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Cardiology billing

Cardiology Medical Billing Services

From echocardiograms and stress tests to cath lab procedures and device monitoring, cardiology billing is one of the most code-dense specialties in medicine. Work with billers who know it inside out.

  • Certified coders for diagnostic, interventional and EP procedures
  • Prior authorization for imaging, caths and implantable devices
  • Global, professional (-26) and technical (-TC) split billing done right

Get a free cardiology billing audit

We'll review your denials and A/R and match you with specialists. No obligation.

HIPAA-aware. We never share your details.

95%+
Target clean-claim rate
< 35
Days in A/R goal
30%
Fewer denials with specialist coders
Overview

Why cardiology practices outsource billing

Cardiology revenue depends on getting dozens of high-value procedure codes exactly right. A single echocardiogram can be billed as a complete, limited or follow-up study, with or without Doppler and color flow, and each choice changes the payment. Interventional procedures such as coronary angiography, PCI and stent placement bundle and unbundle in ways that change from year to year.

On top of coding, cardiology practices deal with heavy prior authorization requirements for nuclear imaging, cardiac CT and MRI, and implantable devices; strict medical-necessity rules tied to ICD-10 diagnoses; and split billing between hospitals, ASCs and office settings. When any of these steps slips, claims sit in A/R or are denied outright.

A specialist cardiology billing company brings certified coders who code from the procedure report, a front-end team that verifies eligibility and authorizations before the patient arrives, and an A/R team that works denials and underpayments every week. The result is faster payment, fewer write-offs and physicians who spend their time on patients instead of paperwork.

BillerFirms lets you compare vetted billing companies, read verified reviews from other practices and request a free audit to see exactly where your cardiology revenue is leaking.

Why it's hard

Common cardiology billing challenges

01

Complex procedure bundling

Diagnostic caths, PCI, IVUS/FFR and add-on codes follow NCCI edits that change annually. Unbundling mistakes trigger denials and audit risk.

02

Professional vs. technical billing

Echo, stress and Holter studies are often split between facility and physician. Missing -26 or -TC modifiers cause duplicate-claim denials.

03

Prior authorization volume

Nuclear stress tests, cardiac imaging and device implants frequently need payer approval. Missing or expired auths are a top denial reason.

04

Medical-necessity diagnosis links

Payers match each test to covered ICD-10 codes under LCD/NCD policies. Weak documentation or the wrong diagnosis pointer leads to denials.

05

Remote monitoring and device checks

Pacemaker, ICD and loop-recorder interrogations and remote monitoring have frequency limits and global periods that are easy to bill wrong.

06

Hospital and multi-site workflows

Cardiologists round in hospitals, read studies remotely and see patients in clinics. Missed charges from inpatient work are a silent revenue leak.

What's included

What a cardiology billing partner should handle

  • Eligibility and benefits verification before every visit
  • Prior authorization for imaging, caths and device procedures
  • CPC/CCS-certified cardiology coding from procedure notes
  • Correct -26, -TC, -59/X{EPSU} and laterality modifiers
  • Hospital and inpatient charge capture and reconciliation
  • Electronic claim submission and clearinghouse scrubbing
  • Denial management, appeals and underpayment recovery
  • Remote monitoring and device-check billing
  • Payment posting and patient statements
  • Monthly KPI reporting: clean-claim rate, days in A/R, collections
Coding focus

Key codes in cardiology billing

Code(s)What it covers
93000–93010Routine 12-lead ECG, global, tracing only and interpretation only.
93306–93308Transthoracic echocardiography, complete with Doppler/color flow, limited and follow-up studies.
93015–93018Cardiovascular stress testing, billed globally or split into supervision, tracing and interpretation.
78451–78454Myocardial perfusion imaging (nuclear stress), single or multiple studies.
93452–93461Cardiac catheterization and coronary angiography with left/right heart combinations.
92928–92944Percutaneous coronary interventions including stent placement and add-on vessels.
93279–93298Programming and interrogation of pacemakers, ICDs and implantable monitors, including remote monitoring.

Code examples are for orientation only. Always code from the current CPT®, HCPCS and ICD-10-CM code sets and payer policies.

Compliance built into every claim

Cardiology is a frequent target of payer audits and Medicare RAC reviews. Your billing partner should code strictly from documentation, follow NCCI edits and LCD/NCD medical-necessity policies, and keep an audit trail for every claim, plus sign a HIPAA Business Associate Agreement before touching patient data.

How it works

Find the right billing partner in four steps

1

Share your goals

Tell us your specialty, monthly claim volume, EHR and the problems you want fixed, denials, slow A/R or staffing gaps.

2

Get a free audit

We review a sample of your claims and aging report to show where revenue is leaking and what a specialist could recover.

3

Compare vetted companies

Shortlist billers with proven cardiology experience, transparent pricing and verified client reviews.

4

Onboard with confidence

Sign a BAA, connect your EHR and clearinghouse, and track clean-claim rate, days in A/R and collections from month one.

Compare

Top-rated medical billing companies

Billing companies listed on BillerFirms, ranked by client reviews. Ask each one about their cardiology experience.

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5.0 5 reviews

Who We Are We are Prime Medical Billing Solutions, LLC, a results-driven medical billing and revenue cycle partner headquartered in Atlanta, Georgia. Since about 2015, we have operated with the belief that true value lies in partnering, rather than merely contracting, with providers to ensure personalized attention and peak revenue performance. Founded by seasoned billing professionals with 20+ years of combined expert experience, our home office in Atlanta supports both individual practices and larger provider groups. Our team is passionate about maximizing reimbursements and simplifying the billing journey step by step. What Services We Offer We provide a comprehensive suite of services designed to optimize every phase of the revenue cycle: Claims processing & billing management, including electronic, UB‑04, and HCFA‑1500 formats Accounts receivable and collections, focusing on paid-to...

Atlanta, Georgia
Founded 2015
Claims ProcessingDenial ManagementCredentialing (Payer & License)
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No reviews yet

GreenSense Billing is a trusted leader in medical billing and revenue cycle management, providing comprehensive solutions tailored to the unique needs of healthcare providers across the United States. Our mission is to streamline administrative complexities, optimize reimbursements, and enhance financial performance, allowing medical professionals to focus on delivering exceptional patient care. Our Services • We offer end-to-end medical billing and revenue management solutions, including: •  Medical Billing & Coding - Accurate claims processing to maximize reimbursements and minimize denials. •  Revenue Cycle Management (RCM) - A holistic approach to managing claims, payments, and collections. •  Provider Credentialing - Seamless enrollment with insurance networks to ensure timely reimbursements. •  Financial Solutions - Data-driven insights and financial reporting to optimize practice...

Las Vegas, Nevada
Founded 2003
Claims ProcessingDenial ManagementRevenue Cycle Management
Visit website View profile
No reviews yet

Let’s face it, medical billing shouldn’t be the most challenging part of running a practice. At Medical Lean Management, we take the chaos out of revenue cycle management so you can get back to what matters: delivering excellent patient care. Based in Corona, California, we’re not just another faceless billing company, we’re your partners in efficiency, here to simplify the financial side of healthcare. Why Us? Because We Get It. Paperwork piles up. Claims get denied. Regulations keep changing. It’s enough to make anyone’s head spin. That’s where we step in. We don’t just process claims, we optimize your entire revenue cycle, cutting through the red tape to get you paid faster and with fewer headaches. Our goal? To make your billing so smooth, you’ll wonder how you ever managed without us. Here’s How We Help: ✔ Fewer Denials, More Revenue - Our precision-driven approach slashes claim den...

Corona, California
Founded 1994
Claims ProcessingDenial ManagementRevenue Cycle Management
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No reviews yet

Overview & Mission Access Revenue Hawaii, founded in 2022 in Holualoa, Hawai‘i, is a specialized medical billing and revenue cycle management (RCM) company with a primary focus on behavioral and mental health providers. Drawing deeply from social work roots, the leadership team recognized the administrative friction mental health professionals face, credentialing delays, complex payer regulations, EMR documentation requirements, and chose to build a firm that helps clinicians focus fully on patient care. Their mission centers on removing financial and operational barriers so therapists, counselors, and behavioral health groups can thrive financially while delivering quality care to Hawai‘i’s communities. Origin Story & Local Presence The company was born out of a clear insight: behavioral health providers in Hawai‘i suffer unique administrative challenges. From intricate Medicaid billing...

Chandler, Arizona
Founded 2007
Claims ProcessingDenial ManagementRevenue Cycle Management
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Pricing

How much does cardiology billing cost?

Most billing companies charge a percentage of what they actually collect, so their incentive matches yours. Complex specialties sit at the higher end of the range because of prior authorizations, modifiers and appeal work.

Percentage of collections
4% - 8%

Most common. You pay only on money collected.

Per claim
$4 - $10

Predictable for high-volume, low-complexity claims.

Hourly / FTE
$12 - $35/hr

Dedicated billers working inside your systems.

Typical market ranges; actual quotes depend on claim volume, payer mix and scope. Compare quotes from several companies.

FAQ

Cardiology billing FAQs

It handles the full revenue cycle for your practice: verifying insurance, obtaining prior authorizations, coding procedures and visits, submitting claims, posting payments, appealing denials and following up on unpaid claims, so you get paid faster and with fewer write-offs.

Most companies charge roughly 4% to 8% of collections, depending on claim volume, payer mix and how much prior-authorization and A/R work is included. Per-claim and dedicated-FTE models are also available.

The most common reasons are missing prior authorizations, diagnoses that do not meet medical-necessity policies, incorrect professional/technical modifiers, bundling errors on interventional procedures, and frequency limits on device checks and imaging.

Yes. Experienced cardiology billers work in common systems such as Epic, eClinicalWorks, NextGen, athenahealth and AdvancedMD, and connect to your clearinghouse so there is no double entry.

A good partner captures inpatient consults, rounding visits, remote reads and device monitoring, then reconciles them against hospital census and reading logs so no professional charge is missed.

Most practices see clean-claim rates improve within the first 30–60 days, with days in A/R and older balances coming down over the first two to three months as backlogs are worked.

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