Rx Credentialing – Medical Billing and Credentialing Services for US Providers

Maximize Revenue with Expert Cardiology Medical Billing Services

Cardiology Billing Service

Specialized billing solutions for cardiology practices—ensuring accurate coding (ICD-10, CPT), faster reimbursements, and compliance with ever-changing cardiology billing regulations.

  • Cardiology-specific coding (e.g., echocardiograms, stent placements, Holter monitoring)
  • Compliance-focused (CMS, MACRA, OIG audits)
  • End-to-end RCM (Revenue Cycle Management) for cardiologists
Cardiology Billing Service
Medical billing services for small practices
HIPAA-Compliant
Pay as you go
No fixed contract

Interventional Cardiology

Cardiology billing services

Smooth Transition Between EHR/EMR Systems

Efficient Electronic Funds Transfer (EFT), EDI, and ERA Setups

Claims Submission Within 24 Hours

Prompt follow-up with payers.

Free CAQH maintenance

Free provider credentialing & revalidation

Comprehensive Revenue Cycle Management (RCM) Services

Appeals & Adjustments.

Coding and Chart Review

Reimbursement Strategies for Optimized Billing

AR Recovery & Denial Management

Why 68% of Cardiology practices lose 15-30% of their revenue to these preventable issues

Biggest Cardiology Billing Challenges

Complex CPT Code Errors

Misusing codes like 93458 (Cath), 93306 (Echo), or 93224 (Holter) triggers 30-50% denials for cardiology claims.
Our Fix: Cardiology-certified coders ensure 98% accuracy on high-risk procedures

Modifier -26/-TC Disputes

Incorrect application of modifiers (e.g., 26 for professional component) leads to $12k+ annual losses per practice.
Our Fix: Automated modifier checks + appeals within 72 hours

MACRA/MIPS Compliance Gaps

Failing to report eCQMs (e.g., #047, #226) risks 9% Medicare penalties for cardiologists.
Our Fix: Guaranteed 100% MIPS compliance + bonus optimization

Prior Authorization Hurdles

45% of stress tests/advanced imaging face delays due to incomplete auths.
Our Fix: Dedicated cardiology prior auth team cuts approval time by 60%

BPCI-A & CV Bundles

Misaligned coding under Cardiac Bundle Payments (e.g., CJR) reduces reimbursements by 22%.
Our Fix: Specialized CV bundle auditors maximize episode payments

Cardiology-Specific Denials

Echocardiograms (93306) and nuclear studies (78452) are denied 3x more often than other services.
Our Fix: Proactive clinical documentation improvement (CDI) for cardiology

Schedule a Consultation with Our Medical Billing Experts

We understand your need to keep things small, intimate, and personalized. Our medical billing specialists for independent small practices thoroughly study your needs and offer custom-made solutions. 

Cardiology Medical Billing

Services We Offer

Cardiology billing and coding

Process

Benefits of Outsourcing

Cardiology Billing Service

6 Critical Cardiology Billing Services | [Your Company]

Cardiology-Specific Coding

Expert handling of complex cardiology codes (CPT 93306, 93458, 92928) and modifiers (LC, LD, RC) for cath labs, echocardiograms, and stent placements.

42% fewer coding errors vs. general billers

Denial Prevention System

Pre-emptive audits for common cardiology denials (medical necessity for stress tests, bundling issues with 93000-series codes).

Recover $25k+ annually per practice

Cardiac Device Billing

Specialized billing for pacemakers (33208), ICDs (33249), and remote monitoring (93294, 93296) with proper CED compliance.

98% clean claim rate

Interventional Cardiology Billing

Accurate coding for angioplasties (92920-92944), TAVR (33361-33365), and atherectomies with proper vascular family rules.

$18k average revenue increase

Documentation Audits

Compliance reviews ensuring proper documentation for coronary interventions (e.g., stent medical necessity, lesion measurements).

OIG audit protection

Telecardiology Billing

Optimized billing for remote EKG monitoring (93224-93272) and telehealth visits (99457) with payer-specific rules.

85% faster reimbursements

Cardiology claims processing

FAQs

Cardiology Billing Services FAQs
What cardiology-specific codes do you handle?

We specialize in all cardiology CPT codes including 93306 (echocardiograms), 92928 (stent placements), 93224 (Holter monitoring) and ICD-10 codes like I25.10 (CAD) with 98% accuracy.

Cardiology-certified coders
How do you reduce denials for cardiology claims?

Our pre-submission audits catch common cardiology denials (modifier -26 issues, bundled services) resulting in a <4% denial rate vs. the 12-18% industry average for cardiology.

95% appeal success rate
Do you handle complex cardiology procedures like TAVR?

Yes! We're experts in TAVR (33361-33365), Watchman (33340), and ablation (93653-93656) billing with proper documentation review for Medicare/private payers.

$28k+ average annual revenue recovery
What's your process for cardiology modifier usage?

We ensure proper application of modifiers -26, -59, -TC for cardiology services and validate against NCCI edits to prevent bundling issues.

100% compliance with CMS modifier rules
Can you optimize revenue for cardiology stress tests?

Absolutely. We maximize reimbursements for 93015-93018, 78452 by ensuring proper documentation of supervision levels and medical necessity.

22% average increase in stress test reimbursements
How do you handle cardiology telemedicine billing?

We properly code 99453, 99457, G2010 for remote monitoring and virtual visits while ensuring state/licensure compliance.

Telehealth revenue capture specialists
Do you work with cardiology-specific EHRs?

Yes, we integrate with Epic Cardiology, Meditech Cardio, and Merge Cardio with customized charge capture workflows.

Seamless data extraction
How do you handle cardiology PQRS/MIPS reporting?

We track and report measures #204, #317 (CAD), #326 (AFib) to maximize your Medicare reimbursement adjustments.

5%+ bonus capture for 90% of clients
What's your turnaround time for cardiology claims?

We submit 98% of cardiology claims within 24 hours with real-time eligibility checks to prevent rejections.

Fastest payments in the industry
Can you help with cardiology practice audits?

Yes, our Cardiology Audit Shield program prepares for RAC, MAC, and OIG audits with complete documentation reviews.

$0 audit fines for 7+ years

Cardiology Medical Billing Service

Insurances Covered

Insurance Providers

Cardiac electrophysiology billing

Verified Results

Rx Credentialing LLC place picture
5.0
Based on 63 reviews
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Emily Elandt profile pictureEmily Elandt
01:24 16 Nov 25
Wonderful customer service and quick Credentialing!
Rx Credentialing LLC did an excellent job helping my practice join the MCOs. Their team made the process seamless and stress-free, answering all my questions promptly. I highly recommend them—their service is efficient, professional, and reasonably priced! 😁
I am a licensed psychotherapist and could not be more pleased with the efficient, professional services from RX credentialing services. No AI or bots here. Instead, RX offers real human beings who understand the needs of solo providers or group practice owners who are spread thin and have to wear many hats. Rx has hired talented individuals, like my account manager, Tyler, who will go the extra mile for you to ensure credentialing goes smoothly. We hit a hiccup on the road to becoming credentialed, but Tyler quickly intervened, advocating for my business so that the issue was resolved and I was approved for various insurance panels--some which have very high bars or administrative requirements. RX handled it all, informing me through each step of the process with clear and concise credentialing updates that put my fears to rest. Their services are kind of like therapy for therapists, because when you worry less about admin burdens, you can better focus on the client, while growing your business capacity. I would highly recommend them to any solo or group practice needing such services.
OGADINMA ONWUKWE profile pictureOGADINMA ONWUKWE
02:45 16 Oct 25
Very reliable.
Steve Walsh profile pictureSteve Walsh
22:16 13 Oct 25
RxCredentialing has been a wonderful partner in helping with my credentialing for my new primary care practice as well as are assisting me with a few other services. They are very knowledgeable and most importantly they are not pushy in working with my needed timeline. Moreover, they are very responsive, and I am looking forward to expanding our relationship to include their other services such as medical billing. I was fortunate to find them while searching the web and so refreshing to deal with an organization that is really focused on helping me establish a medical practice the smart way and not just spend money foolishly on things I do not need until the time is right.
Marilyn Batista profile pictureMarilyn Batista
15:50 03 Oct 25
Adam and his team are excellent at what they do. They walk you through every step of the process. Highly recomend Adam and his team. always responding in quickly.
Attention to detail
Very attentive and efficient
Always available to explain things or answer questions or concerns
John Giovanelli profile pictureJohn Giovanelli
15:14 15 Sep 25
Made things much easier for credentialing
Richard WR Garcia profile pictureRichard WR Garcia
13:59 21 Aug 25
Tyler has been an excellent person to work with. He kept us (our clinic) informed of our status throughout the credentialling process. They did the "heavy lifting" tracking down and following up so we didn't need to. Because this company handled our credentialling process, it allowed our company to focus on our number one priority--patient care. Thanks for taking care of us!!
Ahmad Elherfa profile pictureAhmad Elherfa
14:32 20 Aug 25
they handled the issue quickly and professionally. I truly felt supported and confident in their assistance.
Stacy Antwi profile pictureStacy Antwi
18:31 15 Aug 25
I can’t say enough great things about RX Credentialing! From the beginning, they’ve been incredibly efficient, responsive, and always a pleasure to work with. Anytime I had a question or needed assistance, they got back to me quickly with clear, helpful answers. They made the entire credentialing process smooth and stress-free! It truly feels like they care about their clients and go the extra mile to make sure everything is handled correctly and on time. I would highly recommend RX Credentialing to anyone looking for a credentialing partner who delivers every time!
Keisha Asante profile pictureKeisha Asante
17:37 12 Aug 25
David is wonderful very responsive and on top his work. Great experience.
Nicole Ciffone profile pictureNicole Ciffone
20:58 08 Aug 25
Making the decision to use Rx Credentialing for my billing service was a game changer for my practice. Solo practice as an NP and lipid specialist has been challenging for sure. Rx Credentialing has provided the professional knowledgeable support I needed. I am so grateful to be partnering with them for my billing and credentialing needs.
Takeisha Judkins profile pictureTakeisha Judkins
18:40 04 Aug 25
The staff is great and very helpful. I have been with them for 2 years with no complaints. I am very satisfied with their service.
Ehab Waly profile pictureEhab Waly
22:44 31 Jul 25
Tyler is doing good work
Samir Zaqdan profile pictureSamir Zaqdan
00:14 25 Jul 25
Kassandra Barthelemy profile pictureKassandra Barthelemy
05:31 24 Jul 25
I have been working with this company for over a year and I have no complaints…They are really the best at what they do.
Victoria Boateng profile pictureVictoria Boateng
18:42 23 Jul 25
Trusting a third party with your sensitive information can be difficult. I encountered this challenge while seeking credentialing services for my business with various insurance providers. Although I received numerous proposals from credentialing firms, I was uncertain about the security of my personal data. A trusted colleague recommended Rx Credentialing LLC, based on her positive experience. I decided to engage their services, and I’m pleased to report that they handled my information securely. Moreover, their expertise and competitive pricing make them an excellent choice for anyone needing credentialing support.
DaniCare Psychiatry profile pictureDaniCare Psychiatry
16:03 21 Jul 25
great service, highly professional. thank you!
Tamara Gordon profile pictureTamara Gordon
23:43 17 Jul 25
Adam is very professional and kind, always responsive when I need assistance. I have billing service through this company which has been going good so far. I was lucky enough to get a wonderful virtual assistant from Adam, I don’t know what I would do without her.
Daniel Montenegro profile pictureDaniel Montenegro
19:21 15 Jul 25
Rx Credentialing did a phenomenal job assisting with credentialing for my Ophthalmology practice start-up. Tyler is responsive and kept me up to date throughout the entire process. I would recommend Rx Credentialing to anyone hands down the best. Dr. Montenegro.

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We serve all 50 states.

Rx Credentialing provides medical billing services to clients across the United States