CarevonixCarevonix
Cardiology Billing

Cardiology Billing Services Built for Cardiology

Outsourced medical billing built specifically for cardiology, covering EKG, echo, stress, cath, and EP. We know the -26/-TC split, the global cath periods, and the bundling rules that quietly cost cardiology practices 5-10% of revenue.

Why generic billers underperform on cardiology

Cardiology has more bundling edits, modifier rules, and global-period traps than almost any other specialty. A biller who treats a 93306 echo like any other E/M claim will miss the professional/technical split, undercode add-ons, and silently lose underpayments. Cardiology needs cardiology-trained billers, not generalists.

  • Missed -26 (professional) and -TC (technical) modifiers on imaging
  • Bundled EP and cath codes billed individually and denied
  • Stress test components (supervision, interpretation, tracing) not separately captured
  • Global cath period E/M claims denied because nobody flagged the global
  • MIPS cardiology measures missed, reducing payment year over year

What our medical billing service includes

A full revenue cycle, owned end-to-end by a Carevonix billing team trained on your specialty, your EHR, and your payer mix.

Clean claim submission

We code, scrub, and submit claims to commercial and government payers within 24 hours of the encounter. Average clean-claim rate: 94%.

Daily denial management

Every denial is worked within 48 hours, corrected, appealed, or written off with documentation. No more stale AR over 90 days.

Insurance eligibility verification

We verify benefits, copays, deductibles, and prior-auth requirements before the patient walks in, so claims aren't denied on day one.

Patient billing and statements

We send patient statements, handle balance questions, and offer payment plans, keeping collection rates high without straining the front desk.

Payer underpayment audits

We compare every EOB against your contracted rates and appeal underpayments. Most practices recover 3-7% they didn't know they were losing.

Monthly reporting that means something

Clean claim rate, days in AR, net collections rate, denial rate by payer, delivered monthly with a real human to walk you through what's working.

What practices see after switching

Average results across Carevonix billing clients within the first 90 days.

94%

Clean claim rate

67%

Reduction in AR over 90 days

12 days

Average days in AR

3-7%

Revenue recovered from underpayments

Why practices choose Carevonix for medical billing

There are plenty of medical billing companies. Most of them treat your practice like a row in a spreadsheet. We don't.

  • Dedicated US-based billing team with the same people every month, not a rotating call center
  • We work in your EHR and PM system. No data migrations, no parallel logins.
  • Transparent monthly reporting with a named account lead, not a ticket queue
  • HIPAA-aware workflows and a signed BAA before any PHI changes hands
  • Flat monthly pricing with no per-claim percentages that punish growth

Built for Cardiology practices

Cardiology billing rewards specialty knowledge. Our team has worked invasive, non-invasive, and EP cardiology, and we treat every claim like the modifier or global period matters, because it does.

Cardiology codes we work daily

  • 93000 / 93005 / 93010

    EKG (global, technical, professional)

  • 93306 / 93307 / 93308

    Transthoracic echo (TTE)

  • 93350 / 93351

    Stress echo

  • 93458 / 93459

    Left heart catheterization with coronary angio

  • 93650 / 93653 / 93656

    EP studies and ablations

  • 93880 / 93890

    Carotid and TCD ultrasound

  • Modifiers -26, -TC, -59, -XU

    Professional, technical, distinct service

Where cardiology revenue leaks

  • Underpayments on global studies billed without -26 or -TC split
  • EP procedure bundling errors triggering denials weeks after submission
  • Nuclear and stress add-on codes (93016, 93017, 93018) not captured
  • Same-day E/M during global period denied without modifier -24
  • MIPS quality measure gaps reducing year-over-year reimbursement

Cardiology payers we handle

  • Medicare and Medicare Advantage (Humana, UnitedHealthcare, Aetna)
  • BlueCross BlueShield (all regional plans)
  • Aetna and Cigna commercial
  • Tricare and VA
  • Hospital-based facility payment workflows

Frequently asked questions

Real questions practice owners ask before they switch.

Ready to see what Carevonix can do for your practice?

Book a 20-minute demo. We'll walk through your current workflows, your numbers, and exactly what would change.