Authorization and test readiness
Check the test order, payer requirements and any approval details before the study enters the billing queue.
(518) 299 9775Cardiology can involve office evaluations, diagnostic studies and separate technical or professional work. We track the performed service and billing responsibility through payer adjudication.
A test order, a completed tracing and an interpretation are different records. Without clear ownership, a practice may miss charges or submit a component it did not perform.
Check the test order, payer requirements and any approval details before the study enters the billing queue.
Identify technical, professional and global billing responsibilities for the actual service and setting. Avoid treating an order as a completed study.
Match completed tests and reports to charges, then track payer edits, missing documentation and outstanding payment.
Examples for understanding the workflow.
Code selection follows the actual service.
| Code | Example service | Operational check |
|---|---|---|
| 93000 | Routine ECG with interpretation and report | Confirm that the complete billed service was performed. |
| 99214 | Office E/M example | Support the visit independently from diagnostic testing. |
Illustrative CPT, HCPCS or other billing references, not coding instructions or coverage promises. Current code sets, documentation, payer policy and date of service control the correct claim. Review the relevant billing reference
A diagnostic reconciliation list, component responsibility map and service-specific claim follow ups.
Office visits, tests, interpretation work and locations drive scope. A single encounter can produce distinct billing responsibilities.
Billing is quoted as a percentage of monthly collections. Provider count, workflows and historical outstanding work help define the responsibilities included in your agreement.
See Billing & RCMWe map your payer mix, systems and the three workflow checks above, then agree on the records and scope needed. No practice information is required before the mutual agreement is signed.
No. We identify gaps and possible next actions. Coverage, records, filing windows and payer decisions determine whether a claim can be corrected or paid.
After the agreement and a BAA, we arrange a secure handover with approved access. Please do not send patient information through public website forms or regular email.
A Free Practice Review connects billing, credentialing, enrollment and payment setup. We agree on scope first, with a signed agreement and BAA before practice data moves.