Why Outsource Your Cardiology Billing & Coding?
Lighten Your Administrative Load
Keep nurses and techs focused on echoes and stress tests – not chasing EOBs. Off‑loading back‑office tasks to our specialists lets you spend more face time with patients who need it most.
Cardiology‑Specific Expertise & Experience
Our certified coders work only with cardiovascular groups, so every claim leaves scrubbed for NCCI edits and payer‑specific modifiers.
Scalable Services
Dial services up during cath‑lab expansions and taper down during slower seasons – no new software licenses, no extra FTEs.
Improved Cash Flow
We post charges quickly and appeal denials the same day they appear on an ERA so revenue never times out.
Reduced Overhead Costs
Retire pricey billing platforms and overtime pay. Free workstation space for patient care instead.
Actionable Performance Insights
Our live dashboards track procedure mix and payer speed – data that empowers you to renegotiate contracts before cash flow dips.
Tailored Practice Management Solutions for Cardiology
Independent cardiologists and just small practices in general certainly face their fair share of unique pressures – whether that’s costly imaging gear, strict prior‑auth on advanced diagnostics, or excessive MACRA/MIPS documentation demands.
So because of this, we never sell one‑size‑fits‑all packages. Our strategists listen to your pain points, which is commonly things like bundled 93306 codes and overflow technical fees, so we can come up with a revenue plan that is as unique as your patient population!
Advanced Analytics
Our analytics suite goes way beyond basic reporting. It pinpoints under‑reimbursement trends on high‑cost procedures – such as nuclear stress tests – so you’re able to renegotiate contracts or adjust charge master rates where it matters most.
It also automatically identifies instances where global billing periods are being reset prematurely, which means you can close gaps in your revenue cycle before they translate into write‑offs. Finally, by flagging predictable seasonal dips in cath lab volumes, you’re able to forecast staffing needs and supply orders months in advance. This means you’re always prepared for the next surge.
Get In Touch With PMN Today!
Stop writing off denied PCI claims and start funding cardiac rehab and RPM programs. Reach out today to our team – let’s put lost revenue back into your practice.
Why Choose Us?
Credentialling & Enrollment
We handle Medicare re‑validation and payer apps for cardiologists and APPs so you can start rounding without delay.
End‑to‑End Revenue Cycle Management
From pre‑authorization for CT angiography to zero‑balance audits after reimbursement, we manage charge capture, claim scrubbing, submission, posting, secondary billing, and patient statements.
Compliance Support
Cardiology is governed by evolving NCDs/LCDs on ABI and FFR. Our officers update templates and superbills the moment guidelines drop. That’s how we shield you from audits and extrapolation penalties.
Streamlined Billing Processes
Automated HCPCS/CPT cross‑walks and ERA posting drastically cut your keystrokes, which means your front desk can speed up waiting lines while still preserving data quality.
Targeted Billing & Coding Audits
We provide quarterly audits to benchmark documentation against AMA/CMS standards and then train providers to “document once, bill right”.
Quality Assurance
Our KPI scorecards align with cardiology measures – door‑to‑balloon times, EF documentation, follow‑up adherence – translating into better outcomes and payer incentives.
Frequently Asked Questions
The ideal billing company must have deep expertise in invasive and non-invasive cardiac procedure coding, NCCI edits, global billing periods, and strict bundling rules for catheterization and echocardiography. PMN provides certified cardiology billing specialists, maintaining a denial rate under 2% and providing full revenue cycle management tailored for cardiology practices of all sizes.
Due to high-complexity coding and frequent payer audits, cardiology billing typically ranges between 5% and 10% of collections. PMN offers highly competitive rates starting at 3% for qualifying practices, covering the full revenue cycle—including aggressive denial resolution and patient collections support—with zero setup fees.
Success relies on verifying real-time insurance eligibility before every visit, collecting copays at the time of service, and utilizing automated payment reminders. Providing clear, upfront cost estimates and flexible payment plans for larger balances dramatically reduces outstanding revenue and saves your staff from time-consuming follow-up calls.
Look for an organization with a verifiable track record in NCCI edit compliance, 90-day global surgical period tracking, and complex percutaneous coronary intervention (PCI) documentation requirements. Always demand hard denial rate benchmarks and payer-specific performance data during the vetting process.
