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Streamline your revenue cycle and enhance operational efficiency with our specialized cardiology billing services. Let us take care of the complexities of billing, so you can focus on delivering exceptional patient care.

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Cardiology Billing Services

With rapidly evolving technologies and complex diagnostic protocols, cardiology billing is best done by experts. Constant advancements in the specialty are leading to complex, ever-changing codes for almost all procedures. In addition to this, the physicians do not have the time to manage billing and coding of cardiology services they deliver.

In cardiology billing, there is always a chance for upcoding or under-coding a procedure. As frequent changes in codes occur in procedures such as iliac repair, angioplasty, stent replacement, ECG recording, etc., cardiology practices lose a large amount of revenue to erroneous billing.

Our experts are certified, trained coders and billers informed with the recent advancements and developments in cardiology billing. They are technically sound and are aware of the complicated MACRA rules. We are capable of identifying and fixing issues in your billing system and increasing revenue. 

Our expertise in Cardiology includes but is not limited to:

  • Peripheral Studies

  • Diagnostic Cardiologic Procedures

  • Cardiac-Periphery interventions

  • Pediatric Cardiology

  • Nuclear Cardiology

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Cardiology Coding Guidelines & Best Practices
Cardiology Coding Guidelines & Best Practices

Cardiology coding requires the knowledge of catheter-based techniques to diagnose and treat coronary artery disease and congenital heart defects. Click here to download cardiology coding guidelines & best practices.

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Best Practices - Cardiology Coding

MBW RCM’ Expertise in Cardiology

Our medical billing and coding professionals team are consistent, knowledgeable, and believe in creating friction-free billing functions for our Cardiology clients. We have a client base extended over 50 states covering a wide range of hospitals, physician practices, and medical billing companies. Our coders are proficient in ICD-9/10, CPT, HCPCS coding based on CMS and AMA guidelines and are certified by the American Academy of Professional Coders (AAPC). 

Applying best practices for Cardiology Billing

Our team understands the list of codes and suitable modifiers given by CMS for cardiology billing and ensures that we stick to it. We apply different billing processes depending on whether the patient was an inpatient, outpatient, treated on the same day, or another day. Our specialists are aware that cardiac surgery preauthorization is essential to avoid authorization denials. We recommend the following best practices.

  • Use of Electronic Health Records. The use of EHR systems can help you ensure high-quality clinical documentation and can avoid wrong documentation. Cardiology, in particular, can and does see a lot of changes in procedures, and robust clinical documentation processes can help you be compliant.

  • Combo Codes. ICD-10 uses a lot of combination codes for different cardiology conditions. Our coders receive training on using these combination codes.

  • Compliant coding is critical. By providing regular training to both coders and clinicians, you can stay updated on the constantly changing coding and billing guidelines and ensure compliant coding.

  • Code for Diagnosis, not for Symptoms. Avoid coding for symptoms when they are not part of the treatment. Be sure about the Diagnosis and only code for the procedures performed and ailments treated. that are included.

Empower your cardiology practice with MBW RCM.

Our team not only guarantees expert billing solutions but also ensures a quick turnaround in credentialing cardiologists with specific payers. With us, you experience enhanced revenue, reduced costs, and operational excellence, allowing you to focus on what matters most - patient care.

FAQs on Cardiology Billing Services

Cardiology services include diagnostics, treatments, and surgical interventions for heart-related conditions. Specialized billing ensures accurate use of CPT codes and maximizes reimbursement for high-complexity procedures.

Examples include:
- 93510–93568: Coronary angiography
- 92920–92944: Percutaneous coronary interventions (PCI)
- 93303–93350: Echocardiography

Yes, especially for high-cost interventions like stent placements or stress echocardiograms. Billing teams help obtain pre-authorization to avoid denials and delays.

Denials may result from inaccurate codes, lack of documentation, or missing prior authorizations. A specialized billing team helps ensure clean submissions and appeal support.

In some cases, yes—with appropriate modifier usage. Accurate coding determines whether services are bundled or billable separately per payer rules.

Cardiology billing includes accurate tracking of pacemakers, stents, and ICDs using specific codes and matching documentation to payer policies for reimbursement.

Outsourcing reduces errors, enhances coding precision, improves cash flow, and ensures compliance with CMS and payer-specific cardiology rules—while letting clinicians focus on patient care.

Cardiology in medical billing refers to the process of coding, documenting, and submitting claims for diagnostic and therapeutic services related to heart care, including tests, surgeries, and monitoring procedures.

The complexity of cardiology procedures, frequent use of modifiers, and strict documentation requirements make accurate coding challenging. Procedures often overlap, requiring in-depth knowledge of payer-specific bundling rules.

Understanding the cardiovascular system helps coders identify the correct procedures, differentiate between diagnostic and interventional services, and apply the most accurate CPT and ICD-10 codes, leading to proper reimbursement and compliance.

Benefits of Our Cardiology Revenue Cycle Services

  • Leveraging years of experience from top-tier cardiology facilities to optimize your revenue cycle through comprehensive analysis and practical solutions

  • Our AAPC-certified team is trained in the latest medical coding software, ensuring high standards in your billing and coding processes.

  • Proven success in processing claims with major commercial insurance companies and government payers, ensuring a broad coverage and efficient reimbursements.

  • In-depth understanding and successful navigation of Medicare and state-specific Medicaid policies, ensuring compliance and accuracy in billing.

  • Expert strategies to reduce costs and enhance clinical and operational efficiency, contributing to the financial health of your practice.

  • Efficient and prompt credentialing services for cardiologists with specific payers, streamlining the billing process.

  • Maintain compliance with healthcare regulations and minimize legal risks.

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