CARDIOLOGY BILLING

AI-Powered Cardiology Billing & RCM

TC/26 split billing, cath lab and EP claim scrubbing, and RPM billing built for cardiology's CPT density.

THE PROBLEM

One cardiology visit, a dozen ways to bill it wrong.

TC/26 split billing errors on echoes, stress tests, and nuclear studies — the single most common denial cause
RPM billing (93294-93299) denied for missing transmission-day documentation
Device data scattered across OEM portals — Medtronic, Abbott, Boston Scientific — reconciled by hand
Cath lab and EP procedures need modifier and medical-necessity documentation generalist billers miss

Sterling scrubs by procedure type, not by guess.

Cardiology billing gets its own logic, not the same rules used for every other specialty.

TC/26 modifier validated against equipment ownership and documentation before submission
RPM transmission-day thresholds tracked per 30-day cycle, per patient
Device monitoring data normalized across manufacturers into one claim-ready view
Cath lab / EP claims flagged for medical-necessity documentation pre-submission
WHERE THE MONEY LEAKS

The codes that decide whether you get paid.

Cardiology carries more billable complexity per encounter than almost any other specialty.

🫀

TC/26 Split Billing

Technical vs. professional component billing on echoes, stress tests, and nuclear imaging.

diagnostic
📡

RPM: CPT 93294-93299

Remote cardiac device monitoring, with data-transmission windows tracked per 30-day cycle.

remote monitoring

EP & Device Billing

Electrophysiology and cardiac implantable device procedures, normalized across manufacturers.

interventional
🩻

Cath Lab Billing

Interventional procedure documentation and modifier validation for cath lab claims.

interventional
HOW WE WORK YOUR CLAIMS

Built for cardiology's CPT density.

01

Verify

Eligibility and device-monitoring enrollment confirmed before the encounter.

02
🔍

Scrub

TC/26 modifiers, cath lab and EP codes validated against payer rules and equipment ownership.

03
📊

Reconcile RPM

Device transmission data normalized across manufacturers and matched to billing windows.

04
💰

Collect

Clean claims submit same-day; denials get root-cause analysis by procedure type.

FAQ

What cardiology practices ask first.

What is TC/26 split billing in cardiology?
Diagnostic tests like echoes, stress tests, and nuclear studies split into a technical component (TC) and a professional component (26). Billing the wrong modifier is one of the most common cardiology denial causes.
What CPT codes cover cardiac remote patient monitoring?
CPT 93294-93299 cover cardiac device remote monitoring, each requiring specific data-transmission windows within a 30-day cycle.
Why does cardiology have higher denial rates than other specialties?
A single encounter can generate multiple high-value CPT codes across diagnostics, imaging, interventional procedures, and device management, each with its own modifier and payer rules.
Do you bill for interventional cardiology and EP procedures?
Yes — cath lab, EP, and device procedures carry distinct documentation and modifier requirements.
What EHR and device platforms do you work with?
We work inside the EHR/PMS you already use, and integrate with data feeds across major cardiac device manufacturers.

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