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Cardiology Billing Services California, CA

The research advancement in diagnosis and treatment procedures of cardiac ailments has meant a higher degree of vigilance for physicians. Having to cope with advancement of cardiac care standards, physicians rarely find time and resources that can manage billing and coding of their services. Consequently, the service of certified and experienced billing and coding professionals becomes crucial to appreciation in physicians’ revenue generation, patient inflow and referrals, and efficiency. Our experts specializing in cardiology billing and coding services – who are certified, tech-savvy, experienced and efficient – have been critical to error-free and denial-free billing and coding services resulting in unprecedented increase in medical bill reimbursements.

Preferential Choice

An extensive coverage of billing and coding for cardiology specialties like – General Clinical, Interventional, Nuclear Specialty, Heart Failure, Transplant and surgery– has been pivotal and our billers and coders have been the preferential choice of physicians, clinics, multispecialty groups, hospitals, and diagnostic centers across the nation.

Did you Know?
  • Our team understands that Cardiology-specific CPT codes such as 93451, 93456, and 93503 are not allowed to be attached with modifier 51
  • While billing, cardiologists are required to report most non-congenital procedures with a single code
  • Our experts updates - Imaging supervision, interpretation & reports are included with injection procedure & cannot be reported separately in the case of all cardiac catheterization procedures

Running a medical practice in California can be quite challenging when it comes to medical billing and coding. Our billers and coders in all the major cities of California including Los Angeles, San Diego, San Jose, San Francisco, Fresno can help you settle your requirements here are some of the services which our expert medical billers and coders specializes in:

  • Tracking and follow-up on unpaid claims
  • Preparing Patient statements and payment posting
  • Customizing billing reports for better control
  • Primary and secondary insurance claims filing

Value Our California Billers Bring:

Our medical billers and coders are not limited to just the big cities such as Fresno, San Francisco, and San Diego but also all other smaller cities and towns in California. Moreover our billers are compliant with HIPAA guidelines and are updated with all industry updates through medicalbillerandcoder.com. This makes sure that your practice is run in the most efficient and legally safe conditions. Our Billing specialists also ensure that your patients are hassle free and their billing queries are answered well.

The expertise of our billers is vast and includes but is not limited to Past Due Collections, Electronic Medical claim filing, Medicare Audit Protection, coding and diagnosis analysis for maximum allowable reimbursement, customized accounts receivable and revenue cycle financial analysis, electronic claims submissions, denials management and payment posting, dedicated and relentless insurance follow-up, patient statements and patient-centric support, provider enrollment support, and standardized reporting.

Our Specialties:

Our medical billing specialists are committed to improving your productivity by utilizing finest processes and health care information technology such as Electronic Medical Records. These medical billers and coders maximize your revenue, ensure timely compensation, and offer medical billing and coding services in specialties including Family Practice, mental health , pain management, Physical Therapy, radiology, Internal Medicine, neurology, orthopedic, and numerous other areas.

Our Software Experience:

The fact that physician shortage is set to quadruple in the next decade according to AAMC (Association of American Medical Colleges) makes it vital that physicians utilize professional and accurate medical billing and coding services. The various software that we provide in addition to the value added services mentioned above ensures that physicians are capable of keeping up-to-date with the healthcare IT sector reforms and improvements. Some of the medical coding and billing software that our billers have experience on include Medisoft, Misys Tiger, Eclinicalworks, Advance MD, GE Centricity, and Altapoint.

Difficulties & Challenges California physicians Face:

The most common challenges faced by physicians in big cities such as San Jose and Los Angeles are underperforming accounts receivables or collections and claims denial. Both these situations along with other errors may lead to decreased revenue. Our billers provide the solutions to these problems by making the denial management efficient and offering services such as integrated medical billing with EMR along with numerous other value added services like sending patient statements and processing refunds to Medicare in order to preserve your practice from RAC audits.

As a physician in California, it becomes difficult to keep track of all the changes taking place in the legislation related to your practice. This is where the expertise and experience of our medical billing specialists can be of immense help. It almost seems that payers are in the business of claim denial and can afford to make mistakes at your expense. Although the new HIPAA guidelines would ensure a smoother process, the amount of patient-doctor encounters would increase in the future making it difficult to extract time for coding, billing, claim denial and compliance with HIPAA regulations. Specialized medical billers and coders such as ours can ensure that your practice not only flourishes but is also HIPAA compliant.

Technology Interface

Devising technology interface in billing and coding --proficiency in using billing software such as such as Next Gen, Medisoft, Eclipse, Lytec, Inception, and Misys; and encoding diagnosis and treatment procedures documents into compliant codes (ICD-9-CM, CPT & HCPCS codes) on advanced technology platforms such as EncoderPro, FLashcode and CodeLink – has been the key to our billers and coders’ impressive conversion rates. Outsourcing our tech-savvy billers and coders’ services for your cardiology billing and coding needs can ensure error-free coding, faster submission of bills, speedier and denial free realization of bills.

Comprehensive MBC Billing and Coding

The following is a comprehensive list of diagnostic and treatment procedures that are billed and coded using the technology interface highlighted above:

  • Preliminary screening and diagnostic tests -- electrocardiograms, Holter monitors, transthoracic echocardiograms and/or standard nuclear cardiology procedures, diagnostic cardiac catheterization and coronary angiography, interventional, and complex diagnostic tests such as cardiac MRI studies and positron emission tomography (PET) scanning -- are routinely billed and coded with apt cardio codes for denial-free reimbursement.
  • Our cardiology billing and coding also encompass catheter-based ablation procedures; myocardial perfusion imaging, radionuclide angiography, and myocardial viability studies; cardiac transplantation and left ventricular assist device implantation; non-invasive diagnosis and medical treatment for adult congenital heart disease; and peripheral endovascular interventional procedures.
  • Our billers and coders are also known for their expertise in billing and coding of comprehensive invasive procedures, such as percutaneous coronaryintervention (PCI), balloon dilatation ofthe mitral valve, percutaneous device closure, and percutaneous angioplasty.

Value Delivery to Physicians

Combining a value-chain of diverse competencies – thorough knowledge of diverse cardiology billing and coding; coding integrity that match ‘best practices in coding’; scrupulously handling of ‘Incident to Services’ and ‘Uncovered Services’; and applying suitable modifiers for reclaiming the returned claims – our billing and coding specialists have been able to deliver a unique set of value-added services.

Impressive Track Record

Our cardiology billing and coding specialists have had a successful track record of processing their clients’ medical bills with the private insurance carriers such as Unitedhealth Group, Wellpoint Inc.Group, Kaiser Foundation Group, Aetna Group, Humana Group, HCSC Group, Independence Blue Cross Group, etc. and Government sponsored Medicare and Medicaid as well.

If you are an individual practitioner or institution interested in knowing how our objective-oriented coding and billing cycle management -- complete with accurate charge capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance program operations -- can turnaround your practice, get in touch with our experts specializing in cardiology billing and coding.

  • Elimination of Audit risks
  • Reducing claim submission delays
  • Cardiologists -- with singular focus on patients, not administrative functions -- can maintain higher level of efficiency in providing services.
  • Reduction in account receivables to negligible percentage; completion of claim cycle within 60 days.
  • Decrease in clients’ overhead and operating costs, consequent to outsourcing our experts’ billing and coding services
  • Continual research on coding regulations and changes to have claims reimbursed without interruption
  • Application of suitable modifiers to have the denied claims reimbursed