Verified Cardiology Billing Specialists

Your Cath Lab Generates the Revenue. We Make Sure You Collect It.

Specialty-specific billing for interventional cardiologists, EP groups, and multi-physician practices — from same-day PCI to device implant modifiers. Every CPT code. Every dollar.

🏅
AAPC Certified
CPC & CPMA
HBMA Member
Since 2011
🔒
HIPAA Compliant
SOC 2 Type II
Cardiology Specialty
EP & Interventional
📋
CMS Compliant
LCD/NCD Aligned
🏆
99.2% First-Pass
Claim Acceptance
🔄
ERA Reconciliation
Automated Daily
📊
Benchmark Reporting
MGMA Aligned
🏅
AAPC Certified
CPC & CPMA
HBMA Member
Since 2011
🔒
HIPAA Compliant
SOC 2 Type II
Cardiology Specialty
EP & Interventional
📋
CMS Compliant
LCD/NCD Aligned
🏆
99.2% First-Pass
Claim Acceptance
🔄
ERA Reconciliation
Automated Daily
📊
Benchmark Reporting
MGMA Aligned
99.2%
First-Pass Claim Acceptance
$0K
Avg. Annual Recovery Per Practice
0 Days
Average A/R Resolution Time
0+
Cardiology Practices Served
The Revenue Drain Hiding in Your Claims

These six CPT codes are costing the average cardiology practice $82K per year in denied or underpaid claims.

This isn't a billing inconvenience — it's a systematic revenue leak. Each denial below represents real dollars that left your practice because of preventable coding errors, documentation gaps, or payer-specific quirks that most generalist billers miss.

CPT Code
Description
Denial Rate
Avg Loss / Denial
Top Cause
93306
Echocardiography
Echo w/ Doppler — Complete TTE
31%
$847
per denied claim
Missing medical necessity documentation
93458
Catheterization
Left Heart Cath + Coronary Angiography
22%
$1,240
per denied claim
Modifier 26/TC split billing error
93000
Diagnostic
Electrocardiogram — Routine ECG
44%
$312
per denied claim
Incident-to billing bundling violation
93303
Echocardiography
Congenital Cardiac Echo — Complete
18%
$692
per denied claim
Wrong ICD-10 linkage (Q vs I codes)
33249
EP / Device
ICD Implant — Single/Dual Chamber
17%
$2,180
per denied claim
Missing modifier 59 for same-day procedures
93620
EP / Device
Electrophysiology Study — Comprehensive
26%
$1,560
per denied claim
Unbundling with 93610/93612 add-ons
Is your practice leaking revenue right now?

A free 30-minute audit identifies your top three denial patterns and calculates your exact annual exposure — at no cost, no commitment.

Calculate My Losses →
Precision Coding for Cardiology

Modifier misapplication is the #1 preventable denial in interventional cardiology. We eliminate it at the source.

Generic billers submit what the physician documents. We translate documentation into the exact CPT modifier combination each payer requires — before the claim goes out the door.

CASE 1Interventional Cath + Same-Day PCI
✕ Before CardioBilling
9345892928
Issue: Modifier 59 omitted on 92928
Full denial — $2,840 lost
✓ With CardioBilling
93458-2692928-59
Fix: Modifier 26 for professional component + 59 for distinct procedural service
$2,840 collected — 100% reimbursement
CASE 2Device Implant — ICD Dual Chamber
✕ Before CardioBilling
33249
Issue: Device interrogation (93289) bundled incorrectly
Underpaid by $1,560
✓ With CardioBilling
3324993289-59
Fix: Separate billing with modifier 59 — distinct session documentation
Full $4,200 procedure reimbursement
CASE 3EP Study — Comprehensive SVT Ablation
✕ Before CardioBilling
936209361093612
Issue: Add-on codes unbundled without primary procedure
All three claims denied — $3,200 lost
✓ With CardioBilling
936539361093612
Fix: Corrected to comprehensive EP study code with proper add-ons
$3,200 recovered on appeal
Our 4-Step Clean-Claim Protocol
01
Charge Capture Review
Every CPT code cross-referenced against operative notes, cath lab reports, and device implant documentation before submission.
02
Modifier Scrubbing
Automated + human review of modifier 26/TC, 59, 76, 77, and XU/XS/XE/XP for every same-day and bilateral procedure.
03
Payer-Specific Rule Engine
Over 2,400 payer-specific cardiology billing rules applied at claim creation — not discovered at denial.
04
Pre-Submission Clearinghouse Scrub
99.2% first-pass acceptance rate achieved through dual-layer validation before claims ever reach the payer.
Get Your Free Revenue Audit

Takes 2 minutes. No commitment. Immediate value.

Automated Fee Schedule Comparison

Payers underpay 12.4% of cardiology claims on average. Most practices never notice.

Every ERA payment is automatically cross-referenced against your contracted fee schedule. Underpayments as small as $17 are flagged, documented, and appealed — because at volume, small variances become five-figure annual losses.

12.4%
Avg. underpayment rate across cardiology payers
$47K
Average annual underpayment recovery per practice
2,400+
Payer-specific fee schedules maintained and monitored
94%
Underpayment appeal success rate (2024)
ERA Payment Reconciliation — Live Sample
Showing 6 of 847 claims reviewed this month
$925 variance identified
Payer
CPT
Contracted Rate
Amount Paid
Variance
Status
Aetna PPO
93458
$1,842
$1,620
-$222
Recovered
UnitedHealthcare
93306
$724
$610
-$114
Recovered
Cigna
33249
$4,180
$3,640
-$540
On Appeal
BlueCross BlueShield
93620
$2,240
$2,240
✓ Correct
Recovered
Humana
93000
$48
$31
-$17
In Review
Medicare
93303
$612
$580
-$32
Recovered
See how your contracted rates compare to MGMA benchmarks

Download the 2025 Cardiology Billing Benchmark Report — fee schedules, denial rates, and collection ratios for 22 cardiology subspecialties.

Download Benchmark Report
Credentialing & Enrollment Tracking

A 90-day credentialing gap costs the average cardiologist $68,000. We close that gap before it opens.

Most practices discover credentialing lapses when claims start denying — weeks or months after the problem began. Our proactive enrollment tracking system monitors every payer relationship, re-credentialing deadline, and new physician application in real time.

New Physician Credentialing Timeline
Week 0
Physician Joins Practice
Credentialing applications submitted to all contracted payers simultaneously.
Week 2–4
Primary Source Verification
Licenses, DEA, malpractice history, and board certifications verified and documented.
Week 4–8
Payer Processing Window
Active follow-up every 7 days. Escalation protocols for payers exceeding 45-day SLA.
Week 8–10
Provisional Billing Authorization
Locum tenens billing arrangement activated to prevent revenue gap during credentialing.
Without CardioBilling: $68K average revenue gap
Week 10–12
Full Credentialing Effective
Physician billing under own NPI with all contracted payers. Retro-billing submitted where applicable.
"

We brought on two new interventionalists and CardioBilling had them fully credentialed and billing in 11 weeks. Our previous biller took 6 months and we lost over $140,000.

MW
Dr. Marcus Webb
Medical Director, Piedmont Heart Group
"

The ERA reconciliation alone recovered $52,000 in the first year. I didn't even know we were being underpaid by three of our top payers.

JO
Jennifer Okafor
Practice Manager, Southeast Cardiology Associates
"

As a solo interventionalist, I was losing money on every stress test I read. Their undercoding audit found $89K in missed revenue in the first 90 days.

PN
Dr. Priya Nair
Solo Cardiologist, Nair Cardiovascular Medicine
Simple, Performance-Based Pricing

We earn our fee by collecting more than you're collecting now.

No monthly minimums. No setup fees. No long-term contracts. If our billing doesn't outperform your current system within 90 days, we'll refund our fee — no questions asked.

Solo Practice
For solo cardiologists and small groups
4–5%
of monthly collections
  • Up to 3 cardiologists
  • Full CPT code review & submission
  • Modifier scrubbing on all claims
  • Monthly ERA reconciliation
  • Denial management & appeals
  • Quarterly benchmark report
  • Dedicated billing specialist
Most Popular
Multi-Physician Group
For practices with 4–15 cardiologists
3–4%
of monthly collections
  • Up to 15 cardiologists
  • Everything in Solo Practice
  • Fee schedule comparison engine
  • Automated underpayment detection
  • Credentialing & re-enrollment tracking
  • Monthly A/R aging analysis
  • Payer contract negotiation support
  • Monthly practice performance call
Cath Lab / Health System
For high-volume labs and hospital-affiliated groups
Custom
volume-based pricing
  • Unlimited cardiologists
  • Everything in Multi-Physician
  • Same-day PCI billing protocols
  • EP device implant specialist team
  • Custom payer contract analytics
  • Dedicated account director
  • On-site training available
  • SLA-backed performance guarantee
Frequently Asked Questions
We charge a percentage of collections — meaning we only get paid when you get paid. No flat monthly fees, no hidden charges. Our incentive is perfectly aligned with your revenue.
Most practices are fully transitioned within 2–3 weeks. We handle all payer enrollment updates, clearinghouse connections, and system integrations without disrupting your billing cycle.
Yes. We integrate with Epic, Athenahealth, eClinicalWorks, Kareo, NextGen, and 40+ other platforms. No need to change your existing technology.
We conduct a 90-day A/R clean-up as part of onboarding — recovering collectible balances from your existing backlog. Average recovery from inherited A/R is $23,000.
All coders are AAPC-certified with cardiology subspecialty credentials (CPMA, CCC). We do not use general medical coders for cardiology claims — ever.
No Cost. No Commitment.

You've seen where the money goes.
Now let's get it back.

Request a free revenue audit or download our Cardiology Billing Benchmark Report. Either way, you leave with more information than you arrived with.

Get Your Free Revenue Audit

Takes 2 minutes. Our team reviews your top denial patterns and calculates your annual revenue exposure at no charge.

🔒 HIPAA-compliant. Your information is never sold or shared. Response within 1 business day.

🔒HIPAA Compliant
🏅AAPC Certified
HBMA Member
4.9 / 5.0 Client Rating