Cardiology billing turns on who owns the test

An echo or stress test on your own equipment bills differently than a read of a hospital study. Add cath lab cases, remote monitoring, and heart failure follow-up, and one group can run several claim paths at once. Taiga works with cardiology practices and drafts codes from your notes for physician approval.

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Where cardiology claims split

General, interventional, and heart failure cardiology each bring their own claim patterns. Map them before the handoff.

Office testing versus hospital reads

Medicare sets separate values for the global service, the professional component, and the technical component of a diagnostic test. A study on practice-owned equipment can bill globally. A read of a hospital study usually bills the interpretation only, with modifier 26.

Interventional and cath lab cases

Catheterization, PCI, and other interventional procedures usually happen in a hospital or other facility. The cardiologist's claim needs the procedure report, the right place of service, and a clear line between what the group bills and what the facility bills.

Heart failure and transplant follow-up

Heart failure care often pairs frequent visits with remote physiologic monitoring of weight or blood pressure. Medicare sets data-day and time thresholds for those codes and lets only one practitioner bill RPM per patient in a 30-day period. Post-transplant patients seen in your clinic follow the office claim path, while transplant program services stay with the transplant center.

Who owns each piece

Cardiology billing touches the practice, the hospital, and sometimes a device company. Agree on ownership before claims move.

What the practice keeps

Your cardiologists document visits, test interpretations, and procedures. They approve the codes Taiga drafts from those notes before anything is submitted.

What Taiga takes on

Taiga checks eligibility, submits claims scrubbed against payer rules, and works every denial and appeal, including small balances on interpretation-only claims. Patient statements and follow-up are part of the work.

Where a decision is needed

Device checks and remote monitoring programs often run through vendor portals. Decide who pulls those reports and who confirms each month's thresholds were met before a claim goes out.

Bring these to a cardiology fit call

De-identified examples from each service line make the call faster. Keep patient details out of the booking form.

Which tests do you own?

List echo, stress, Holter, and vascular studies by location, and mark which run on practice equipment versus hospital or imaging-center equipment.

Where do procedures happen?

Name each hospital or facility where your physicians do cath lab or interventional work, and how procedure reports reach billing today.

What runs month to month?

Describe remote monitoring, device checks, or care management programs, who tracks time and data days, and which denials repeat.

For independent cardiology groups

A good match for a cardiology group that bills its own professional claims, wants codes drafted from notes with physician sign-off, and is tired of small interpretation and monitoring denials going unworked. You keep your current EHR, and onboarding runs about two weeks to first claim.

Facility billing stays with the facility

This page covers the practice's own claims. Hospital technical components, facility fees, and transplant center billing belong to the institution that furnishes them. If your group has a hybrid arrangement, walk Taiga through it on the call.

Questions about cardiology billing

Does Taiga work with cardiology practices?

Yes. Cardiology is one of the specialties Taiga names publicly. The fit call covers which of your settings and programs move over.

Can you bill our read of an echo done at the hospital?

That read is usually billed as the professional component with modifier 26, while the hospital bills the technical side. Taiga drafts the code from the report for your physician to approve.

Who can bill remote patient monitoring for a heart failure patient?

Medicare lets only one practitioner bill RPM for a patient in a 30-day period, so coordinate with primary care and other specialists first. RPM and remote therapeutic monitoring cannot be billed together.

Do we have to change EHRs?

No. Taiga works alongside the EHR you already use, and it can take over open A/R or run in parallel during the transition.

See how your cardiology claims would move

Book a demo with your test locations, procedure sites, and monitoring programs in hand. Taiga will map which claims it takes on and how the switch would run.

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System guides show possible billing handoffs, not proven specialty compatibility.