Cardiology Medical Billing for Southern California Practices
Cardiology revenue lives in the details: professional versus technical splits, bundled global periods, and payer-specific prior authorization for advanced imaging and procedures. Quantix Health manages the full cycle so diagnostic and interventional work is coded, authorized, and reimbursed correctly the first time.
- Correct modifier 26/TC handling for in-office echo, nuclear, and stress testing
- Cath lab, EP, and device implant coding with accurate global-period tracking
- Prior authorization workflows for CT/MR angiography, PET, and elective procedures
Specialty expertise, not generic billing
Diagnostic testing accuracy
We split professional and technical components correctly and reconcile in-office versus facility billing so echo, Holter, and stress studies are paid in full.
Prior auth done upfront
Advanced imaging and elective procedures are pre-authorized before the date of service, cutting no-auth denials and appeal cycles.
Global-period discipline
We track surgical and device global periods so post-op visits and staged procedures are billed with the right modifiers, never written off by mistake.
Interventional coding
Cath, PCI, EP study, ablation, and device implant claims are coded from the operative note with correct bundling and add-on capture.
Where cardiology practices lose revenue
These are the specialty-specific leaks we watch for — and fix at the root.
- Denials from missing or incorrect modifier 26/TC splits on in-office diagnostic testing
- Advanced imaging (CCTA, cardiac MRI, PET) denied for lack of prior authorization or radiology-benefit-manager review
- Post-op and staged-procedure visits bundled into the global period and left unbilled
- Nuclear and stress-test component billing rejected over site-of-service and supervision requirements
- Device implant and monitoring claims (loop recorders, pacemakers) denied for medical-necessity or documentation gaps
- Add-on and multiple-procedure reductions on interventional claims applied incorrectly, underpaying complex cases
Full support for cardiology practices
One accountable partner for billing and the business side of your practice.
Revenue Cycle Management
End-to-end RCM — eligibility, coding, claims, denials, A/R, posting, and reporting, all under one roof.
Learn moreCredentialing & Enrollment
Payer enrollment and credentialing so your providers can bill without delay.
Learn moreMedical Support Staffing
Vetted, remote billers, coders, and back-office staff — dedicated to your practice, when and where you need them.
Learn morePractice Management Consulting
Operational, financial, and compliance consulting to run a healthier, more profitable practice.
Learn moreCommon questions
How do you handle professional versus technical billing for in-office testing?
We determine whether the practice owns the equipment and performs the study, then apply modifier 26, TC, or global billing accordingly, and reconcile facility splits so no component is double-billed or missed.
Can you manage prior authorization for advanced cardiac imaging?
Yes. We initiate and track authorizations for CCTA, cardiac MRI, PET, and elective procedures through each payer's radiology-benefit-manager or plan portal, and flag studies at risk of no-auth denial before the appointment.
Do you track global periods for procedures and device implants?
We tag every surgical and device claim with its global period so related post-op visits are billed with the correct modifiers and unrelated services are not written off.
Billing guides for cardiology practices
Let's strengthen your cardiology revenue
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