Cardiology billing is one of the most challenging in healthcare — it involves high-value procedures, multiple modifiers, and strict medical necessity rules. A small coding error can cost you thousands.
ConnecticutMedBill brings over 15 years of cardiology billing expertise, working with practices, heart centers, and hospital departments to transform complex billing into predictable, profitable reimbursements.
Cardiology billing is often where revenue leakage happens fastest. Between multiple procedures, modifier rules, and payer variations, even the best practices lose 10–20% of revenue each year to preventable errors.
We’ve built processes to address these pain points before they impact your bottom line — combining specialty-trained coders, AI-assisted audits, and payer-specific logic to ensure claims are clean and compliant.
Our dedicated cardiology billing team updates every rule, LCD, and payer edit in real-time, ensuring your claims always remain compliant.
We handle every part of your cardiology revenue cycle — from eligibility checks to denial recovery — with accuracy that matches your level of care. Here’s what’s included:
We apply CPT, ICD-10, and modifier logic tailored to cardiology, ensuring procedures such as echocardiograms, catheterizations, and electrophysiology studies are coded cleanly and compliantly.
Cardiology procedures often require payer pre-approvals. We verify insurance coverage, get prior authorizations, and confirm medical necessity — before your patients even walk in.
We submit clean claims within 24 hours of service and track them daily until payment lands. Every remittance is verified against payer contracts to prevent underpayments.
Our denial experts identify why claims were rejected, correct the errors, and resubmit them quickly — turning lost revenue into recovered payments.
We chase aged receivables aggressively, contacting payers and reconciling unpaid claims to shorten your AR cycle.
We simplify statements and handle patient billing inquiries with empathy and clarity. Focus on care — not on chasing phone calls.
We manage payer credentialing, CAQH updates, and provider revalidations — ensuring your participation with Medicare, Medicaid, and commercial plans remains active and up-to-date.
Average Denial Rate in Cardiology: 17–20% (mostly preventable)
Pre-Authorization Requirements: 55%+ of cardiac procedures need pre-approval
Common Underpayment Range: 8–12% per claim (often unnoticed)
Average Reimbursement Boost After Specialist Billing: +32% in first 90 days
Top Denied CPT Codes: 93015 (stress test), 93306 (echo), 93458 (cath)
We don’t just collect — we use these numbers to predict your cardiology practice revenue, reduce denials, and boost compliance without adding to your staff’s workload.
These insights help us forecast your collections, plan denials prevention, and maximize reimbursements on every procedure.
You save lives every day. Let us make sure you get paid for it — entirely, fairly, and on time.
With ConnecticutMedBill, you get a billing team that understands the complexity of cardiology procedures, modifiers, and compliance. No guesswork. No generic templates.
We turn complex claims into cash flow and keep your practice financially strong.
Let’s Rebuild Your Revenue Cycle From The Heart Out.
Our Frequently Asked Questions provide clear insights into our wound care billing and revenue cycle solutions, covering compliance, denials, appeals, reporting, and hospital-based services to support your organization effectively.
Cardiology billing involves high-value, multi-step procedures with complex coding combinations, modifiers, and frequent medical necessity checks. Even a small mistake can significantly delay or reduce payment.
Yes. We work with solo cardiologists, multi-provider groups, and hospital departments. Our process adapts to your workflow — inpatient, outpatient, or hybrid.
Absolutely. We handle pre-approvals for tests such as echocardiograms, stress tests, and cardiac catheterizations, so your staff isn’t stuck on hold with payers.
We integrate seamlessly with Athenahealth, eClinicalWorks, Kareo, Epic, and all major electronic health record systems — ensuring billing flows smoothly without disrupting your documentation.
All claims are scrubbed and submitted within 24–48 hours after encounter completion, ensuring quick turnaround and early payment cycles.
We utilize advanced coding audits, payer-specific rule tracking, and data analytics to identify and eliminate common causes of denials. We also review every payment for shortfalls.
Yes. You’ll receive detailed monthly reports on collection rates, denial patterns, CPT utilization, and payer performance — all explained clearly, not in billing jargon.
