# Cardiology Billing Services | Cardiac Medical Billing & RCM | PRMS [Home](https://prmsbs.com/) › [Specialties](https://prmsbs.com/specialties/) › Cardiology Cardiology Billing # Cardiology Medical Billing Services Cardiology carries some of the highest-value codes in medicine, and some of the most denial-prone. Our AAPC-certified coders work cardiac RCM every day, so your diagnostic, interventional, imaging, and EP revenue actually gets paid. [Get a Free Cardiology Billing Audit](https://prmsbs.com/contact) We handle cardiology billing end to end, from front-desk eligibility to the last dollar of AR. Cardiac procedures pay well but come with strict coding rules, so a specialized biller often decides whether a claim gets paid cleanly or comes back as a medical-necessity denial. ## Cardiology billing we handle - **Evaluation & management.** New and established visits, consults, and transitional care, with the level chosen to match the documentation. - **Diagnostic cardiology.** ECGs, echocardiography (TTE and TEE), stress testing, Holter and event monitoring, and nuclear cardiology, including SPECT and PET myocardial perfusion imaging. We split the professional and technical components correctly on every study. - **Advanced cardiac imaging.** Cardiac CT and coronary CTA, coronary artery calcium scoring, and cardiac MRI, coded with the right medical-necessity support so the payer honors them. - **Vascular studies.** Carotid duplex, peripheral arterial and venous Doppler, and ankle-brachial index (ABI) testing. - **Interventional cardiology.** Cardiac catheterization, PCI, stent placement, and angiography, with correct bundling and modifiers. - **Electrophysiology (EP).** EP studies, ablations, cardioversions, and device implants. - **Cardiac devices.** Pacemaker, ICD, and loop-recorder implants, interrogations, and remote monitoring. - **Chronic care & remote monitoring.** Chronic care management (CCM), remote patient monitoring (RPM), and cardiac rehabilitation. - **Prior authorization.** Secured up front for advanced imaging and interventional procedures, before the service is rendered. **Real result.** For a multi-provider cardiology group, we put cardiology-specific coding checks in place and worked the AR hard: denials dropped to about 2%, net collections reached 98.5%, and revenue rose 28% in 90 days. ## Why cardiology practices lose revenue The usual culprits are specific to cardiac care. Professional and technical components get billed wrong on imaging. NCCI edits bundle catheterization codes that were billed separately. Modifiers go missing on bilateral or multiple procedures. Advanced imaging gets denied for medical necessity because the prior auth was never secured. A general billing team often misses these until the money is already gone, while a cardiology-trained coder catches them before the claim ever leaves the door. ## What you get with PRMS ### Specialty-trained coders AAPC-certified coders who work cardiology every day and know its CPT, ICD-10, and NCCI rules. ### Denial & AR recovery Dedicated follow-up on aged and underpaid cardiac claims, not just fresh submissions. ### Transparent reporting Weekly and monthly analytics on collections, denial reasons, and AR days so you always know where you stand. ## Cardiology billing FAQs **What makes cardiology billing different from general medical billing? Cardiology mixes evaluation-and-management visits with high-value diagnostic and interventional procedures: echocardiograms, stress tests, nuclear and PET imaging, catheterizations, EP studies, and device implants. Each of these carries its own bundling, modifier, and medical-necessity rules, and a small coding error on them costs far more than it would on a routine office visit. That is why cardiology needs coders who work the CPT and NCCI edits specific to cardiac care. **Do you code interventional cardiology and electrophysiology (EP)? Yes. We code diagnostic cardiology, interventional procedures (PCI, stents, angiography), electrophysiology studies and ablations, and device work (pacemaker, ICD, and loop-recorder implants plus interrogations), along with all cardiac imaging. Every study gets the correct professional or technical component and modifiers. **How quickly will we see results? Most cardiology practices see cleaner claims and fewer front-end rejections within the first billing cycle. Denial reduction and shorter AR days usually follow inside 60 to 90 days, once the prior-authorization and coding fixes take hold. **Do you handle prior authorizations for cardiac imaging and procedures? Yes. Advanced cardiac imaging (PET, cardiac CT and MRI) and many interventional procedures require prior authorization. We verify and obtain it before the service, which is what stops most of the medical-necessity denials cardiology practices run into. ## Related services & specialties Cardiology billing works best as part of full revenue cycle management. Explore our full [billing, coding & denial management services](https://prmsbs.com/services) and [provider credentialing](https://prmsbs.com/medical-credentialing/), or see other specialties we bill, including [pain management, neurology, and urgent care](https://prmsbs.com/specialties/).