Cardiology medical billing

Cardiology Medical Billing

Our cardiology medical billing services offer peace of mind to your cardiology practice. With a team of dedicated professionals managing the billing process, you can be confident that claims are submitted accurately and promptly. We handle denials and appeals, ensuring you receive the maximum reimbursement possible. This allows you to focus on what matters most – providing high-quality cardiovascular care to your patients.

Professional Cardiology Medical Billing

For seamless and maximized revenue in your cardiology practice, consider professional cardiology medical billing services from Stars Pro.  Our expert team, comprised of AAPC certified coders, understands the complexities of cardiology coding and stays current on ever-changing regulations. 

Outsourcing your practice billing to Stars Pro allows you to focus on patient care while we handle everything from insurance verification and accurate claim submission to denial management and follow-up. This ensures timely reimbursements and frees up your staff for administrative tasks and patient interaction.

Our Cardiology Medical Billing Process

Stars Pro doesn’t just handle cardiology medical billing – we excel at it. Our specialists are experts in the complexities of cardiology coding and complex insurance requirements with ease. By collaborating with your staff and gaining a thorough understanding of your unique clinical processes, we ensure seamless billing that maximizes your healthcare practice’s revenue.

Patient Registration and Insurance Verification

This initial step involves collecting accurate patient demographic information and verifying their insurance coverage. Our billing experts make ensures all details are correct minimizes claim denials later.

Charge Capture and Coding

After the patient visit, the specific services rendered by the cardiologist are documented with corresponding medical codes. Our cardiology billing specialists, often AAPC certified, assign accurate diagnosis and procedure codes based on Current Procedural Terminology (CPT®) and International Classification of Diseases (ICD-10-CM) guidelines.

Claim Submission

Once coded, the claim is created electronically with all necessary patient information, diagnosis and procedure codes, and supporting documentation attached. This claim is then submitted to the patient's insurance provider for processing.

Payment Posting and Denial Management

Upon receiving the Explanation of Benefits (EOB) from the insurance company, the payment is posted to the patient's account. However, sometimes claims are denied due to errors or missing information. In this case, our medical billing expert identifies the reason for denial and works to rectify the issue by appealing the claim with proper documentation.

Patient Billing and Collections

The patient may be responsible for co-pays, deductibles, or any uncovered charges by their insurance. The billing team sends patient statements and handles collections for these outstanding balances.

Reporting and Analysis

Regularly analyzing billing data helps identify trends and areas for improvement. This can involve tracking claim denials, coding accuracy, and revenue collection rates. This data can be used to optimize the billing process and ensure the practice receives maximum reimbursement for their services.

What are Benefits of Outsourcing Cardiology Medical Billing?

Here are some benefits of outsourcing cardiology medical billing, specifically mentioning Stars Pro:

Expertise in Complexities: Cardiology billing involves complex coding and regulations. Stars Pro’s team of AAPC-certified coders understands CPT Codes, minimizing errors and maximizing reimbursements for your practice.

Increased Efficiency:  Free your staff from the time-consuming tasks of medical billing. Stars Pro handles everything from claim submission to denial management, allowing your in-house team to focus on patient care and administrative duties.

Improved Cash Flow: Stars Pro’s focus on accurate coding and timely claim submissions leads to faster reimbursements from insurance companies. This translates to improved cash flow for your practice.

Reduced Costs:  Maintaining an in-house billing team requires investment in staff salaries, training, and billing software. Outsourcing to Stars Pro eliminates these overhead costs.

Peace of Mind:  With Stars Pro managing your cardiology billing, you can rest assured that your claims are in expert hands. We will handle denials and appeals, ensuring you receive the maximum reimbursement possible.

Focus on Your Patients:  By outsourcing your billing to Stars Pro, cardiologists can dedicate their time and energy to what matters most – providing high-quality cardiovascular care to their patients.

What CPT Codes are Used by Cardiology in Medical Billing?

Cardiology medical billing relies heavily on a specific range of Current Procedural Terminology (CPT®) codes between 92920 and 93799. These codes encompass a wide variety of diagnostic and therapeutic procedures performed by cardiologists. Here’s a breakdown of some commonly used CPT codes in cardiology:
    • Diagnostic Procedures:

      93000: Electrocardiogram (ECG or EKG), routine with at least 12 leads (interpretation and report).

      93015: Cardiovascular stress test using treadmill or bicycle exercise, continuous ECG monitoring with supervision, interpretation and report.

      93306: Echocardiogram (Echo) – a non-invasive ultrasound of the heart.

      93458: Coronary angiography – a procedure using X-rays to visualize the coronary arteries.
    • Therapeutic Procedures:

      92920: Balloon Angioplasty – used to open narrowed coronary arteries.

      33206: Atrial Pacemaker implantation – a device to regulate the heart rhythm.

      33533: Coronary Artery Bypass Graft (CABG) – surgery to create a new pathway for blood flow around blocked arteries.

      33945: Heart Transplant – surgical replacement of a diseased heart with a donor heart.

Why Cardiologist Choose Stars Pro Medical Billing Services?

Expertise in Cardiology Billing:  Stars Pro has a team of AAPC-certified coders with in-depth knowledge of cardiology-specific coding and medical billing. This ensures accurate claim submissions, minimizing denials and maximizing reimbursements for complex cardiology procedures.

Focus on Efficiency and Revenue: Outsourcing to Stars Pro frees up valuable time for cardiologists and their medical staff.  We handle the entire billing process, from insurance verification and claim submission to denial management and follow-up. This allows cardiologists to focus on patient care while Stars Pro streamlines revenue collection.

Peace of Mind and Reduced Costs:  Stars Pro eliminates the burden and cost of managing an in-house billing team. Our medical billing professionals expertise ensures you receive the maximum reimbursement possible, reducing financial stress and allowing you to focus on what matters most – your patients.

Collaboration and Transparency: Stars Pro doesn’t just handle billing; we collaborate with your practice. Our experts work to understand your unique workflows and ensure seamless integration with your existing systems. Additionally, we provide regular reporting and transparency, keeping you informed about billing performance.

Technology and Innovation: Stars Pro leverages advanced billing technology to ensure accuracy and efficiency.  They stay current with industry trends and implement the latest tools to optimize the billing process for your practice.

FAQ! NEED HELP?

At Stars Pro our cardiology medical billing services team handle the entire billing process for a cardiology practices across the nation. This includes tasks like submitting claims to insurance companies, coding procedures and diagnoses accurately, following up on denied claims, and managing patient accounts receivable.
Stars Pro specializes in cardiology billing, with a deep understanding of specific codes and regulations related to the field. Outsourcing allows you to focus on patient care while our medical billing experts ensure accurate claims and maximize revenue recovery.
Prior authorization is often required for certain cardiology procedures. Stars Pro can handle obtaining prior authorization approvals from insurance companies efficiently, reducing denials and delays in getting patients the care they need.
Stars Pro’s AR services manage outstanding patient balances. This includes sending statements, following up on delinquent accounts, and working with patients to establish payment plans. Efficient AR management reduces unpaid claims and improves your practice’s cash flow.
Outsourcing practice management tasks allows your staff to focus on core competencies like patient care. Stars Pro can handle scheduling appointments, managing referrals, and ensuring accurate patient information, freeing up your in-house resources.
The medical billing landscape is complex and ever-changing. Stars Pro, medical billing and coding stays up-to-date on the latest regulations and coding requirements specific to cardiology. This ensures your practice remains compliant and avoids costly penalties.
Stars Pro prioritizes patient data security. They should be HIPAA compliant, ensuring all patient information remains confidential.
Stars Pro should provide regular reports on key metrics like claim submission rates, denial rates, and revenue collection. This transparency allows you to track progress and measure the impact of their services on your practice’s financial health.
Beyond core billing services, Stars Pro may offer additional benefits like coding audits, denial management strategies, and performance improvement recommendations. These services can further optimize your practice’s revenue cycle management.

Cardiology Medical Billing

Our cardiology medical billing services offer peace of mind to your cardiology practice. With a team of dedicated professionals managing the billing process, you can be confident that claims are submitted accurately and promptly. We handle denials and appeals, ensuring you receive the maximum reimbursement possible. This allows you to focus on what matters most – providing high-quality cardiovascular care to your patients.

Professional Cardiology Medical Billing

For seamless and maximized revenue in your cardiology practice, consider professional cardiology medical billing services from Stars Pro.  Our expert team, comprised of AAPC certified coders, understands the complexities of cardiology coding and stays current on ever-changing regulations. 

Outsourcing your practice billing to Stars Pro allows you to focus on patient care while we handle everything from insurance verification and accurate claim submission to denial management and follow-up. This ensures timely reimbursements and frees up your staff for administrative tasks and patient interaction.

Our Cardiology Medical Billing Process

Stars Pro doesn’t just handle cardiology medical billing – we excel at it. Our specialists are experts in the complexities of cardiology coding and complex insurance requirements with ease. By collaborating with your staff and gaining a thorough understanding of your unique clinical processes, we ensure seamless billing that maximizes your healthcare practice’s revenue.

Patient Registration and Insurance Verification

This initial step involves collecting accurate patient demographic information and verifying their insurance coverage. Our billing experts make ensures all details are correct minimizes claim denials later.

Charge Capture and Coding

After the patient visit, the specific services rendered by the cardiologist are documented with corresponding medical codes. Our cardiology billing specialists, often AAPC certified, assign accurate diagnosis and procedure codes based on Current Procedural Terminology (CPT®) and International Classification of Diseases (ICD-10-CM) guidelines.

Claim Submission

Once coded, the claim is created electronically with all necessary patient information, diagnosis and procedure codes, and supporting documentation attached. This claim is then submitted to the patient's insurance provider for processing.

Payment Posting and Denial Management

Upon receiving the Explanation of Benefits (EOB) from the insurance company, the payment is posted to the patient's account. However, sometimes claims are denied due to errors or missing information. In this case, our medical billing expert identifies the reason for denial and works to rectify the issue by appealing the claim with proper documentation.

Patient Billing and Collections

The patient may be responsible for co-pays, deductibles, or any uncovered charges by their insurance. The billing team sends patient statements and handles collections for these outstanding balances.

Reporting and Analysis

Regularly analyzing billing data helps identify trends and areas for improvement. This can involve tracking claim denials, coding accuracy, and revenue collection rates. This data can be used to optimize the billing process and ensure the practice receives maximum reimbursement for their services.

What are Benefits of Outsourcing Cardiology Medical Billing?

Here are some benefits of outsourcing cardiology medical billing, specifically mentioning Stars Pro:

Expertise in Complexities: Cardiology billing involves complex coding and regulations. Stars Pro’s team of AAPC-certified coders understands CPT Codes, minimizing errors and maximizing reimbursements for your practice.

Increased Efficiency:  Free your staff from the time-consuming tasks of medical billing. Stars Pro handles everything from claim submission to denial management, allowing your in-house team to focus on patient care and administrative duties.

Improved Cash Flow: Stars Pro’s focus on accurate coding and timely claim submissions leads to faster reimbursements from insurance companies. This translates to improved cash flow for your practice.

Reduced Costs:  Maintaining an in-house billing team requires investment in staff salaries, training, and billing software. Outsourcing to Stars Pro eliminates these overhead costs.

Peace of Mind:  With Stars Pro managing your cardiology billing, you can rest assured that your claims are in expert hands. We will handle denials and appeals, ensuring you receive the maximum reimbursement possible.

Focus on Your Patients:  By outsourcing your billing to Stars Pro, cardiologists can dedicate their time and energy to what matters most – providing high-quality cardiovascular care to their patients.

What CPT Codes are Used by Cardiology in Medical Billing?

Cardiology medical billing relies heavily on a specific range of Current Procedural Terminology (CPT®) codes between 92920 and 93799. These codes encompass a wide variety of diagnostic and therapeutic procedures performed by cardiologists. Here’s a breakdown of some commonly used CPT codes in cardiology:
    • Diagnostic Procedures:

      93000: Electrocardiogram (ECG or EKG), routine with at least 12 leads (interpretation and report).

      93015: Cardiovascular stress test using treadmill or bicycle exercise, continuous ECG monitoring with supervision, interpretation and report.

      93306: Echocardiogram (Echo) – a non-invasive ultrasound of the heart.

      93458: Coronary angiography – a procedure using X-rays to visualize the coronary arteries.
    • Therapeutic Procedures:

      92920: Balloon Angioplasty – used to open narrowed coronary arteries.

      33206: Atrial Pacemaker implantation – a device to regulate the heart rhythm.

      33533: Coronary Artery Bypass Graft (CABG) – surgery to create a new pathway for blood flow around blocked arteries.

      33945: Heart Transplant – surgical replacement of a diseased heart with a donor heart.

Why Cardiologist Choose Stars Pro Medical Billing Services?

Expertise in Cardiology Billing:  Stars Pro has a team of AAPC-certified coders with in-depth knowledge of cardiology-specific coding and medical billing. This ensures accurate claim submissions, minimizing denials and maximizing reimbursements for complex cardiology procedures.

Focus on Efficiency and Revenue: Outsourcing to Stars Pro frees up valuable time for cardiologists and their medical staff.  We handle the entire billing process, from insurance verification and claim submission to denial management and follow-up. This allows cardiologists to focus on patient care while Stars Pro streamlines revenue collection.

Peace of Mind and Reduced Costs:  Stars Pro eliminates the burden and cost of managing an in-house billing team. Our medical billing professionals expertise ensures you receive the maximum reimbursement possible, reducing financial stress and allowing you to focus on what matters most – your patients.

Collaboration and Transparency: Stars Pro doesn’t just handle billing; we collaborate with your practice. Our experts work to understand your unique workflows and ensure seamless integration with your existing systems. Additionally, we provide regular reporting and transparency, keeping you informed about billing performance.

Technology and Innovation: Stars Pro leverages advanced billing technology to ensure accuracy and efficiency.  They stay current with industry trends and implement the latest tools to optimize the billing process for your practice.

FAQ! NEED HELP?

At Stars Pro our cardiology medical billing services team handle the entire billing process for a cardiology practices across the nation. This includes tasks like submitting claims to insurance companies, coding procedures and diagnoses accurately, following up on denied claims, and managing patient accounts receivable.
Stars Pro specializes in cardiology billing, with a deep understanding of specific codes and regulations related to the field. Outsourcing allows you to focus on patient care while our medical billing experts ensure accurate claims and maximize revenue recovery.
Prior authorization is often required for certain cardiology procedures. Stars Pro can handle obtaining prior authorization approvals from insurance companies efficiently, reducing denials and delays in getting patients the care they need.
Stars Pro’s AR services manage outstanding patient balances. This includes sending statements, following up on delinquent accounts, and working with patients to establish payment plans. Efficient AR management reduces unpaid claims and improves your practice’s cash flow.
Outsourcing practice management tasks allows your staff to focus on core competencies like patient care. Stars Pro can handle scheduling appointments, managing referrals, and ensuring accurate patient information, freeing up your in-house resources.
The medical billing landscape is complex and ever-changing. Stars Pro, medical billing and coding stays up-to-date on the latest regulations and coding requirements specific to cardiology. This ensures your practice remains compliant and avoids costly penalties.
Stars Pro prioritizes patient data security. They should be HIPAA compliant, ensuring all patient information remains confidential.
Stars Pro should provide regular reports on key metrics like claim submission rates, denial rates, and revenue collection. This transparency allows you to track progress and measure the impact of their services on your practice’s financial health.
Beyond core billing services, Stars Pro may offer additional benefits like coding audits, denial management strategies, and performance improvement recommendations. These services can further optimize your practice’s revenue cycle management.
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