Specialty
Cardiology Billing and RCM
Diagnostic testing, global periods and professional/technical splits — where most cardiology revenue is won or lost.
Why it’s different
Cardiology bills more diagnostic testing than almost any other specialty, and most of those tests split into a professional and a technical component. Whether you own the equipment, lease it, or read studies performed elsewhere changes the claim entirely.
Device monitoring adds a calendar dimension on top: remote checks are billable on fixed intervals, and submitting a day early is a denial.
Common challenges
Where the money goes missing.
- Component Billing
- Modifiers 26 and TC applied incorrectly for the setting and equipment ownership.
- Remote Device Monitoring
- Billed outside the required 30- or 90-day interval and denied as premature.
- Stress Test Components
- Supervision, tracing and interpretation unbundled or under-billed.
- Medical Necessity
- Diagnostic tests denied because the diagnosis code doesn't support the study.
- Interventional Globals
- Follow-up visits inside a global period billed without the right modifier.
How we help
We verify component modifiers against your equipment arrangement, track device monitoring intervals so nothing is submitted early, and check diagnosis-to-procedure support before the claim leaves.
We do not provide coders. Your clinical team assigns the codes. We verify and validate them.
Key codes
- CPT 93000–93010
- CPT 93306
- CPT 93015–93018
- CPT 93279–93296
- Modifiers 26 / TC / 59
Indicative, not exhaustive. Code sets and payer policies change.
Get a Cardiology Billing Analysis
Send us a sample of your denials. We'll tell you what's actually driving them in your specialty.