financial decisions.
