How to Choose the One for Your Cardiology Practice
As we know that cardiology is a complex and vital branch of medicine dedicated to diagnosing and treating heart diseases, so cardiologists are highly skilled and trained professionals who live their lives to save and improve the lives of others. But it’s the team of medical billing experts who ensure that the services provided by a successful cardiologist are accurately coded, billed, and reimbursed. Medical billing is a crucial part of the healthcare system rather than just a clerical task. Medical billing affects the quality and affordability of care. Cardiology medical billing services require specialized knowledge and expertise. A cardiology medical biller should be an expert in the latest codings, payer policies, and compliance regulations, as well as attention to detail and working efficiency to avoid mistakes, denials and possible delays.
A good medical billing service provides cardiologists focus on their core competency, while a bad medical billing service cause frustration, stress, and economic losses for cardiologists and patients. while choosing a medical billing service, choose the right one per the service’s history and reviews to succeed as a cardiologist practitioner.
Max MBC Your Cardiology Medical Billing Company
Here are some tips if you are wondering how to choose a cardiology medical billing company. Follow these tips to choose the right billing company for your needs:
Choose a cardiology medical billing company having a team of certified, experienced, and well-versed medical billers experts in the latest coding standards, payer policies, and compliance regulations for cardiology.
A medical billing company that delivers error-free services and has low denials and delays ratio. That can increase your reimbursements, cash flow, and profitability. That can provide a streamlined workflow allowing you to focus on your core competency. It offers the best care possible to your patients. Also, that can provide a comprehensive reporting and analytics system, helping you monitor your financial performance and identify areas for improvement.
Cardiology Medical Credentialing Services
It verifies and validates the qualifications, skills, and competencies of cardiologists and other cardiovascular professionals, ensuring the quality and safety of cardiovascular care and meeting the standards. The process involves the following steps:
- It obtains and reviews the cardiologist’s educational background, training, certifications, licenses, and work history. Check for disciplinary actions, malpractice claims, or sanctions against the cardiologist or cardiovascular professional.
- Evaluate the clinical performance, outcomes, and competencies of the cardiologist or cardiovascular professional based on pre-established criteria.
- Grants privileges and credentials to perform specific procedures or services within a scope of practice and setting.
- It is maintaining and updating the credentials and privileges of the cardiologist or cardiovascular professional on a regular basis.
Cardiology Prior Authorization Services
These services help cardiologists obtain approval from insurance companies to ensure that the procedures or tests are medically necessary, appropriate, and covered by the patient's insurance plan before performing specific operations or tests for their patients. These services involve the following steps:
- They Collect and verify the patient’s insurance information. A detailed review of the clinical documentation and guidelines for the requested procedure or test.
- They submit the prior authorization request to the insurance company via an online portal, phone, fax, or mail.
- Follow up with the insurance company until the decision. They Communicate the decision to the cardiologist and the patient and update the medical records accordingly.
What CPT Codes are Used By Cardiologist in Billing
Codes that are used to report the services and procedures performed by cardiologists and other cardiovascular professionals to insurance companies and other payers are called Cardiology CPT codes that are used for billing and reimbursement purposes, quality measurement and reporting. These are part of the Current Procedural Terminology (CPT) system, a standardized coding system developed and maintained by the American Medical Association (AMA). These codes include the following categories:
- Cardiac catheterization and angiography codes (93451-93533) for reporting diagnostic and therapeutic procedures involving catheter insertion into the heart or blood vessels.
- Coronary intervention codes (92920-92944) for reporting percutaneous procedures involving balloons, stents, atherectomy devices, or other devices to treat coronary artery disease.
- Electrophysiology codes (93600-93662) for reporting diagnostic and therapeutic procedures involving the recording, stimulation, or ablation of cardiac electrical activity. Echocardiography codes (93303-93355) for reporting ultrasound imaging of the heart and its structures.
- Nuclear cardiology codes (78451-78496) for reporting radionuclide imaging of the heart and its perfusion.
- Cardiac device evaluation codes (93279-93299) for reporting interrogation, programming, or testing of implantable cardiac devices such as pacemakers or defibrillators.
Benefits Of Outsourcing Cardiology Medical Billing Services
It is an intelligent decision for cardiologists and other cardiovascular professionals to streamline billing processes, increase revenue, and focus on core competency. Outsourcing cardiology medical billing can offer the following benefits:
Why Max MBC as Your Cardiology Medical Billing Company?
We are committed to providing you with the best service and solutions for your cardiology practice with our expertise, experience, and technology to handle all your cardiology billing and coding needs. Consider the following reasons before joining us:
- A team of certified and qualified cardiology billing and coding specialists who are well-versed in the latest cardiology CPT codes, payer policies, and compliance regulations.
- Use advanced and secure billing software and systems integrated with your existing EHR and practice management software. Offer customized and flexible billing solutions according to your needs and goals.
- Transparent and competitive pricing, no hidden fees or charges. Value your trust and satisfaction, providing you with ongoing support and communication.
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Frequently asked questions
It works through submitting and following up on claims for the services and procedures performed by cardiologists and other cardiovascular professionals using the Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) coding systems to identify the services provided and the reasons for them.
Services that help healthcare providers with their billing and coding needs are called Medical billing services, including coding, claim submission, claim follow-up, payment posting, denial management, accounts receivable management, reporting, and consulting.
Cardiology has a variety of billing codes as it encompasses many services and procedures. But, a few billing codes for cardiology are:
- 93000-93024: Electrocardiography
- 93040-93042: Rhythm ECG
- 93224-93272: Electrocardiographic monitoring
- 93303-93355: Echocardiography
- 93451-93533: Cardiac catheterization and angiography
- 93600-93662: Electrophysiology
- 92920-92944: Coronary intervention
- 78451-78496: Nuclear cardiology
