Medicine Medical Billing

Heart Care Practice of Specialised Billing Solutions

Among other specialties, cardiology is the most complex and challenging in healthcare revenue cycle management. Cardiology billing encounters a great variety of CPT codes, ICD-10 codes, modifiers, and payer specifications, including normal diagnostic to complex interventional treatment. Even the tiniest mistake might lead to a denial of claims, late payment, or loss of revenue unless it is handled by professionals.

At NexCure LLC, we offer cardiology-focused Medical Billing Services intended to maximize your reimbursements and offer compliance solutions while streamlining your financial processes within your practice. We have an AAPC-certified medical coding team and billing professionals that are experienced in the mixed discipline of cardiology billing and who work hard towards ensuring the smooth running of its revenue cycle at optimal levels.

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    The Reason Cardiology Medical Billing Needs Expertise​

    In contrast to most other specialties, cardiology uniquely brings together a wide range of services and skills. It combines Evaluation & Management (E/M) services with both invasive and non-invasive procedures, incorporates smear imaging/testing for detailed assessments, and extends to advanced studies in electrophysiology along with device implantation, making it a highly comprehensive and multifaceted specialty.

    At NexCure LLC, you will have the benefit of cardiology billing experts that are well aware of these nuances, and will make sure that every claim is correct, compliant, and maximized to be paid.

    Such a diversity illustrates cardiology to have a unique way of billing since:

    Complicated Coding Obligations

    Angioplasty, echocardiography, cardiac catheterization, and ablation are cardiology procedures which are accompanied by complicated CPT and ICD-10 coding needs in order to receive accurate reimbursements.

    Frequent CMS Updates

    The Centers for Medicare & Medicaid Services (CMS) makes reimbursement rule changes to cardiology often, particularly in the areas of bundled services and telehealth cardiac monitoring.

    Modifier Use Correct

    Use of modifiers (e.g., -26, -TC, -59, -25) is very important as it may lead to denials, particularly where there are multiple procedures during the same encounter.

    Pre-Authorization Problems

    High-priced cardiac procedures are a high pre-authorization challenge and failure to approve prospective authorisations can result in non-payment.

    Strict Documentation Requirements

    Payers demand a lot of documentation of medical necessity, especially where a test (e.g., diagnostic) or a device has been repeated or replaced.

    We Are Charged to the Full Extent by End Medical

    Our broad range of cardiology billing and revenue cycle management services include all phases, from patient appointment scheduling through to payments posting.

    • AAPC-certified cardiology CPT, ICD-10, and HCPCS-coded coders.
    • Correct diagnosis testing, interventional procedure, and device implantation coding.
    • The fact that we are able to ascertain that National Correct Coding Initiative (NCCI) guidelines are complied with.
    • The correct application of the modifier to prevent an over-payment or under-payment of a claim.
    • Checking that the patient is covered prior to the high-cost procedure such as a stent placement, ablation, or a pacemaker implantation.
    • Filing of medical documentation to insurance companies on prior approval.
    • Not missing revenue as a result of denials of authorization.
    • Immediately once they are rejected, amendment and new filing of claims.
    • Composing clean claims and all the solicitations perfectly.
    • Through the clearinghouses and on electronic submission as a means of attaining faster processing.
    • Controlling paper-based claim submissions of payers who need them.
    • Doing right insurance posting and patient charges.
    • Merging Electronic Remittance Advice (ERA) so as to see the discrepancies.
    • Identify underpayments and begin follow-ups.
    • Examination on the tendencies of denials to deal with normal issues.
    • Appropriate rejection of inappropriate rejects through writing of appeal letters.
    • Remedial action to stop bleeding of funds in the future.
    • Delivery of simple-to-understand words for patients.
    • Having patient-friendly payment schemes where possible.
    • Place a specific billing support number accessible to answer the concerns of the patients in the shortest time possible.
    • Strictly following the HIPAA regulations to safeguard the information on patients.
    • Keeping current on changes of payer policy and changes in coding.
    The NexCure LLC Cycle

    Your Practice by the Virtue of Teaming Up with NexCure LLC Will Be Enhanced

    Collaboration between NexCure LLC and the company has a lot of benefits:

    1. Complex procedure miscoding prevention.
    2. Quicker payouts – the percentage of rejections decrease in our clean claim submission process, and faster payout turnaround is made.
    3. Raised revenue – we avoid denials, properly code, and follow-up so you receive every dollar that is due to you.
    4. Less administrative workload – eliminate the back-office burden and allow your personnel the time to care about their patients instead of waiting on the phone.
    5. Real-time reporting – access a detailed transparent reporting of bills any time.
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    The Way NexCure LLC Enhances the Revenue of Cardiology Practice

    Collaboration between NexCure LLC and the company has a lot of benefits:

    A lot of practices in cardiology miss out on revenue because of:

    • Miscoding of complicated procedures.
    • Failure to capture all billable services.
    • Impossible-to-approve authorizations.
    • Incomplete documentation.
    • Delay in responses to unpaid claims.

    The Way NexCure LLC Enhances the Revenue of Cardiology Practice

    A lot of practices in cardiology miss out on revenue because of:

     

    • Quicker payouts – fewer rejections, faster payout turnaround.
    • Raised revenue – avoid denials, code, follow-up.
    • Less administrative workload – eliminate back-office burden efficiently.
    • Real-time reporting – detailed transparent bills anytime access.

     

    We remove these disadvantages with an active billing strategy:

    • Pre-Claim Review – Accuracy of each claim is reviewed prior to submission.
    • Continuous Monitoring – Claims are trailed on a day-to-day basis to identify problems early.
    • Root-Cause Analysis – Denials are examined so that they cannot occur again.
    • Continuous Learning – We educate your clinical team on the best practices in documentation.
    Reach out to us now

    We remove these disadvantages with an active billing strategy:

    Pre-Claim Review

    Accuracy of each claim is reviewed prior to submission.

    Continuous Monitoring

    Claims are trailed on a day-to-day basis to identify problems early.

    Root-Cause Analysis

    Denials are examined so that they cannot occur again.

    Certified Doctors

    We educate your clinical team on the best practices in documentation.

    Get Started Today

    When it comes, it is never too late to be early! Cardiology billing is exact, exhaustive, and needs very considerable expertise of fee-payer demands.

    NexCure LLC is able to bring that and more.
    We strive to customize our billing services to fit your needs whether you are a single cardiologist, a multi-physician practice, or a cardiology department based in a hospital.

    Call NexCure LLC now to set up a free consultation and find out how we will help your cardiology practice to maximize reimbursements, reduce reimbursement denials, and increase cash flows.

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      Client Testimonials

      What Healthcare Providers Say About Us

      "Working with NexCure LLC has been a relief for my clinic. They took care of my credentialing process from start to finish, no delays, no confusion. I also like how they keep up with CMS quality programs and explain things clearly. Honestly, they’ve made my life much easier."

      Dr. Ayesha Rahman, MBBS

      "Before NexCure LLC, our billing was a nightmare — denials, delays, you name it. Their team stepped in and fixed our revenue cycle quickly. What I appreciate most is their guidance on MIPS reporting; they walked my staff through the requirements and we’ve already seen the results. Dependable and professional."

      Dr. James Whitman, MD

      "The attention to detail at NexCure LLC is impressive. They helped us get credentialed with several payers and made sure everything stayed compliant. Their support with HEDIS reporting boosted our scores, which directly benefited our contracts. I’m grateful for their hard work."

      Dr. Maria Gonzalez, MD

      "I’ve been very satisfied with the services from NexCure LLC. They keep me updated on payer rules and compliance, which is something many billing companies overlook. My billing cycle is smoother now, and their assistance with MIPS reporting has been a real plus. It feels like they are part of my team."

      Dr. Omar Al-Farouq, MD

      "Our practice needed someone who really understood billing and coding. NexCure LLC improved our collections and made the whole process less stressful. They’re straightforward, easy to reach, and they actually deliver on what they promise. I recommend them without hesitation."

      Dr. Alejandro Ramirez, DO
      12+

      Years of Expertise in Medical Billing & Revenue Cycle Management

      85+

      Providers Across Multiple Specialties Trust NexCure LLC Consultancy

      97%

      Clean Claims Rate Achieved on First Submission of Project Delivery

      15K+

      Claims Accurately Processed Every Month

      Book Consultation

      (929) 587-3833

      Email address:

      Info@nexcurellc.com

      1500 N Grant ST #5001, DENVER, CO, 80203

      United States

      WhatsApp:

      (929) 587-3833

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