Denial Review and Recovery
Deep review of repeated denials, insurance company patterns, and claims with recovery potential.
INCLUDES:
• Echocardiography denials
• Holter Monitor and MCOT (Mobile Cardiac Outpatient Telemetry) denials
• Heart catheterization claim issues
• Nuclear stress test denials
• Vascular and interventional denials
• EKG and office visit denials

Front-End Workflow Review
Authorization handling and intake issues that cause claims to fail before submission.
INCLUDES:
• Prior authorization for in-office procedures
• Hospital outpatient authorization requirements
• Inpatient consult eligibility checks
• Insurance company referral rules
• Electrophysiology study and device clinic authorizations
• CCM and RPM enrollment verification

Aging A/R and Clean-Up Projects
Targeted review of older claims, unresolved denial buckets, and accounts needing structure.
INCLUDES:
• Unworked cardiology procedure claims
• Cath lab and interventional A/R
• Repeat insurance company denial patterns
• Peripheral vascular procedure A/R
• Hospital-based procedure recovery
• Write-off review and appeal potential

Cardiology Procedure Billing Review
Full range of cardiology procedures across in-office and hospital settings.
INCLUDES:
• In-Office: Echocardiography, EKGs, Holters, MCOTs
• In-Office: Nuclear stress testing, device clinic
• Hospital: Inpatient and outpatient consults
• Hospital: Heart catheterization (diagnostic and interventional)
• Hospital: Electrophysiology studies and cardioversions
• Vascular: Aortography, peripheral vascular interventions
• Chronic Care Management and RPM