Cardiology billing
Cardiology Billing Services That Protect Every Test, Procedure and Visit
ARCM’s cardiology billing services handle claims for solo cardiologists, cardiology groups and interventional practices, from eligibility and prior authorization to denials and payment posting. AI checks every claim’s modifiers, bundling and diagnosis coverage, and certified billers review every claim before it reaches the payer.
(929) 415-8885
- Certified billers & coders
- HIPAA compliant, BAA signed
- Works inside your EHR
Cardiology billing audit
Reviewed by
Certified Billers
99% target
first-pass claim rate
Real-time
denial alerts
HIPAA + BAA
HIPAA-compliant AI
10+ years
certified billers & coders
The problem
Why Cardiology Claims Get Denied
Cardiology combines office visits, diagnostic tests and procedures, each with its own coding rules. Most denials trace back to one of five problems.
What goes wrong
Why the payer denies it
How ARCM catches it
Wrong component modifier
The practice provided only the reading or only the equipment, but the test is billed without modifier 26 or TC.
Place of service and equipment ownership checked against the code on every diagnostic line.
Procedures bundled
Two procedures on the same day are bundled by payer edits because the claim does not show they were separate.
Bundling edits run before submission; a coder confirms when a modifier is supported.
Diagnosis doesn't support the test
The diagnosis codes do not meet the payer's coverage policy for the test or procedure.
Diagnosis codes compared with the payer's coverage policy for that test.
No prior authorization
Imaging, procedures or devices that need prior authorization are done without one on file.
Authorization matched to the scheduled study or procedure before the date of service.
Visit billed on a procedure day
An office visit on the same day as a procedure, or inside its global period, is billed without the right modifier.
Global periods tracked; same-day visits flagged for a coder to review.
What we bill
Every Line of Cardiology Service, Coded and Checked
One team bills every part of your practice, so nothing falls between the office, the lab and the hospital.
New and established patient visits and consults.
- Visit levels checked against documentation
- Same-day visit and procedure modifier review
- Chronic care and follow-up visits billed on schedule
ECGs, echocardiograms, stress tests, nuclear imaging and monitors.
- Professional and technical components billed correctly
- Diagnosis codes matched to coverage policy
- Prior authorization tracked for imaging
Diagnostic catheterizations, stents and other interventions.
- Bundling edits checked before submission
- Add-on codes and modifiers reviewed by a coder
- Hospital and office place of service handled
Ablations, pacemakers, defibrillators and device follow-up.
- Global periods tracked after implants
- In-person and remote device checks billed on schedule
- Authorization tracked for devices
How it works
From Visit to Payment in Five Checked Steps
1
Before the visit
Coverage, referrals and prior authorization checked.
2
Coding review
Codes, modifiers and diagnosis pointers set from the documentation.
3
AI check
Every claim line tested against bundling edits and payer rules.
4
Biller sign-off
A certified biller reviews each flag and approves the fix.
5
Payment
Payments posted, denials appealed and unpaid claims followed up.
Not Sure Where Your Cardiology Claims Are Leaking?
A certified biller reviews your recent claims, denials and AR and shows you what to fix. Free, with no obligation.
AI + human validation
AI Checks Every Claim. Certified Billers Sign Off.
ARCM is a revenue cycle automation company. AI reviews every claim line, and a certified biller approves every fix before the claim reaches a payer.
All AI we use is fully HIPAA compliant, and we sign a BAA with every practice.
CLAIM AS CODED
⚠ Flag held
93306 · Echocardiogram
Read at the hospital, billed with no modifier
CLAIM AS SUBMITTED
✓ Submitted
93306-26 · Professional component
Corrected and approved by a certified biller
Example of the review workflow
Who we serve
Built for Every Cardiology Practice
Solo Cardiologists
Independent office practices
Cardiology Groups
Several physicians, one billing team
Interventional Cardiology
Catheterization and stent procedures
Electrophysiology
Ablations, pacemakers and defibrillators
Why ARCM
Why Cardiology Practices Choose ARCM Over Other Cardiology Billing Companies
- Cardiology billing specialists. Billers who know component modifiers, bundling edits and device billing.
- Every claim checked twice. AI checks every line and a certified biller signs off on every fix. Our target is a 99% first-pass rate.
- Billing and credentialing together. New cardiologists are enrolled and linked to your group as part of onboarding.
- Clear monthly reporting. Collections, denials and AR by payer and physician.
FAQ
Cardiology Billing Services: FAQs
What do cardiology billing services include?
They cover the business side of every visit, test and procedure: checking coverage, requesting prior authorization, credentialing physicians, coding with the right modifiers, submitting claims, posting payments, fixing denials and following up on unpaid claims. ARCM adds AI checks on every claim and certified biller review.
How much do cardiology billing services cost?
Most companies charge a percentage of collections, a per-claim fee or a monthly fee. ARCM quotes based on your claim volume and payer mix, and the free audit comes with a quote.
What is the difference between modifier 26 and TC?
Modifier 26 bills the professional component of a test, which is the physician’s interpretation and report. Modifier TC bills the technical component, which covers the equipment, supplies and staff. A practice that owns the equipment and reads the test bills the code without either modifier.
Do you handle prior authorization for cardiac imaging and procedures?
Yes. We request and track authorizations for the imaging, procedures and devices that each payer requires them for.
Do you credential cardiologists?
Yes. We manage CAQH, payer enrollment and linking each physician and advanced practice provider to your group.
Is our patients' data safe with AI?
Yes. All AI we use is fully HIPAA compliant, and we sign a business associate agreement (BAA) with every practice.
How fast can we switch to ARCM?
We start with a free audit, then set up access to your EHR and clearinghouse and take over new claims while working your existing AR. We confirm the timeline during the audit.
Related: Denial management · Medical billing services · Medical coding · All specialties
Free · No obligation
See Where Your Cardiology Revenue Is Slipping
Send us a few details and a certified biller will review your recent claims, denials and AR. You get a clear list of what is costing your practice money and how to fix it.
- Certified billers and coders who work cardiology claims.
- AI checks on every claim line, human sign-off on every fix.
- HIPAA compliant, with a BAA signed before any data is shared.
Cardiology billing audit
Reviewed by
Certified Billers