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Seamless Cardiology Billing Services – Fewer Denials

Get Rid of Your Billing Headaches and
Maximize Revenue

Contact Us

Unlock Cardiology Medical Billing Efficiency with Expert Solutions

With rapidly evolving technologies and complex diagnostic protocols, cardiology billing has become intricate and difficult to manage by in-house billing teams. Constant advancements in the specialty are leading to ever-changing codes for almost all procedures such as iliac repair, angioplasty, stent replacement, Electrocardiogram (ECG), recording, etc. Due to the complex interplay between procedural coding (CPT and ICD-10) and the necessity of convoluted medical documentation means, even the slightest deviation can lead to claim denials, underpayments, or delays in reimbursement.

We, at RCM Workshop, correspond with certified, trained coders and billers, equipped with recent advancements and developments in cardiology billing. Our cardiology billing experts are technically sound and proficient in navigating all the pitfalls of billing in this field, ensuring every claim is not only accurate but optimized for maximum reimbursements. We encompass a profound comprehension of the multifaceted billing structures, regulatory compliance, and payer-specific guidelines that dominate this highly specialized field. 

Unbeatable Service, Quality & Price

ACCURACY
0 %
TURNAROUND TIME
< 0 Hours
COLLECTION
0 %
PRICE
Starting from $ 1100 /Month

Challenges

Challenges in Cardiology Medical Billing

Different coding systems: Various codes exist for diverse heart conditions like heart failure, atrial fibrillation, and ventricular tachycardia with varying specifications based on treatment and severity. Comprehensive understanding of coding guidelines, regulations, physiology, anatomy, and terminology can prevent claim denials and underpayments.
Changing reimbursement rules: These include coding guidelines, federal policies, and private insurance policies. Insurance coverage, healthcare reform, and government policies can influence these changes. Staying updated on these changes can be difficult to manage in-house.
Unbundling of services: This challenge involves billing separately for each component of a medical service instead of for the entire procedure. This kind of billing leads to a higher overall cost for the procedure than if it were billed as a single, bundled service.

OUR PROCESS

Our Cardiology Billing Workflow

At RCM Workshop, our experienced billers and coders are well-versed in all facets of cardiology billing services, ensuring maximized revenue while complying with regulatory requirements. We take a proactive stance on denials management, payer negotiations, and compliance audits, addressing the pitfalls in billing before they can disrupt your practice’s revenue flow. Our dedicated team ensures precise coding (ICD-10 & CPT) for a wide range of cardiovascular services, starting from routine diagnostic testing to advanced interventional cardiology. Should a denial occur, our seasoned professionals deliver a swift comprehensive appeal strategy that focuses on recapturing lost revenue. 

We ensure efficiency in insurance verification and prior authorizations to prevent claim rejections rate by giving equal importance to each submitted claim. Our team implements a rigorous scrubbing process to identify errors or discrepancies, resulting in clean claim submission at the very first time. Beyond simply clean claim submission, we provide an in-depth analysis of your revenue cycle, identifying inefficiencies and implementing strategies to enhance cash flow and profitability.

Appointment Scheduling & Registration

Carry out well-coordinated appointment scheduling, update insurance details and handle inbound and outbound calls from/to patients.

Eligibility & Benefits Verification

Confirm patients’ primary and secondary insurance and verify their benefits coverage, co-pays, co-insurance, and deductibles. 

Prior Authorization

Initiate request for prior authorization with the payer, follow-up to check Auth status till closure and finally update the system with Auth approval reference number.

Medical Coding

Check the accuracy of codes and modifiers according to specialty and assign corresponding and appropriate charges to the codes.

Charge Posting

Enter the charges for the services provided into the billing system including the cost of the medication and the administration fee.

Claims Edits & Submission

Audit the claims thoroughly to check for accuracy and edit if necessary and submit claims – both EDI and paper format.

Payment Posting

Carry out both auto as well as manual posting for payments received and conduct reconciliation against claims.

Denial Management

Analyse and categorize denial claim according to denial codes, $ amount and payers, and resubmit claims after correction.

AR Management

Follow-up with payers to gather status for unpaid claims, and their resolution.

Patient Collection

Sending patient statements and follow-up with patients for final and outstanding payment.
You can confidently rely on us to manage your entire billing process, or you have the flexibility to select specific DME billing services that suit your needs, ensuring a seamless operation without any interruptions.

BENEFITS

Outcomes guaranteed

Our industry–best standards and analytical approach help us to optimize the revenue cycle, thereby enhancing your cash flow. By implementing a strategic and data-driven approach, we help cardiology practices to reduce administrative burden and improve financial health. Our all-encompassing cardiology billing services are designed as per the requirements of your practice, ensuring higher ROI in your billing. 

Efficient Benefits Verification

>99% clean claim submission

Efficient authorization management

<24 hours turn-around time

Efficient Coding and Code Review

Efficient processing for flawless financial records.

Efficient denial management

<5% claims denials

Proactive accounts receivable follow-up

<40 days AR & reduced aging

Better coordination & process optimization

improved patient satisfaction

WHY US?

Why partner with us

At RCM Workshop, we provide comprehensive revenue cycle management services that encompass every aspect of cardiology billing. Our scalable solutions facilitate unparalleled precise billing to drive higher reimbursement rates and reduce the administrative burden of cardiology revenue cycle management. Our team is adept at navigating the regulatory complexities and reimbursement intricacies unique to cardiology practices. We employ advanced analytics and meticulous review that significantly improve clean claim submission rate and maximize allowable reimbursements for the services rendered with minimal delays. Partner with RCM Workshop and experience the advance solutions that improve your financial performance. 

Guaranteed Improvement in Reimbursement and
Cash Flow

Reduction in Denials
and AR

Transparent reporting
– NO BLACK BOX

100% data security
& HIPAA compliance

On demand scale up
of operation

Significant Reduction
in Cost > 75% Savings

Simple & No
Cost transition

Flexible & Unbeatable
Pricing Plan