Eligibility and authorization
Verify benefits and payer requirements before scheduled services, then retain the reference details needed for follow-up.
Cardiology revenue cycle
Cardiology Medical Billing Services
Cardiology practices often coordinate office visits, diagnostic testing, procedures, facility rules, and payer authorization requirements. A disciplined workflow helps the billing team find missing information before it becomes a denial.
Discuss your billing workflowWhere the workflow needs attention
Charge and claim review
Check demographics, coverage, place of service, documentation handoff, coding inputs, and payer edits before submission.
Denials and receivables
Route clinical, authorization, coding, and administrative denials to the right owner and track timely-filing and appeal deadlines.
A practical billing workflow
- 1Confirm patient, coverage, referral, and authorization information before the encounter when possible.
- 2Reconcile scheduled services with completed documentation and the practice's coding process.
- 3Scrub claims against current payer rules and submit through the appropriate channel.
- 4Post remittances, classify denials by root cause, and prioritize follow-up by deadline and value.
This page is educational. Always apply current payer contracts, coverage policies, coding guidance, laws, and compliance requirements to the specific service and claim.
Related billing guides
Authoritative resources
- CMS Physician Fee Schedule
Official Medicare physician payment and policy resources.
- CMS National Correct Coding Initiative
Official procedure-to-procedure and medically unlikely edit resources.
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