❤️ Cardiology Specialty

Cardiology Billing Services That Maximize Your Reimbursements

MedCare Billing Solutions specializes in cardiology medical billing for cardiovascular practices of all sizes. Our AAPC-certified coders know every cardiac CPT code, bundling rule, and payer policy — so you collect every dollar you've earned.

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98.1%
Cardiology clean claim rate
22 days
Average days in AR for cardiac practices
4.2%
Denial rate (vs. 14% industry average)

Cardiology Billing Is Among the Most Complex in Medicine

Cardiovascular procedures involve some of the highest-value CPT codes in medicine — and the most complex bundling rules. Cardiologists who use general billing staff or non-specialized billing companies routinely leave 10–20% of their revenue uncollected due to:

  • ✓ Incorrect bundling of interventional cardiology procedures (e.g., 93454–93461 series)
  • ✓ Missed modifiers for bilateral procedures and multiple catheterizations
  • ✓ Denied echocardiogram claims due to missing clinical indication documentation
  • ✓ Prior authorization failures for stress tests and nuclear imaging
  • ✓ Underpayment on device implants (pacemakers, ICDs, loop recorders)
  • ✓ Incorrect global period management for cardiac surgeries
Fix My Cardiology Billing

⚠️ The Cardiology Billing Gap

The average cardiology practice with 3 physicians leaves $180,000–$350,000/year in uncollected revenue due to coding errors, unbundled procedures, and missed prior authorizations. MedCare's cardiology billing specialists close that gap.

Most Common Cardiology Claim Errors:
  • Billing 93510 without the correct approach modifier
  • Separate billing of 93306 + 93320 when bundled
  • Missing -26 modifier for professional component reads
  • Using 99213 when 99214 MDM criteria are met

Cardiology CPT Codes We Bill Daily

Our coders are trained on all cardiovascular procedure codes, including the most complex interventional and electrophysiology codes.

CPT Code Procedure Common Billing Issue
93000Electrocardiogram (EKG), routineBundled incorrectly with E/M visits
93306Echocardiography, transthoracic, completeMissing -26 modifier for reads; denied for lack of indication
93454–93461Cardiac catheterization seriesIncorrect bundling of access, imaging, and intervention codes
93458–93459Left heart cath + left ventriculographyUnbundling errors; modifier omissions
92920–92944Percutaneous coronary intervention (PCI)Missing device add-on codes; stent vs. balloon billing errors
93228–93229External cardiac event monitorBilling interpretation without remote monitoring add-on
93280–93284Pacemaker programmingBilling multiple codes vs. single comprehensive code
93600–93631Electrophysiology studies (EPS)Complex bundling with ablation procedures

Full-Service Cardiology RCM

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Eligibility & Prior Auth

Real-time eligibility verification and prior authorization management for stress tests, nuclear imaging, cardiac MRI, and interventional procedures before every appointment.

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Cardiology Coding

AAPC-certified coders with cardiology subspecialty expertise. We handle catheterization suites, echocardiography labs, EP labs, and outpatient cardiology offices.

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Claims Submission

Electronic claim submission within 24 hours of charge entry. AI-powered scrubbing against payer-specific cardiac code edits before every submission.

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Denial Management

Specialized cardiology denial appeal team. We fight every medical necessity denial, bundling dispute, and timely filing issue until you're paid.

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AR Follow-Up

Aggressive accounts receivable management with payer-specific follow-up workflows. We keep your 90+ day AR below 10% — industry average is 28%.

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Credentialing

Full cardiologist credentialing and re-credentialing with Medicare, Medicaid, and all major commercial payers. Prevent revenue gaps from enrollment delays.

Ready to Maximize Your Cardiology Revenue?

Get a free, confidential cardiology billing audit. We'll show you exactly where your practice is losing money and what it will take to recover it.