Medical Billing Services for Cardiologists
Expert billing support for cardiologists, interventional cardiologists, electrophysiology practices, cardiothoracic specialists, and hybrid cardiology groups.
Cardiology billing is one of the most complex specialties — high-value procedures, strict documentation rules, bundled codes, global periods, device billing, diagnostic testing rules, and payer-specific cardiology policies. Global Tech Billing provides specialty-aligned RCM for cardiology, with a focus on accuracy, compliance, and maximizing reimbursements while reducing preventable denials.
Why Cardiology Requires Specialty-Specific Billing
Cardiology billing is one of the most complex areas in outpatient and hospital medicine — high-value procedures, strict documentation rules, bundled codes, and payer-specific policies leave very little room for error.
Cardiology visits frequently involve high-complexity medical decision-making — documentation must match the level billed to withstand audits.
Multiple diagnostic tests billed on the same day require precise sequencing, bundling checks, and modifier use.
Frequent use of technical (TC) and professional (26) components demands correct place-of-service and ownership documentation.
ECG, echo, stress tests, Holters, and event monitors have strict indications, frequency limits, and billing rules.
Stents, pacemakers, and loop recorders require exact device codes, linkage to procedures, and supporting notes.
Many cardiology procedures have global periods — post-op visits and related care must be coded correctly to avoid denials.
Multiple services often require combinations like 25, 51, 59, 26, TC, and more — one wrong modifier can wipe out payment.
Payer-specific cardiology bundling and NCCI edits must be managed carefully to avoid silent write-offs.
Why Global Tech Billing is the Right RCM Partner for Cardiologists
High First-Pass Acceptance
92–95% first-pass acceptance rate for cardiology claims when documentation and coding are aligned.
Fast Claim Submission
Claims submitted within 24–48 hours so high-value cardiology services don’t sit unbilled.
Experienced Cardiology Coders
Coders experienced in cardiology E/M, diagnostic testing, EP, interventional, and cath lab procedures.
NCCI & Bundling Compliance
Accurate NCCI edit and bundling checks so related cardiology services are billed correctly and not written off.
High-Value A/R Follow-Up
Aggressive A/R follow-up every 24–48 hours on high-value cardiology claims until they are fully resolved.
Clear Financial Insights
Clear, transparent reporting so you see collections, denials, procedure mix, and payer performance at a glance.
Works With Cardiology Systems
Familiar with cardiology EHRs and diagnostic systems like Epic, Athena, eCW, NextGen, GE Healthcare, and more.
Transparent, Fair Pricing
Transparent pricing with no hidden fees — you only pay for collected revenue, not empty promises.
Services We Provide for Cardiology Practices
End-to-end billing and revenue cycle support for cardiologists, interventional cardiology, EP labs, and hybrid cardiology groups.
Eligibility & Benefits Verification
We verify coverage, cardiology benefits, copays, deductibles, and pre-auth requirements before testing or procedures.
Prior Authorization Management
End-to-end prior authorization management for imaging, stress tests, procedures, and high-cost cardiology services.
ECG, ECHO & Stress Test Billing
Accurate coding and billing for ECG, ECHO, stress tests, nuclear stress tests, and related cardiology diagnostics.
Technical & Professional Components
Correct use of technical and professional component billing so you’re paid accurately for both facility and interpretation.
Holter & Device Billing
Billing for Holter monitors, event recorders, loop recorders, and implanted devices with correct codes and timing rules.
In-Office Cardiology Procedures
Billing support for in-office cardiology procedures, injections, and diagnostics performed in your clinic setting.
Interventional Cardiology Billing
Expert coding and billing for stents, angioplasty, cath lab procedures, and complex interventional services.
Denial Management & Appeals
Targeted denial management, corrected claims, and formal appeals to recover underpaid or denied cardiology revenue.
A/R Recovery & Daily Follow-Up
Daily follow-up on unpaid claims and old A/R to ensure high-value cardiology services are fully collected.
ERA/EOB Posting
Accurate ERA/EOB posting with proper adjustments, contractual write-offs, and remaining patient balances.
Monthly Financial Reporting
Monthly reports on collections, denials, procedure mix, payer trends, and opportunities to improve reimbursement.
Virtual Medical Scribe (Optional)
Optional Virtual Medical Scribe support for cardiology documentation to improve accuracy and reduce charting time.
Our Billing Workflow for Cardiologists
Eligibility & Benefits Verification
We verify coverage for diagnostic tests, specialist visits, procedures, and prior authorization requirements for all cardiology services.
Documentation Review & Virtual Scribe Support
Our cardiology-trained team reviews documentation for required elements. If you use our Virtual Scribe, your notes, EKG interpretations, and procedure documentation are captured accurately and ready for coding.
Claim Creation & Submission (24–48 Hours)
Diagnostic and procedure claims are built accurately with proper technical (TC) and professional (26) component coding.
Correct Coding, Modifiers & Bundling Checks
We ensure compliant use of TC/26, 59/X modifiers, 25 for same-day E/M + testing, global period rules, and full NCCI bundling edits to prevent denials.
Daily A/R Follow-Up Until Payment
High-value cardiology claims receive strict daily follow-up to ensure fast, complete reimbursement with no lost revenue.
Monthly Revenue & Denial Trend Reports
Monthly reports give full transparency into collections, denial patterns, payer behavior, and opportunities to improve reimbursement.
Audit, Compliance & Recoupment Support
We support your practice through payer audits, medical necessity reviews, documentation requests, and recoupment issues — minimizing financial risk.
Common CPT Codes, Denials & Modifiers for Cardiology
Real-world cardiology billing requirements — diagnostic test coding, high-value procedure rules, component modifiers, and the most common denial patterns in cardiology.
- 99202–99205 — New patient
- 99211–99215 — Established patient
- 93000 / 93005 / 93010 — ECG
- 93306 — Complete transthoracic ECHO
- 93308 — Limited ECHO
- 93350 — Stress ECHO
- 93307 — ECHO 2D
- 93224–93227 — Holter monitor
- 93228 / 93229 — External event monitor
- 78452 — Nuclear stress test
- 93458–93461 — Cardiac catheterization
- 92928 — Coronary stent placement
- 93650 — Ablation, AV node
- 33206–33249 — Pacemaker/ICD insertion
- 92920 — Angioplasty
- 99212–99215 — With correct POS + modifiers
- Missing documentation for diagnostic tests
- Incorrect TC/26 component usage
- EKG + E/M billed without modifier 25
- Diagnostic test not medically necessary
- Missing prior authorization for imaging/stress tests
- Bundled services billed separately
- Incorrect global period billing
- Device claims missing required components
- Interventional claims missing anatomy modifiers
- CO-16 — Missing information
- CO-50 — Non-covered service
- CO-197 — Provider not authorized
- CO-151 — Provider type not eligible
- CO-109 — Not covered by payer
- CO-96 — Non-covered (testing issues)
- CO-4 — Procedure inconsistent with modifier
We detect and fix these BEFORE claim submission — preventing lost cardiology revenue.
- 26 — Professional component
- TC — Technical component
- Modifier 59 — Distinct procedural service
- XU / XS / X1 / X9 — NCCI-associated modifiers
- Modifier 25 — E/M on same day as ECG, stress test, etc.
- RT / LT — Right / Left (anatomy modifiers)
Proper TC/26 usage and anatomy modifiers are critical in cardiology — incorrect use causes immediate denials.
Transparent Pricing for Nurse Practitioners
Transparent and flexible for NP practices:
Ideal for higher monthly volume NP clinics with consistent patient flow.
Designed for solo providers, and new practices who are still ramping up.
Get Started Today
We’ll help you reduce denials, increase collections, and simplify your entire billing workflow.
