• Revenue Enhancement: Our cardiology billing service is designed to maximize revenue by optimizing coding and documentation practices.
• Denial Reduction: Through thorough claim scrubbing and proactive denial management, we minimize denials and ensure fast reimbursements.
• Efficiency: With streamlined billing processes, we help cardiology practices save time and resources, allowing them to focus on patient care.
• Industry Expertise: Our team of certified coders and billers specializes in cardiology billing, staying updated with the latest regulations and coding guidelines.
• Personalized Support: We provide personalized support and guidance to cardiology practices, addressing their unique billing challenges and goals.
• Transparency: We believe in transparency and provide regular reports and insights into the billing performance, empowering practices to make informed decisions.

Our Medical Billing Process

1. Patient Registration and Insurance Verification:
   • Patient Registration: We verify patient demographics, including name, date of birth, and address.
   • Insurance Verification: We verify patient insurance coverage, including the type of insurance, coverage limits, and any specific requirements or restrictions.
2. Medical Record Review and Coding:
   • Medical Record Review: We review medical records to identify all relevant services and procedures performed.
   • Coding: We assign relevant ICD-10 and CPT codes to ensure accurate billing.

Example Codes:

• Diagnosis Codes (ICD-10):
  • I25.0: Acute myocardial infarction (AMI)
  • I25.1: Chronic myocardial infarction (CMI)
  • I25.2: Myocardial infarction, unspecified
• Procedure Codes (CPT):
  • 92920: Coronary angiography, including angioplasty and stenting
  • 92925: Coronary angiography, including angioplasty and stenting, with additional time
  • 92930: Coronary angiography, including angioplasty and stenting, with additional time and complexity

3. Claim Preparation and Submission:
   • Claim Preparation: We prepare claims using the coded information, including patient demographics, insurance information, and services and procedures performed.
   • Claim Submission: We submit claims to insurance providers electronically or on paper.
4. Claim Processing and Reimbursement:
   • Claim Processing: Insurance providers process claims, verifying services and procedures performed and patient insurance coverage.
   • Reimbursement: Insurance providers reimburse providers for services and procedures performed, based on insurance coverage and contracted rates.
5. Follow-up and Appeals:
   • Follow-up: We follow up with insurance providers to ensure claims have been processed and to address any issues or denials.
   • Appeals: If a claim is denied, we work with the provider to gather additional information and appeal the decision.

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CPT Codes for Cardiology Billing

1. Cardiology CPT Codes:
   • 92920-93793: Cardiology CPT codes for cardiovascular procedures
   • 93000: Diagnostic electrocardiogram (ECG or EKG)
   • 93010: Electrocardiogram (ECG or EKG), routine with at least 12 leads
   • 93015: Cardiovascular stress test using treadmill or bicycle exercise, continuous ECG monitoring with supervision, interpretation, and report
   • 93306: Echocardiogram (Echo) where the provider uses a transducer to get a 2D picture of the heart through the chest wall
   • 93505: Pericardiocentesis (removal of fluid from the pericardial sac surrounding the heart)
   • 93510: Myocardial biopsy (taking a small tissue sample from the heart for diagnosis)
   • 93770-93771: Carotid artery stenting (opening narrowed carotid arteries to prevent stroke)
2. Cardiology CPT Codes for Diagnostic Cardiology:
   • 93000: Diagnostic electrocardiogram (ECG or EKG)
   • 93010: Electrocardiogram (ECG or EKG), routine with at least 12 leads
   • 93015: Cardiovascular stress test using treadmill or bicycle exercise, continuous ECG monitoring with supervision, interpretation, and report
   • 93306: Echocardiogram (Echo) where the provider uses a transducer to get a 2D picture of the heart through the chest wall
3. Cardiology CPT Codes for Therapeutic Cardiology:
   • 92944: Angioplasty (bypass surgery)
   • 93454-93461: Coronary angiography
   • 93505: Pericardiocentesis (removal of fluid from the pericardial sac surrounding the heart)
   • 93510: Myocardial biopsy (taking a small tissue sample from the heart for diagnosis)
   • 93770-93771: Carotid artery stenting (opening narrowed carotid arteries to prevent stroke)

ICD Codes for Cardiology

1. Cardiology ICD Codes:
   • I00-I99: Diseases of the circulatory system
   • J00-J99: Diseases of the respiratory system
   • K00-K95: Diseases of the digestive system
   • L00-L99: Diseases of the skin and subcutaneous tissue
   • M00-M99: Diseases of the musculoskeletal system
   • N00-N99: Diseases of the nervous system
   • O00-O99: Diseases of the eye
   • P00-P99: Diseases of the ear
   • Q00-Q99: Diseases of the nose
   • R00-R99: Symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified
   • S00-S99: Injuries and disorders of the skin and subcutaneous tissue
   • T00-T99: Injuries and disorders of the musculoskeletal system
   • U00-U99: Injuries and disorders of the nervous system
   • V00-V99: Injuries and disorders of the eye
   • W00-W99: Injuries and disorders of the ear
   • X00-X99: Injuries and disorders of the nose
   • Y00-Y99: Injuries and disorders of the skin and subcutaneous tissue

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