Diagnostic, interventional and chronic care revenue all run through the same panel, and the same coding decisions.
Referring provider and reason captured; prior imaging requested.
Cath and EP procedures need auth confirmed before scheduling, not after.
Consult level coded against the actual risk discussion, not a template.
Echo, stress and nuclear studies split correctly between -26 and -TC.
Cath and EP procedures coded to the specific approach and vessels treated.
Modifier sequencing and global period rules applied before submission.
Payer-specific device and procedure edits cleared pre-submission.
What actually lands in the account after modifier-aware review.
Cardiology billing lives or dies on five modifier decisions. Each one runs as its own governance check.
Equipment and facility component billed correctly on every diagnostic study.
Interpretation component checked against the study for double-billing risk.
Same-day repeat studies flagged and modifier-supported before submission.
Separately identifiable same-date procedures confirmed against NCCI edits.
Follow-up visits inside a procedure's global window correctly bundled or exempted.
Modifier -26/-TC splits used to be a monthly argument with our biller. Now they're just correct.
Device monitoring revenue doubled, and none of it required a new workflow from our techs.
The first RCM partner that could explain a global-period denial in one sentence.
Every diagnostic study is checked for whether the practice owns the equipment, performed the interpretation, or both, and billed with the correct component or global code accordingly, on a payer-by-payer basis.
Yes. Pacemaker, ICD and loop recorder monitoring requires a transmission received, a qualified interpretation, and the correct time-based code each period. We track all three automatically and only bill periods that clear the requirement.
Every procedure carries its global window forward. Follow-up visits inside that window are checked against the specific procedure performed and either correctly bundled or billed with a supporting modifier.
Procedural coding is reviewed by coders with cath and EP-specific credentials, checking approach, vessels or chambers treated, and same-session add-on codes against NCCI edits before submission.
Yes. Clientele works inside the system you already use for scheduling, imaging and documentation, no migration required.
A percentage of net collections with contracted clean-claim and days-in-A/R targets. No implementation fee, and month-to-month after the first year.
