Author name: Hasnain Ali

DME credentialing is one of the most detail-heavy administrative processes in the healthcare industry. Because Medicare, Medicaid, and commercial insurers […]

DME credentialing is one of the most operationally demanding tasks for a durable medical equipment supplier. Enrolling with Medicare, Medicaid,

DME credentialing is one of the most detailed and compliance-driven areas in healthcare administration. Unlike standard provider credentialing—which focuses mainly

Choosing the right DME credentialing company is one of the most important decisions a durable medical equipment supplier will make.

Running a durable medical equipment (DME) business is already operationally complex: inventory, delivery, documentation, and patient support all demand time

Cardiology billing and coding is one of the most specialized and detail-heavy areas of medical reimbursement. Between complex cardiac diagnostics,

Outsourcing medical billing has become increasingly common across healthcare, but the specialty in which outsourcing generates the highest measurable impact

Below is a detailed breakdown of the responsibilities and specialized tasks cardiology billing experts handle daily. 1. Manage Cardiology-Specific Coding

Cardiology practices in New York face a uniquely complex billing environment — multiple payer types (Medicare, Medicare Advantage, Medicaid MCOs,

Navigating cardiology billing in New York is complex: practices must juggle multiple payers — state Medicaid managed care organizations, Medicare

Cardiology practices in New York operate within one of the most challenging reimbursement environments in the country. High Medicare Advantage

Cardiology practices across New York face some of the most complex billing environments in the country. Between Medicare Advantage penetration,

Cardiology practices manage some of the most complex billing and coding workflows in healthcare. With intricate procedure combinations, frequent imaging,

Cardiology practices face some of the most complex billing and coding requirements in healthcare. Between diagnostic testing, interventional procedures, electrophysiology

Cardiology billing is one of the most technically demanding areas of medical revenue cycle management. With multi-step diagnostic workflows, complex

Small cardiology practices face unique challenges when managing their billing and revenue cycle. Unlike large groups with multiple coders, in-house

Cardiology practices operate in one of the most complex billing environments in healthcare. They must navigate multi-step diagnostic workflows, invasive

Cardiology billing is one of the most complex areas of medical revenue cycle management. The specialty involves a large volume

Electronic claim submission is now the standard across Medicare, Medicaid, and commercial payers. For cardiology practices, however, electronic workflows require

This cheat sheet is for physicians, coders, and practice managers working in cardiology. It focuses on patterns, not every single

Cardiology revenue cycles face some of the highest denial rates in outpatient medicine due to complex procedural rules, multi-component diagnostics,

Correct modifier usage is one of the most important elements of cardiology billing. Misuse of modifiers—especially 25, 59, 58, 78,

Global periods define whether post-procedure services are bundled or separately payable. Cardiology is one of the most complex specialties in

Pacemaker procedures remain among the most highly audited and frequently misunderstood services in cardiology billing. They involve multiple CPT codes,

Cardioversion—whether electrical or chemical—is a common but highly scrutinized service in cardiology billing. Even though the procedure codes appear straightforward,

Three-dimensional (3D) cardiac mapping has become a foundational component of modern electrophysiology (EP) procedures. These technologies—such as CARTO, EnSite, Rhythmia,

Electrophysiology (EP) studies are highly detailed diagnostic procedures used to evaluate arrhythmias, conduction disorders, syncope, wide-complex tachycardia, pre-excitation, and other

Atrial fibrillation (AF) ablation—CPT 93656—is one of the most complex electrophysiology (EP) procedures in cardiology coding. Because AF ablation bundles

Staged percutaneous coronary intervention (PCI) is common in interventional cardiology, especially when patients present with multivessel coronary artery disease or

Percutaneous coronary intervention (PCI) is one of the most heavily audited areas of cardiovascular medicine due to high reimbursement value,

Cardiac catheterization remains one of the highest-audited and most misunderstood billing domains in cardiology. Correctly selecting the right CPT code

Cardiac PET/CT hybrid imaging has become a core diagnostic modality for evaluating myocardial perfusion, coronary flow reserve (CFR), viability, inflammation,

Cardiac Magnetic Resonance (CMR) perfusion and viability studies are among the most accurate non-invasive assessments for myocardial ischemia, scar tissue,

Positron Emission Tomography (PET) myocardial perfusion imaging is one of the most advanced modalities for assessing myocardial blood flow, multivessel

Nuclear cardiology plays a critical role in diagnosing coronary artery disease (CAD), characterizing myocardial perfusion, assessing ventricular function, and guiding

Coronary artery calcium (CAC) scoring has become one of the most widely used preventive cardiology imaging tools for stratifying a

CPT Codes 75572, 75573, 75574 Cardiac CT angiography is now a core diagnostic tool in cardiology for assessing coronary artery

Cardiac magnetic resonance imaging (CMR) has become an essential non-invasive diagnostic tool for evaluating myocardial structure, function, perfusion, viability, congenital

Ambulatory ECG monitoring is one of the most commonly ordered diagnostic services in cardiology. It is also among the most

Cardiology is one of the most complex specialties for bundling rules and National Correct Coding Initiative (NCCI) edits. Diagnostic imaging,

Cardiology is one of the most complex specialties when it comes to global surgical periods, because many cardiology procedures—particularly percutaneous

Cardiology is one of the highest-audit specialties due to the volume of diagnostic testing, high-value procedures, complex bundling rules, and

Peripheral vascular interventions—such as angioplasty, atherectomy, thrombectomy, and stent placement—are among the most complex and scrutinized areas of cardiovascular billing.

Single-photon emission computed tomography (SPECT) and other nuclear cardiology studies are central to evaluating coronary artery disease, myocardial perfusion, ventricular

Cardiac implantable electronic devices (CIEDs)—including pacemakers and implantable cardioverter-defibrillators (ICDs)—are among the most regulated procedures in cardiovascular medicine. Because implantation,

Correct use of modifiers is one of the biggest determining factors in whether cardiology claims are paid, denied, or flagged

Echocardiography is one of the most widely used non-invasive diagnostic tools in cardiovascular medicine. It plays a central role in

Stress testing remains one of the most frequently performed diagnostic cardiovascular procedures across outpatient clinics, hospital-based settings, and cardiology practices.

Percutaneous coronary interventions (PCI) continue to be among the most scrutinized cardiovascular procedures from both clinical and billing perspectives. CPT

Electrophysiology is one of the most complex areas of cardiology billing. EP procedures involve: Because multiple services occur in a