Cardiology Medical Billing & Credentialing Services

Precision Billing for a High-Stakes Specialty

Cardiology is a complex and highly regulated specialty, with extensive diagnostic testing, interventional procedures, and evolving payer policies. At Oakview Medical Billing Solutions, we specialize in helping cardiology practices—whether independent or part of a group—manage every phase of the revenue cycle with precision. From E/M codes to surgical modifiers, we know how to maximize reimbursements while ensuring strict compliance with CMS and private payer rules.

Common Challenges in Cardiology Billing

Cardiology billing involves a wide array of services, from stress tests and echocardiograms to complex procedures like cardiac catheterizations or electrophysiology studies. These procedures often include bundled services, global periods, and modifier confusion, which can lead to denied or underpaid claims if not coded correctly.

• Complex CPT combinations (e.g., 93458 + 92928)

• Global surgical packages mismanagement

• Incorrect use of modifiers (e.g., -26, -59, -51)

• Poor documentation of medical necessity

• Timely filing limits with Medicare and Medicaid

• Overlapping services with primary care physicians

Oakview’s Cardiology Billing Expertise

At Oakview, our certified billing team understands the intricacies of cardiology-specific codes and documentation requirements. We don’t just file claims—we build customized billing workflows that address your practice's real-world problems.

Our team provides:

-Accurate CPT, ICD-10, and HCPCS coding for EKGs, angiograms, stents, pacemakers, and cardiac surgeries
-Real-time claim tracking and A/R management for both professional and facility services
-Modifier audits and denial prevention strategies specific to cardiovascular procedures
-Payment posting and patient balance follow-up for both fee-for-service and value-based models
-Documentation improvement to reduce audits and increase reimbursements

Cardiology Credentialing & Contracting Support

Payer credentialing for cardiologists requires detailed NPI taxonomy classification, board certification tracking, hospital privileges, and up-to-date malpractice coverage. Whether you’re onboarding a new cardiologist or expanding to a new location, Oakview takes care of the paperwork, follow-ups, and enrollment tracking.

We handle credentialing with:

• Medicare (PECOS) and Medicaid

• Commercial payers (BCBS, UHC, Aetna, Cigna, Humana)

• VA/TriWest and managed care organizations

• Hospital and ASC affiliations

• CAQH and delegated credentialing support

Why Cardiologists Choose Oakview

Cardiologists across the country rely on Oakview because we go beyond basic billing. We monitor policy updates from CMS, MACs, and major commercial payers to keep your revenue safe and flowing. Plus, we act as an extension of your in-house team—transparent, responsive, and results-driven.

Benefits of partnering with Oakview:

✔ Increased monthly collections by 20–35%
✔ Faster claims turnaround and reduced denials
✔ Transparent reporting and real-time billing dashboards
✔ A dedicated account manager with cardiology expertise
✔ HIPAA-compliant, secure, and scalable solutions

Your focus should be on saving lives—ours is on protecting your revenue.
Let Oakview simplify your cardiology billing and credentialing today.