Cardiology Billing Services
Our team of experienced medical billers provides specialized cardiology billing services designed to streamline the claims process and boost your revenue. The revenue cycle management (RCM) team handles every stage of the workflow, from insurance verification to final payment collection, ensuring accuracy and efficiency throughout.
Providing Cardiology Medical Billing Services That Get Results
Advances in cardiology in recent years have increased the success of treatment but have also resulted in new and more complex medical billing requirements. Outsourcing to an experienced cardiology billing service has proven to increase revenue and reduce stress.
May 2019
Started On
98.5%
First Pass Clean Claims Rate
25-35%
Revenue Increase
35%
Reduction in A/R
High-Value Claims Require Expert Billers
Because cardiology is a relatively high-cost medical field, practices stand to lose large amounts of revenue if there is any inaccuracy in coding. The codes are not only complex, but they change regularly, and different payers have different rules about what they will cover. That makes it important to work with cardiology billing companies that are experienced with the codes and familiar with the various payer requirements.
Should claims be rejected or denied, a good medical billing services company can efficiently handle appeals, unlike less experienced office staff, who are likely to end up spending several hours sorting out each claim and may not figure out the more complicated coding issues in the required timeframe. The result is unpaid claims and significant revenue losses.
NextGen, as a cardiology billing company, utilizes a claims management system that we have developed through a decade of working in the industry. Before claims are submitted, they are “scrubbed” for errors by a senior biller, which greatly reduces unpaid claims. Each account has an assigned manager who tracks every claim until it is paid. Should a claim be rejected or denied, we determine the cause, rectify it, and resubmit the claim–at no additional cost to you, regardless of the amount of the claim or how much effort we put into it.
Cardiology Medical Billing Has Several Challenging Aspects
Potential Errors Start with Scheduling
The medical billing workflow begins as early as the scheduling stage, where verifying a patient’s insurance coverage is essential. Even small details—such as whether the visit is in-patient, out-patient, or emergency/urgent care must be accurately captured and coded to prevent claim denials. At NextGenBilling Solutions, our expert coders and billers meticulously manage these details to ensure clean, compliant claims from the start.
Complicated Procedures Lead to Complex Coding
Modifiers play a critical role in cardiology billing and coding. These supplemental numeric indicators provide the precise detail required to ensure full reimbursement for all services rendered. While newer billers and coders may identify the primary procedure code, they often struggle to determine the appropriate modifier levels or the complete set of numeric details needed for accurate claims submission. As payers increasingly move toward bundled codes, billing can become more streamlined—but only when coders can spot exceptions to standard bundles and properly itemize them. Failing to do so can lead to both over-coding and under-coding.
High-Dollar Claim Rejections Mean Huge Revenue Losses
NextGenBilling Solutions protects your practice from these losses. Our specialized cardiology billing services are designed to reduce denials, maximize reimbursement, and ensure every claim is accurately tracked from submission to payment. With our advanced systems and experienced team, no claim is ever lost, overlooked, or abandoned—issues that often occur with less-skilled billers or outdated claims management processes.
Outsourcing Cardiology Billing to MedCare MSO Increases Revenue
As cardiology billing grows more complex and payers continue tightening reimbursement standards, having an efficient billing and RCM system is no longer optional—it’s essential. NextGenBilling Solutions allows cardiology practices to stay focused on patient care while our certified, highly trained specialists manage the entire revenue cycle from start to finish.
Our comprehensive cardiology billing services begin at scheduling and extend through every stage of billing, coding, claim submission, follow-up, and when necessary debt recovery. NextGenBilling’s certified coders bring deep experience across more than 50 specialties, including cardiology, thoracic surgery, radiology, internal medicine, pulmonology, pain management, and rehabilitation.
Our Innovative Software Makes Coding and Billing Efficient
With over a decade of hands-on billing experience, NextGenBilling Solutions has developed proprietary software built specifically for cardiology practices. Our platform seamlessly integrates with your existing systems or can replace them entirely—with minimal downtime, ensuring a smooth transition and eliminating the risk of lost claims. Backed by our proven expertise, we consistently help clients maximize revenue and streamline their billing operations.
Medical Billing and RCM Is Our Whole Business
Because we focus only on medical billing and RCM, we are able to stay up to date on codes and regulations. We can also monitor government offers and the latest billing guidelines, which can maximize revenue from government incentives. Our cardiology medical billing services include daily billing, responding to denials and rejections swiftly, and even managing.
Increase your Practice Revenue by up to 35% With MedCare MSO