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Revenue cycle · one rate
Front end · before the visit
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Cardiology billing services · Testing · Cath lab · Devices
PhysiAssist runs billing for cardiology practices: office visits and testing, the cath lab, pacemakers and ICDs, remote monitoring, and vein and vascular care. We split every test into the right global, professional and technical claims, track device check intervals, and get imaging authorized before the test.
Global, 26 or TC?
Try itPractice bills
Other party bills
Professional and technical component rules; payers vary
The basics
Cardiology billing services manage the revenue cycle of a cardiology practice: office visits, echocardiography, stress testing, monitoring, cardiac cath, pacemakers and ICDs, remote device monitoring, vein and vascular procedures, payment posting, denials and AR. In cardiology most money is lost where one test is split between the practice, a reader and a hospital.
Echo, nuclear and exercise stress, Holter and event monitors, with global, 26 and TC split correctly.
Diagnostic and interventional cath, stents, pacemakers and ICDs.
Device interrogations, remote checks and monitoring periods by their frequency rules.
Vein ablation, sclerotherapy and peripheral interventions with the documentation payers need.
What we check
| Codes | What they cover | What we check |
|---|---|---|
| 93306 · 78452 · 93880 · 75574 | Echo, nuclear stress, carotid duplex, cardiac CT | Global, 26 or TC by who owns the equipment and who reads, plus authorization |
| 93015–93018 | Exercise stress test and its components | Global or component codes for supervision, tracing and interpretation |
| 93224–93227 · 93241–93248 | Holter and extended ECG monitoring | Recording, scanning and interpretation billed to the right party |
| 93458 · 92928 | Left heart cath with ventriculography, coronary stent | Vessel and branch documentation, bundled imaging, and the global period |
| 33208 · 33249 | Dual-chamber pacemaker, ICD insertion | Device, leads and the indications each payer requires |
| 93279–93298 | Device interrogation and remote monitoring | In-person versus remote and the interval since the last billed check |
| 36475 · 36478 | Radiofrequency and laser vein ablation | Ultrasound findings and the payer's vein policy |
Free cardiology billing audit
Send us a recent month of testing, cath lab and device claims. A certified coder checks every one and sends a written report you keep, whether or not you work with us.
Claims reviewed
410With an issue
33Dollar impact
$22,300What the report covers
Office, hospital and cath lab
The same echo is billed three ways depending on where it is done and who reads it. We bill your part in every setting and check the hospital never takes yours.
The systems we work in every day
We log in to your system; nothing about it changes for your team.
Claims, rejections and remittances worked through your clearinghouse.
Submissions, status checks and renewals in each payer's own portal.
Pricing
One rate of 2.8% to 5% of net collections, quoted in writing before you sign. Where you land depends on monthly collections, specialty mix, the scope of services, and your AR backlog and payer mix.
The rate covers medical coding, claim submission, payment posting, denials and AR follow-up. Front desk services, prior authorization, the reporting dashboard, patient statements, credentialing and digital marketing are quoted separately.
See full pricing and estimate your rate →Eligibility and prior authorization, coding of office visits, echocardiography, stress testing, Holter and event monitoring, diagnostic and interventional cardiac cath, pacemakers and ICDs, device checks and remote monitoring, vascular and vein procedures, payment posting, denials, AR follow-up and patient billing.
If the practice owns the equipment and its cardiologist reads the study, bill the global code. If an outside physician reads it, the practice bills the technical component (TC) and the reader bills the professional component (26). In a hospital outpatient setting, the cardiologist bills 26 and the hospital bills the technical portion.
Exercise stress testing uses component codes rather than modifiers: 93015 for the global service, or 93016 for supervision, 93017 for the tracing and 93018 for interpretation when the parts are done by different parties.
Implants, generator changes and leads have their own codes, and follow-up is billed as in-person interrogation or remote monitoring, each with its own frequency rules. We track the interval since the last check so each claim is billable.
Many commercial plans and Medicare Advantage plans require it for nuclear stress tests, cardiac CT and echocardiography, often through a radiology benefit manager. We submit and track those approvals before the test. See our prior authorization services.
Yes. Vein ablation, sclerotherapy and peripheral interventions are billed with the documentation payers require, such as ultrasound findings and a trial of compression where the policy asks for it.
PhysiAssist charges 2.8% to 5% of net collections for coding, claims, payment posting, denials and AR, quoted in writing before you sign.
We review recent testing, cath lab and device claims and send a written report: global, 26 and TC errors, stress test components, device check frequency, authorizations, denials by root cause and the dollar value of each.
A free cardiology billing audit by a certified coder, with a written report you keep.