Medical necessity on imaging
Echo or nuclear tests denied for a non-covered diagnosis. We check the LCD or policy before scheduling and code the indication precisely.
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Cardiology medical billing services
Cardiology billing spans office E/M, diagnostic testing with separate technical and professional components, cath lab and device procedures, and strict medical-necessity rules on imaging. Clean revenue depends on component billing, modifier precision and prior authorizations handled before the patient is on the table.
What makes cardiology billing different
General billers treat every specialty the same. These are the rules, code families and payer habits that decide whether cardiology claims pay the first time.
- Echocardiograms, stress tests and nuclear studies are split into technical (TC) and professional (26) components, and who owns the equipment determines who bills what.
- Diagnostic catheterization codes (93451–93461) bundle contrast, imaging supervision and interpretation; add-ons like 93567 are only payable with specific base codes.
- Device procedures — pacemakers, ICDs, loop recorders — have global periods and remote monitoring codes (93294–93296) with 90-day billing windows.
- Imaging and stress testing face medical-necessity edits tied to diagnosis; a vague indication is denied.
Denials we see most in cardiology
Every denial gets a root cause, a fix and a feedback loop, so the same denial stops coming back.
Component billing errors
TC and 26 billed by the wrong party or both. We map ownership of equipment and interpretation per site.
Device monitoring frequency
Remote monitoring denied for billing inside the 90-day window. We track windows per device.
How Core MB bills for cardiology
A dedicated team that already knows your payers' rules, plus the reporting to prove it is working. Credentialing for new cardiology providers runs in the same system, tracked live in your client portal.
- Component-aware billing across office, hospital and imaging center settings.
- Prior authorization management for imaging, stress testing and procedures.
- Device remote monitoring tracked by date so every 90-day period is billed once and on time.
Everything in the service
The full revenue cycle as standard for cardiology practices, priced on what we collect for you. Take all of it, or start with one piece such as AR recovery or credentialing.
- Insurance verification and eligibility checks
- Charge entry and specialty-specific coding review
- Claim scrubbing and electronic submission
- Payer follow-up on every open claim
- Denial management and appeals
- Payment posting and reconciliation
- Accounts receivable recovery
- Patient statements and balance support
- Monthly reporting you can read in five minutes
- Provider credentialing and payer enrollment
Cardiology billing questions
What makes cardiology billing complex?
The split between technical and professional components, bundling rules in the cath lab, global periods on devices and strict medical-necessity policies on imaging. Each needs a specific rule, not a general approach.
Do you handle prior authorizations for cardiac imaging?
Yes. Nuclear studies, echo and stress testing are authorization-heavy with most commercial payers; we obtain and track them before the appointment.
Can you bill remote device monitoring?
Yes. We track each device's 90-day windows and bill monitoring and interrogation codes correctly for pacemakers, ICDs and loop recorders.
How do we get started with Core MB for cardiology billing?
Send us your specialty, provider count and monthly claim volume through the quote form and we will come back with a written proposal. Transitions run alongside your current billing so nothing is dropped, and credentialing for new cardiology providers can start at the same time.
Find out what your cardiology billing is leaving on the table
Send us a snapshot of your current billing and we will come back with a quote and a realistic view of recoverable revenue.