Cardiology denials have their own patterns. We know them.
Cardiac imaging, catheterizations, and device procedures get denied for reasons that are specific to cardiology billing, not generic claim errors. We build appeals around the denial reasons your practice actually sees.
Denials we see most in cardiology.
Every specialty has its own denial patterns. Here's what we typically find in cardiology practices.
Prior authorization for cardiac imaging
Echocardiograms, nuclear stress tests, and cardiac CT/MRI are frequent prior-auth denial points, often on medical necessity grounds even with clear clinical indication.
Cardiac catheterization medical necessity
Diagnostic and interventional catheterizations get denied when documentation doesn't explicitly tie symptoms to the payer's coverage criteria.
Device and implant coding
Pacemaker, ICD, and loop recorder claims are frequently denied on coding technicalities separate from medical necessity.
Same-day procedure bundling
Payers often bundle same-day diagnostic and interventional cardiology services in ways that don't match how the visit was actually billed.
The same done-for-you service, built for your specialty.
We pull your denials
Connected to your billing workflow, reviewed as they come in.
AI drafts, specialists review
Every appeal is cited to payer policy and reviewed by a billing specialist before it's sent.
We handle payer follow-up
Calls and re-submissions your staff doesn't have time for.
You see what's recovered
A simple monthly report on what was appealed and what came back.
See what your cardiology denials are costing you.
Send us a sample of your recent denials. We'll show you what we'd appeal and what it could recover, free.
Get my free denial audit →Frequently asked questions.
Do you handle prior authorization for cardiac imaging, not just appeals?
Yes, our Prior Authorization service covers cardiac imaging and procedures, which reduces how many of these denials happen in the first place.
Can you appeal a denied cardiac catheterization?
Yes, we cite the payer's own medical necessity criteria and the clinical documentation supporting the procedure.
Do you work with interventional and diagnostic cardiology practices?
Yes, our specialists are familiar with both diagnostic and interventional cardiology billing patterns.
What if our EHR/billing system is different from other practices you work with?
Integration is scoped to your systems during onboarding, we don't require a specific EHR or billing platform.