Clean Claim Rate
Average Denial Reduction
Claims Processed Monthly
Connecticut Practices Served
Measured across active client accounts, trailing 12 months. Clean claim rate reflects first-pass acceptance before resubmission. Denial reduction compares each client’s first 90 days on our system to their prior billing vendor.
A cardiology visit often includes a test, a procedure, and an evaluation in one encounter. Billing all three correctly, without triggering an improper bundling edit, requires coders who understand cardiac-specific NCCI rules, not general coding knowledge applied from a different specialty.
Anthem and Aetna in Connecticut require prior authorization for many advanced cardiac imaging and procedural services, and the criteria differ by plan and by specific test order.
Better coordination between procedures and office visits
Fewer delays caused by authorization requirements
Improved accuracy for complex cardiac claims
Stronger follow-up on high-value reimbursements
Reporting that helps identify recurring denial patterns
Many cardiac imaging studies and procedures require prior authorization. We confirm approvals before services are scheduled whenever authorization is required under the patient's health plan.
Cardiology claims often combine office visits, diagnostic testing, and procedures. We review documentation, apply appropriate modifiers, and verify technical and professional components before billing.
Every claim is reviewed for bundling edits, diagnosis support, and payer-specific billing rules before submission. This extra review helps reduce avoidable delays on higher-value cardiac claims.
Cardiology claims frequently involve significant reimbursement amounts. We monitor unpaid claims, respond to payer requests for documentation, and pursue appeals when payment does not match the services.
HIPAA Compliant
Connecticut Only
Dedicated Account Manager
Certified Coders
Fill out this short form and a member of our Connecticut billing team will reach out within one business day to review your denial rate and confirm we’re the right fit. No long-term contracts, no commitment required to have the conversation.
860-255-1887
info@connecticutmedbill.com
1019 Main St, Bridgeport, CT 06604, USA
If you have any questions, feel free to book a 30-minute call with us before subscribing to our services.
Many commercial plans require prior authorization for echocardiograms and other advanced cardiac imaging. We verify authorization requirements before the test is scheduled.
Our coders review each procedure combination against current NCCI edits before submission, applying modifiers only where the edit rules allow it.
Yes. We code diagnostic and interventional cardiac catheterization procedures, including associated stent placement when performed in the same session.
We verify HUSKY-specific authorization and documentation requirements for cardiac procedures before submission, since HUSKY's review process does not always match commercial payer rules.
A complete echocardiogram, 93306, covers a full standard study, while a limited or follow-up study uses a different code and reimburses differently. Billing every study as complete regardless of scope is a common overcoding risk.
Yes, when the equipment and interpretation are performed by different parties, we apply the correct modifier to bill each component appropriately.
Device monitoring services follow their own set of monthly or periodic billing codes, distinct from in-office visit codes, and we track monitoring periods separately from office encounters.
The most common causes are NCCI bundling errors, missing prior authorization on advanced imaging, and mismatched technical or professional component billing.
Filing limits vary by payer, typically 90 days to one year. We track each payer's specific deadline so appeals are never missed.
Yes. Stress testing uses its own code set distinct from a resting EKG, and the specific code depends on whether tracing, interpretation, or both are being billed.
Most practices are submitting claims through us within two to three weeks, depending on EHR access and existing claims data.
