Cardiology Billing Services
Looking for ways to increase the revenue of your Cardiology practice while minimizing the number of billing mistakes? Let our professional team handle it and ensure increased revenue, reduced claim rejection.
About Our Cardiology Billing for Increased Revenues
Cardiology billing is a highly specific process with specific coding criteria as well as specific guidelines from payers. Our team at Rhode Island Medical Billing Services provides specific cardiology billing services that optimize revenue precision and administrative processes in your office. Our specialists, certified and well-versed in current regulations and coding, ensure accurate and timely submission of every claim. With us, your practice earns higher reimbursement, less denial, and most importantly, your revenue cycle is managed by genuine experts.
Cardiology-Specific Services Offered by Rhode Island Medical Billing Services
At Rhode Island Medical Billing Services, we provide a full suite of focused services exclusively designed for cardiology providers.We achieve this while also keeping billing and claims as accurate and streamlined as possible. Our cardiology-specific services include:
Expert Medical Coding
We have qualified coders who are familiar with the current ICD-10, CPT, and HCPCS code sets primarily for cardiology services in accordance with legal requirements.
Claims Submission and Management
This involves overseeing the submission process and conducting follow-ups until the claims are reimbursed, ensuring that the claims are not denied.
Denial Management
Our practical measures involve recognizing patterns of denial and putting preventive measures in place to minimize future occurrences, as well as quick handling of the denied claims.
Revenue Cycle Management (RCM)
It is our responsibility to help navigate the whole revenue cycle, all through registration, insurance identification, and other payment plans.
Preauthorization Services
We assist in obtaining preauthorization for expensive cardiology treatments to prevent claim rejection due to a lack of such authorizations.
Financial Reporting and Analytics
We prepare and present financial statements to aid in understanding practice operations, as required for the improvement of profitability.
EHR Integration
Our services encompass the implementation of integration solutions for electronic health record (EHR) systems, with the aim of optimizing documentation and billing.
Consultation and Compliance Training
We provide billing consultancy and can arrange compliance seminars for your employees to understand the new rules and guidelines in billing for cardiologists.
Specialty-Specific Services for Cardiology
At Rhode Island Medical Billing Services, we tailor our cardiology billing solutions to meet the specific needs of each cardiology subspecialty:
- Interventional Cardiology: End-tail billing for procedures such as stent placements and angioplasties to reduce coder mistakes in crucial claims.
- Electrophysiology (EP) Services: More precise billing for EP studies, pacemaker implants, and ablative procedures leading to fewer rejections and delays in the claims.
- Cardiovascular Surgery: High-value cardiac surgery coding that pertains to advisers, modifiers, and codes makes for full reimbursement.
- Nuclear Cardiology: accurate billing for advanced imaging so as to create efficient reimbursement strategies fuelled by compliance.
- Pediatric Cardiology: Specific medical billing for congenital ailments, ensuring that more claims are accepted for pediatric services.
Targeted Denial Management and High Claims Success Rate
Rhode Island Medical Billing Services is committed to preventing denials and increasing its revenue by implementing denial management techniques. Denials are managed effectively by our team, where causes of such claim rejections are identified and relevant measures taken to minimize their occurrence in the future.To help manage this risk, we had implemented a ‘claims scrubbing’ process so that all claims we make are checked, validated, and standard compliances met before processing. This attention to detail leads to:
Swift Denial Resolution
If a claim has been denied, it is resolved and worked on by our team within 24-48 hours to avoid revenue interruptions.
High First-Pass Claim Rate
This can be achieved by making proper coding and billing on the first try, which in turn helps to minimize the number of denied claims and improve overall efficiency in terms of repayments.
Proactive Prevention
Examining denial patterns directly leads to positive changes in billing procedures so that we can constantly adapt, minimizing rejected claims.
