Specialized Billing for High-Risk, High-Complexity Cardiology Practices
Cardiology billing isn’t just complex — it’s one of the most heavily audited specialties in the U.S. NEO MD protects your revenue with cardiology-certified billers, strict compliance workflows, and daily claim optimization engineered for high-volume cardiovascular practices.
Immediate Impact
TC/26 modifier confusion on diagnostic testing
Missing physician interpretation documentation
Missing medical necessity for repeat procedures
Prior authorization failures are holding up procedures
When they should've been billed separately
Triggering automatic denials on post-op visits
According to MGMA cardiology benchmarking data, practices lose 18%–25% of revenue due to:
CPT selection errors
Missing modifiers
Device interrogation visits
Failed documentation
Drug-eluting vs bare metal
Return-to-OR scenarios
Post-op visit billing
Interventional procedures
Cardiology billing requires specialty expertise that general billers don’t have.
Can't determine which procedures bill together vs separately
Misapply modifiers on diagnostic testing constantly
Don't understand surgical procedure follow-up rules
Can't distinguish cath procedure types (93454-93461 vs 92920-92944)
Don't understand add-on code requirements
Can't track repeat imaging study justification
Undercode pacemakers, ICDs, and interrogations
Don't track coverage determinations by region
Specialty-Focused Billing Built for Cardiology’s Unique Complexity
→ 96-98% first-pass acceptance rate vs 78-82% industry average
We handle authorizations for:
→ Average turnaround: 2.5 days (vs 7-10 days industry standard)
→ No more treatment
→ No more revenue
Pre-submission verification for:
→ Denials drop below 4% in 60 days
We ensure you capture:
→ Average revenue increase: 19-24% in 90 days
→ You always know where your money is.
“We had no idea how much money we were leaving on the table. Neo MD’s cath lab coding expertise alone paid for their service three times over. Our cash flow is now predictable for the first time in years.”
— Dr. Robert M., Interventional Cardiologist
| Performance Metric | Industry Average | Neo MD Cardiology |
|---|---|---|
| Clean Claim Rate | 78–82% | 96–98% |
| Denial Rate | 15–22% | 3–5% |
| Days to Payment | 42–58 days | 23–28 days |
| Collection Rate | 93–95% | 98–99% |
| Prior Auth Time | 7–10 days | 2–3 days |
Our review process includes denial pattern identification, analysis of undercoding opportunities, compliance gap assessment, and payer contract verification. Clients receive a detailed report that clearly shows exactly where revenue is leaking, how much can be recovered, and the specific actions needed to improve performance and compliance.
Our onboarding process ensures zero disruption to cash flow while handling all payer enrollment requirements on your behalf. We provide comprehensive staff training on documentation requirements and seamlessly integrate with your practice management system. Most practices begin submitting their first clean claims within 12 business days, enabling a fast and smooth transition.
Practices experience immediate improvement in claim acceptance as previously denied claims are reworked and successfully recovered. An optimized prior authorization workflow eliminates unnecessary delays, resulting in stronger cash flow that becomes visible within the first 30 days. On average, organizations achieve a 19–24% revenue increase by day 90.
Our ongoing support includes bi-weekly performance reports, monthly strategy calls, quarterly compliance audits, and annual coding updates. This structured approach ensures continuous optimization, resulting in sustained revenue growth year over year.
Cardiology practices face heavy scrutiny from payers. We protect you by managing:
Cardiology is one of the top 3 audited specialties by CMS and private payers. NEO MD ensures full compliance with:
Cardiology is one of the top 3 audited specialties by CMS and private payers. NEO MD ensures full compliance with:
Cardiology Denial Prevention Checklist
The exact pre-submission checklist our coders use to hit 96%+ clean claim rates.
Cath lab modifier decision tree (when to use 59, 78, 79)
Medical necessity documentation templates
Prior auth requirements by payer (top 15 insurers)
TC/26 quick reference for every cardiac test
Global period calculator for device procedures
CCI edit checker for common cardiology bundles
Used by 200+ cardiology practices Worth $1,500. Yours free.
10-14 days with zero claim disruption. We coordinate everything with your current billing company.
Yes—all procedures, all payers. Average turnaround: 2-3 days.
No problem. We handle multi-location practices with different tax IDs, NPIs, and payer contracts.
6-8% of collections (industry standard), but our clients average a 19-24% revenue increase, so you net 11-18% more than today.
No. We integrate with all major cardiology systems, including Centricity, Epic Cardio, Allscripts, NextGen, and more.
90-day performance guarantee. If we don't reduce denials and increase collections, we work for free until we do.
Free Revenue Analysis
No obligation. No sales pitch. Just data.
We’ll show you:
Talk to a Specialist
15-minute consultation. Zero pressure.
We’ll discuss:
CCC-Certified Cardiology Coders (not general medical billers)
96-98% First-Pass Acceptance (vs 78-82% industry average)
3-5% Denial Rate (vs 15-22% industry average)
2-3 Day Prior Auth Turnaround (vs 7-10 days standard)
19-24% Revenue Increase in 90 days
Seamless 10-14 Day Transition (zero disruption)
Dedicated Cardiology Team (not a shared pool)
Real-Time Financial Dashboard (know where every dollar is)
90-Day Performance Guarantee (results or we work for free)
A process engineered specifically for cardiovascular practices:
Typical outcomes after switching to NEO MD:
First-Pass Claim Acceptance
Increase in Collection
Reduction in Denials
Claim Submission
If you’re a cardiology practice collecting $2.8M annually and losing 18% to billing inefficiencies:
lost per year
lost per year
That’s another physician salary, a new cath lab, early retirement, or practice expansion.
The question isn’t “Should I switch?”
The question is: “How much more am I willing to lose?”