Recent advancements in cardiology have improved treatment success but have also led to more complex medical billing requirements. Outsourcing to a knowledgeable cardiology billing service has been shown to increase revenue and alleviate stress.
The medical billing process kicks off during scheduling, where insurance coverage needs to be verified. Small details, like whether the appointment is in an inpatient, outpatient, or emergency/urgent care setting, must be accurately coded, or the claim could be denied. Med Billing RES coders and billers focus on getting these details right.
Modifiers play a key role in cardiology billing and coding, providing the detailed numeric subcategories needed for proper reimbursement of services. While general procedure codes are easy to look up, inexperienced billers and coders often struggle with knowing how many modifier levels to include or what additional numeric details are necessary. With payers moving toward more bundled codes to simplify billing, it’s crucial for coders to spot any deviations from standard bundles and itemize them accurately to avoid errors in coding. The Med Billing RES team is well-trained to handle these complexities and ensure accurate billing. Contact us to learn more about how we can streamline your medical billing process.
Family medicine practices often handle hundreds of patients daily, leading to a high volume of low-dollar claims. In contrast, cardiology involves more detailed and time-intensive examinations and treatments, resulting in far fewer patients seen each day. With only 10 to 15 patients typically seen in a day, a single unpaid claim can mean losing up to 10% of daily income. Our cardiology billing services help minimize denials and maximize payments. We also monitor every claim closely, ensuring none are lost or overlooked, which can happen with less experienced billers or without an effective claims management system.
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