Cardiology Medical Billing and Medical Coding Done Right

Coding is one of the major aspects of cardiology in particular and medicine in general. Every procedure requires its own rules that are checked by insurers. Medical billing and coding is that which makes the difference between those who get paid fast and who spends a whole week chasing down denials. We at Exact Core Group make sure that cardiology practices can bill accurately and collect payments in order to focus on cardiac patients.

A visit to a cardiology office does not consist of just one service but is the result of seeing a cardiologist, doing an electrocardiography procedure, and scheduling the ultrasound all on the same day. Each of these requires separate coding and modifiers.

The common tests are ECG (CPT 93000), complete transthoracic echocardiogram (93306), and complete cardiovascular stress test (93015). They have certain requirements for documentation like signed interpretation and report. Otherwise, there will be claim reduction or denial.

There is a lot of cardiology services that can be submitted as a global service or be broken up into technical component (modifier TC) and professional component (modifier 26). Selecting an incorrect code, particularly when the practice does not have the equipment, is a major cause of under-billing and lack of compliance.

• Almost all rejections are due to minor errors that add up.
• E/M visit billed the same day as a procedure without a 25 modifier
• Diagnosis codes that do not provide medical necessity for the requested test
• Lack of prior authorization for imaging or intervention
• Insufficient documentation of test interpretation

It is much easier and less expensive to identify these issues before submitting the claim.

Effective medical billing and coding involve the use of codes based on the documentation by the physician, no assumptions, and no guesswork. This ensures that you get paid for your services and are ready to defend yourself should the payer request documentation.

Good medical code billing involves checking eligibility for services such as stress tests and nuclear imaging prior to a patient’s visit.

Filed claims are not paid claims. Our group monitors all of your claims, denies claims rapidly, and finds out why they were denied so that they do not get denied again next month.

Exact Core Group’s method of medical billing and coding is quite straightforward. It involves doing everything accurately and always providing clear information. You will get reports about the claims that have been filed, those that have been paid, and those that have not yet been paid, in addition to receiving easy-to-understand explanations. We help cardiologists working alone as well as cardiology practices with many providers.

Your cardiac patients need your attention. Give us the billing details that can increase the revenue for your practice. Contact Exact Core Group today to get a non-binding review of your current billing process.