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Delays in Filing & Un-Timely Follow-Ups can makes Cardiologists Life Miserable!

January 17, 2013

Cardiology has advanced so quickly that besides the E&M factor; it now also includes endovascular surgery, diagnostic testing, electrophysiology & interventional radiology making cardiology billing extremely complex.

Industry Standards State:

Incorrect coding, under pricing, missed or never submitted charges & nonexistent or improper follow up
= Loss of approximately 25%-30% of all medical practice income!

In this case with a specialty like cardiology billing involved, the ratio for success is even harder to achieve making it difficult for cardiologist’s to acquire timely or total reimbursements.

Moreover as Cardiology billing also puts out unique billing challenges that are intrinsic to the services rendered by cardiologists - it becomes both difficult and imperative to avoid filing & follow up delays - to ensure maximum revenue for the cardiologist to run his practice successfully.

Unique billing challenges faced by cardiologists-

  • With cardiology billing it becomes difficult to track underpayments as multiple procedure rules and cardiovascular procedures have significantly more complicated contractual adjustments than a typical family doctor claims
  • Billing for cardiovascular practices involves more complicated requirements of reporting and insurance follow-up
  • With a large number cardiologists shifting from private practices to hospitals their billing needs are changing as well
  • Cardiologists are also facing external challenges like the recent changes to Medicare reimbursement rates

What are the requirements for successful cardiology billing? --- knowledgeable team to handle the complex rules used by insurance companies to judge cardiologists' claims, experience in appealing denied claims, answering extremely specific and technical questions about procedures and diagnoses.

Do YOU face any of these billing pitfalls? -- Collections rate lower than what it should be, high cardiology billing staff turnover, high denial rate, too many days in A/R, and limited control of cardiology billing results. Cardiologists in this scenario can definitely benefit by utilizing specialized cardiovascular billing services to avoid these billing pitfalls

Benefit through MBC’s Specialized Cardiology Billing Services -

A billing service with years of experience in cardiology EMR management, coding & billing.
Certified coders with complete mastery over CPT & ICD codes along with compliance of HIPAA & ARRA, in-depth knowledge of interventional cardiology coding, cardiac catheterization laboratory coding, electrophysiology coding and cardiac computerized tomographic angiography (CCTA) coding.
In the initial start up phase for your ageing ARs or delays or denials, we will study and resolve the delay-causing reasons in a short TAT.
Provide - software automation, denial remediation procedures, dedicated cardiology billing account manager - to speed up the entire billing cycle.

With MBC as your cardiology billing partner

Conversion of fixed costs into variable expenses + time and focus + streamlining of operations
+ timely filing & follow-ups of your medical claims


Dramatically increased bottom line revenue+ maximization of old A/R!

Category : Accounts Receivables / Claims Denials