ProvideR Billing And Coding

Cardiology

Physician attentiveness has increased as a result of scientific advancements in the detection and treatment of heart illnesses. Physicians rarely have the time or resources to handle the billing and coding of their services in addition to dealing with the growth of cardiac care standards. As a result, the assistance of qualified and skilled billing and coding specialists becomes essential to the effectiveness, patient flow, and referrals, as well as the revenue creation of physicians.

Our trained, tech-savvy, experienced, and efficient cardiology billing and coding specialists have been instrumental in providing error-free and denial-free billing and coding services that have led to an unheard-of rise in medical bill reimbursements.

Choice Preference

Our billers and coders have been the go-to option for doctors, clinics, multispecialty groups, hospitals, and diagnostic centers across the country because of our comprehensive coverage of billing and coding for cardiology specialties like general clinical, interventional, nuclear specialty, heart failure, transplant, and surgery.

Were you aware?

  • Our group is aware that CPT codes related to cardiology, such 93451, 93456, and 93503, cannot have modifier 51 appended to them.
  • Cardiologists must report the majority of non-congenital operations with a single code when billing.
  • Our specialists’ updates For all cardiac catheterization procedures, imaging supervision, interpretation, and reporting are part of the injection operation and cannot be reported separately.

Interface of Technology

The secret to our billers’ and coders’ impressive conversion rates has been developing technology interfaces in billing and coding. This includes expertise with billing software like Next Gen, Medisoft, Eclipse, Lytec, Inception, and Misys, as well as encoding diagnosis and treatment procedures documents into compliant codes (ICD-9-CM, CPT & HCPCS codes) on cutting-edge technology platforms like EncoderPro, FLashcode, and CodeLink. For your cardiology billing and coding needs, you can ensure error-free coding, faster bill submission, and faster, denial-free bill realization by outsourcing to our tech-savvy billers and coders.

Entire PBC Coding and Billing

A detailed list of diagnostic and therapeutic procedures that are coded and invoiced utilizing the technological interface mentioned above is provided below:

  • Appropriate cardio codes are routinely billed and coded for denial-free reimbursement for preliminary screening and diagnostic tests, which include electrocardiograms, Holter monitors, transthoracic echocardiograms and/or standard nuclear cardiology procedures, diagnostic cardiac catheterization and coronary angiography, interventional cardiology, and complex diagnostic tests like cardiac MRI studies and positron emission tomography (PET) scanning.
  • Our cardiology billing and coding also includes catheter-based ablation procedures; cardiac transplantation and left ventricular assist device implantation; non-invasive diagnosis and treatment of adult congenital heart disease; myocardial perfusion imaging, radionuclide angiography, and myocardial viability studies; and peripheral endovascular interventional procedures.
  • In-depth invasive procedure billing and coding, including percutaneous coronary intervention (PCI), balloon dilatation of the mitral valve, percutaneous device closure, and percutaneous angioplasty, is another area of expertise for our billers and coders.

Value Transfer to Medical Professionals

Our billing and coding specialists have been able to deliver a unique set of value-added services by combining a value-chain of diverse competencies, including: meticulous handling of “Incident to Services” and “Uncovered Services”; coding integrity that matches “best practices in coding”; applying appropriate modifiers for reclaiming the returned claims; and thorough knowledge of diverse cardiology billing and coding.

Outstanding Track Record

Our cardiology billing and coding experts have a proven track record of successfully processing their clients’ medical bills with government-sponsored Medicare and Medicaid in addition to private insurance carriers like Unitedhealth Group, Wellpoint Inc. Group, Kaiser Foundation Group, Aetna Group, Humana Group, HCSC Group, Independence Blue Cross Group, etc.

Get in contact with our cardiology billing and coding experts if you are an individual practitioner or an institution interested in learning how our goal-oriented coding and billing cycle management can turn around your practice. This includes accurate charge capture, complex procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance program operations.

  • Removal of Audit Risks
  • Cutting down on the time it takes to submit claims
  • Cardiologists can maintain a greater degree of service delivery efficiency when they have a concentrated focus on patients rather than administrative tasks.
  • Account receivables must be reduced to an insignificant percentage and the claim cycle must be finished in 60 days.
  • Reduction in clients’ overhead and operating expenses as a result of using our professionals to handle the coding and invoicing
  • ongoing investigation into coding guidelines and modifications to ensure uninterrupted reimbursement of claims
  • Applying the appropriate modifiers to get the rejected claims paid back