Professional vs technical component
In-office studies, hospital-based reads and shared arrangements are billed differently. Missing or misapplied component modifiers is one of the largest sources of silent revenue loss in cardiology.
Specialties › Cardiology
Cardiology Medical Billing Services
Cardiology revenue is unusually sensitive to detail. The same study can be billed globally, professionally or technically depending on where it was performed and who owns the equipment — and getting that split wrong quietly underpays a practice for years. Add device monitoring, bundled diagnostic components and interventional global periods, and cardiology becomes one of the easiest specialties to under-collect in.
What makes it hard
Cardiology billing challenges we solve
These are the issues that repeat every month in cardiology practices — and the ones we fix at the source rather than reworking claim by claim.
Bundled diagnostic components
Echo, vascular and nuclear studies have component codes that are frequently bundled by payer edits. Unbundling denials and inappropriate write-offs both cost money.
Remote and device monitoring
Pacemaker, ICD and loop recorder monitoring have their own frequency rules and reporting periods. Billing outside the allowed interval denies as a duplicate.
Interventional global periods
Procedures carry global periods where follow-up visits are not separately payable unless correctly modified. Both over-billing and under-billing here create risk.
Medical necessity and diagnosis linkage
Cardiac diagnostics are heavily governed by coverage policies. Claims fail when the diagnosis on the claim does not support the study performed.
Coding depth
Common code families we work with
- 93000 / 93005 / 93010 — electrocardiogram, complete / tracing only / interpretation
- 93306 / 93307 / 93308 — transthoracic echocardiography
- 93880 / 93882 — extracranial carotid duplex studies
- 93224–93227 — external ECG (Holter) monitoring
- 93297 / 93298 — remote monitoring of implanted devices
- 93451–93461 — right and left heart catheterization
- 99202–99215 — office evaluation and management
Listed for context only — this is not billing advice, and payer policy varies. Our certified coders work to AAPC and AHIMA standards.
Denial prevention
Top denial drivers in cardiology
- Missing professional/technical component modifier
- Diagnosis not supporting medical necessity for the study
- Monitoring billed inside a prior reporting period
- Component billed separately when payer bundles it
- Post-op visit billed inside a global period without a modifier
We root-cause denials by payer and procedure, then fix the upstream workflow so the same denial stops recurring.
Why ERG
What you get with ERG
Specialty-trained billers
Your account is worked by people who bill cardiology every day — not a general pool learning your rules on your claims.
95%+ net collection rate
Relentless follow-up on every claim, with aged A/R worked rather than written off.
No long-term contract
Performance-based pricing — a percentage of what we collect. Stay because the results are good, not because you are locked in.
5–10 day onboarding
We run parallel with your current process until the transition is verifiably clean.
Human-led, AI-supported
Our certified coders work every claim; AI tools help them catch more before submission.
HIPAA-compliant throughout
Strict PHI controls, access limits and staff training across the whole workflow.
FAQ
Cardiology billing — common questions
Do you bill for in-office diagnostics as well as hospital reads?
Yes. We handle both, and we make sure each is billed with the correct component so office-owned equipment is reimbursed for the technical portion and hospital reads are billed professionally.
Can you handle interventional and cath lab billing?
Yes. We bill diagnostic and interventional cardiology including catheterization, device implants and their global periods, and we manage the modifiers that keep related follow-up care correctly reported.
Do you work with remote device monitoring revenue?
Yes. Device and remote monitoring is recurring revenue that is often under-billed. We track reporting intervals per patient so studies are billed when they are actually eligible.
How quickly can you take over our cardiology billing?
Typical onboarding is 5–10 days, including EHR access, payer setup and an initial A/R review. We run parallel with your existing process until the transition is clean.
Client results
What practices say about working with us
★★★★★Denials were killing us. First-pass acceptance went up fast, and they tell us why a claim failed — not just rework it quietly.
— Michael R., Billing Lead
★★★★★Our clean-claim rate and our collections both climbed in the first 90 days. The trend held.
— Karen P., Practice Administrator
Next step
See what your cardiology practice is leaving uncollected
A no-obligation A/R analysis. We review your aging, denial patterns and coding mix, then show you exactly where the recoverable revenue is.
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