Cardiology Billing Services
The MedEx MBS team of skilled billers offers specialized cardiology medical billing services designed to streamline the claims process and boost your revenue. Our comprehensive revenue cycle management (RCM) team handles every aspect, from verifying insurance to collecting payments.
Delivering Cardiology Medical Billing Services That Drive Results
Recent advancements in cardiology have enhanced treatment outcomes but also introduced more complex billing requirements. Outsourcing to a seasoned cardiology billing service can boost revenue and alleviate stress.
May 2021
Started On
90%
First Pass Clean Claims Rate
25-30%
Revenue Increase
30%
Reduction in A/R
Complex Claims Demand Expert Billers
Cardiology is a high-cost medical specialty where even minor coding inaccuracies can lead to substantial revenue losses. With complex and frequently changing codes, along with varying payer coverage rules, it’s crucial to partner with cardiology billing experts who are well-versed in these codes and payer requirements.
When claims are rejected or denied, an experienced billing service can handle appeals efficiently, unlike less experienced office staff who may struggle with complex coding issues and spend excessive time on each claim, resulting in unpaid claims and revenue loss.
MedEx MBS leverages a sophisticated claims management system developed over a decade of industry experience. Claims are meticulously reviewed for errors by a senior biller before submission, significantly reducing the risk of unpaid claims. Each account is managed by a dedicated manager who monitors every claim until it is paid. If a claim is rejected or denied, we identify and correct the issue and resubmit the claim at no additional cost, regardless of the claim’s size or the effort involved.
Cardiology Medical Billing Involves Several Complex Challenges
Potential Errors Begin with Scheduling
The medical billing process begins during the scheduling phase, where confirming insurance coverage is crucial. Even minor details, such as whether the appointment takes place in an inpatient, outpatient, or emergency room/urgent care setting, must be accurately coded to avoid claim denials. At MedEx MBS, our coders and billers meticulously manage these details.
Complicated Procedures Lead to Complex Coding
Modifiers play a crucial role in cardiology billing and coding. These additional subcategories of numeric codes provide the detailed information needed to ensure full reimbursement for all services rendered.
While inexperienced billers and coders may look up general procedure codes, they often lack the expertise to determine the correct number of modifiers required or to include all necessary numerically coded details. With payers increasingly adopting bundled codes to streamline billing, it’s essential for coders to identify any deviations from standard bundles and accurately itemize them to prevent over- or under-coding.
At MedEx MBS, our billing and coding team is expertly trained to handle these special cases. Contact us to learn how we can simplify your medical billing process.
High-Dollar Claim Rejections Mean Huge Revenue Losses
A family medicine practice may handle hundreds of patients daily, leading to a high volume of low-dollar claims. In contrast, cardiology involves more detailed and time-consuming examinations and treatments, typically resulting in fewer patients seen each day. For a cardiologist seeing 10 to 15 patients daily, the loss of a single unpaid claim can equate to up to 10% of the day’s income. Our cardiology billing services are designed to minimize denials and maximize payments. We also meticulously track each claim to ensure none are lost or neglected—issues that often arise with less experienced billers or without an established claims management system.
Outsourcing Cardiology Billing to MedEx MBS Boosts Revenue
As cardiology billing becomes increasingly complex and payers continually seek to reduce reimbursements, a robust billing and RCM system is essential. Outsourcing to MedEx MBS enables medical professionals to concentrate on patient care while our experienced, certified specialists manage their RCM from start to finish.
MedEx MBS’s Cardiology Billing Services start with scheduling and extend through all billing processes, including debt collection if needed. Our certified coders bring experience in over 50 specialties, including cardiology, ensuring comprehensive and expert handling of your billing needs.