Cardiology Billing Services
Cardiology Billing Services
Billing and credentialing for cardiologists and cardiology groups, from office diagnostics to interventional procedures.
Cardiology billing is complex and high-value
Cardiology practices bill a wide mix of services: office visits, ECGs, echocardiograms, stress tests, remote device monitoring and catheterization procedures. Many of these are split into professional and technical components, many need prior authorization, and each must be linked to a diagnosis that meets payer medical-necessity rules.
Because cardiology claims are high-value, every coding error or missed authorization costs more. Vantix Med manages the full billing cycle so your practice is paid correctly for every service.
- Prior authorization for imaging, nuclear and procedural services
- Accurate coding for diagnostics, cath and device services
- Correct 26 and TC splits for office and hospital settings
- Diagnosis linking to meet medical-necessity policies
- Denial management, appeals and A/R follow-up
Who we work with
Cardiology practices of every size across the United States.
Common problems we solve
Where cardiology practices lose the most revenue.
Missing prior authorizations
Echo, nuclear imaging and many procedures need approval before the service. We obtain and track authorizations so high-value claims are not denied after the fact.
Global vs. component billing
Diagnostics are billed globally in the office but split into 26 and TC in hospital settings. We apply the right split for each place of service so nothing is underpaid or duplicated.
Bundling and medical necessity
Cath and imaging codes have strict NCCI bundling rules and diagnosis requirements. We check every claim against these rules before it is submitted.
Cardiology codes we bill every day
Our team works with the core diagnostic, monitoring and procedural codes used in cardiology.
Modifiers and rules we manage
Cardiology reimbursement depends on applying modifiers correctly and following payer rules for each setting and procedure.
- 26 for the professional interpretation of diagnostic tests
- TC for the technical component when your practice owns the equipment
- 25 for a significant, separate E/M visit on the same day as a procedure
- 59 and X modifiers for distinct procedures under NCCI edits
- Global periods for procedures, so post-procedure visits are billed correctly
How we work
A simple onboarding process for your practice.
Free audit
We review your recent claims, denials and A/R to find lost revenue.
Onboarding
We connect to your EHR and practice management system.
Clean claims
Services are coded, checked for bundling and submitted quickly.
Follow-up
We work every denial and unpaid claim until it is resolved.
Reporting
You get clear monthly reports on collections and outstanding A/R.
Frequently asked questions
Answers to common questions from cardiology practices.
Do you handle prior authorizations for cardiac imaging?
Yes. We request and track authorizations for echocardiograms, nuclear stress tests, cardiac CT and MRI, and procedures, including requests sent through radiology benefit managers used by many health plans.
Can you bill for cardiologists who read studies in the hospital?
Yes. We bill the professional component with the 26 modifier for studies read in hospitals and outpatient facilities, and global or technical charges for services performed on your own equipment.
Do you bill remote device monitoring?
Yes. We bill in-person and remote interrogation and monitoring for pacemakers, ICDs and implantable loop recorders, following the time-period rules for each code.
Do you work with interventional cardiologists?
Yes. We code diagnostic and interventional catheterization procedures, apply NCCI bundling rules and track global periods for procedures.
Can you help new cardiologists get credentialed?
Yes. Our credentialing team handles CAQH, Medicare, Medicaid, commercial payers and hospital privilege applications for new cardiologists and new locations.
Get a free cardiology billing audit
Find out how much revenue your practice is leaving on the table.
Professional medical billing and credentialing services for US healthcare providers. Over 4 years of experience.
Specialties
Contact
- hellomed@vantixmed.com
- Mon–Fri, 9am–6pm EST
- 106 E Lincolnway Suite 305A
Cheyenne, WY 82001, USA
