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Cardiology

Cardiology

QuantumX RCM  handle intricate cardiology billing including diagnostic tests, catheterizations, EKGs, stress tests, and more. Our coders are well-versed in cardiovascular coding (ICD-10, CPT, andmodifiers), ensuring accurate claims and maximum reimbursements. Emphasize expertise withcardiac device billing and preventive care programs.

Urgent care facilities operate in a fast-paced environment, handling a wide range of acute conditions and walk-in patients. QuantumX optimizes billing for urgent care providers with:

At QuantumX RCM, we specialize in:

  • Accurate CPT/ICD-10 coding for cath lab procedures, EKGs, echocardiograms, stress tests, stent placements, and more
  • Use of correct modifiers for same-day procedures
  • Payer-specific billing rules and NCCI edits
  • Ongoing audits to ensure clean claim submission
Managing complex procedures like catheterizations and stress tests requires meticulous coding. QuantumX ensures accurate claim submissions, reducing denials and optimizing reimbursements.
  • Cardiology: We manage the complexities of cardiology billing, including procedures like echocardiography, stress testing, and cardiac catheterization. Our team ensures precise coding with CPT codes (e.g., 92920-92944 for percutaneous coronary interventions) and ICD-10 codes (I00-I99 for circulatory diseases), reducing denials and optimizing reimbursements for high-cost cardiac care.
  • High-revenue specialty (7.15% market share in 2024) with procedures like echocardiography requiring precise CPT codes (e.g., 92920-92944).
  • With a 7.15% market share in 2024, cardiology is a high-priority specialty due to complex procedures like echocardiography and cardiac catheterization, which require precise coding and frequent payer audits
Billing Challenge QuantumX RCM Solution
Incomplete documentation (e.g., missing stress test details) Custom EHR templates ensure all required elements (e.g., duration, symptoms) are captured.
Incorrect modifiers (e.g., -26 for professional component) AI-driven modifier validation against CMS/NCCI rules.
Downcoding (e.g., echo 93306 vs. 93308) Coders compare findings to documentation for accurate leveling.
Prior auth denials for cardiac cath/stents Pre-service team verifies insurer-specific criteria (e.g., AUC for PCI).
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