How Adapting these Basic Cardiology Billing Practices can Generate Highest Revenue


How adapting these basic Cardiology Billing Practices can Generate Highest RevenueMany cardiology practices across US are continuing to struggle with the regulatory changes, declining reimbursements and increasing healthcare costs. It is becoming difficult for them to run a profitable business in an unstable environment.

According to the industry experts, small and medium practices will have to start monitoring and focusing on their revenue cycle to identify loopholes and implement changes for improvement. From lowering overhead costs and maximizing revenue to improving patient engagement and complying with reforms, cardiologists will be required to handle every aspect of their practice in order to survive.

Cardiology practices will have to focus on various procedures including coding, billing and follow-ups with insurance companies. By avoiding errors in these procedures, cardiology practices can easily increase their earnings.

Claims submission and follow-ups

Claim filing procedures are different for different insurers. Even the payout mix with documentation and pre-authorization procedures vary. Therefore, it is important to have a team of billers who are updated with the procedures and guidelines for billing by different insurance companies including, Medicare and Medicaid

Coding change update

Cardiologists will need experienced and skilled coders who are aware of the changes in procedures and codes for this medical specialty. If they are not updated with coding changes, claims will be submitted with errors, resulting in malpractice claims and Medicare audits

Monitoring claim denial

Providers will have to overcome the common reasons for claim denials if they don’t want to spend $25 to $30 on reworking every single denied claim. They will have to ensure that all diagnoses are being coded to the highest level of specificity, claims are being submitted as per the deadline specified by the payers and no duplicate medical claims are being sent for processing

EHR Implementation

Cardiology practices will have to implement an EHR for streamlining various processes. Automated processes can help practices save time on data entry and filing. EHR can also be integrated with tele-health software for saving time and money

Training front-desk staff

It is necessary to train the front-desk staff in entering correct information of patients during appointment scheduling. It has been reported that if they fail to enter accurate information, insurance department staff members end up spending time on correcting the errors


Cardiology practices need to conduct regular auditing in order to strengthen the medical billing procedure. This will help them reduce errors in the billing process, bringing in more revenue. It will also prepare the practice for an actual audit

Considering the rise in billing and coding complexities, many cardiology practices have started outsourcing their billing requirements to a third party. By availing the services of billing companies such as, they have been able to enjoy improved revenue and more time for quality care.

Companies like MedicalBillersandCoders have a team of certified and experienced billers and coders who make use of their expertise to bring in more payment for providers. They not only handle error-free claims submission and conduct follow-ups but also ensure compliance to HIPAA and other reforms.

This entry was posted in Cardiology Billing, Revenue Cycle Management (RCM), Specialty. Bookmark the permalink.


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