Boost Claim Accuracy with Cardiology Insurance Verification

  • Dedicated manager and team
  • Verification during appointment scheduling
  • Flexible pricing with no start-up fees or long-term contracts
  • Specialty-specific solutions
Call: (800) 670-2809
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21+

Years of Experience

98%

Claim Submission Accuracy
25%
Decrease in Outstanding AR
Overcome Cardiology Insurance Verification Challenges

Overcome Cardiology Insurance Verification Challenges – Boost Reimbursement and Care

Cardiologists provide a wide range of diagnostic and therapeutic services. Verifying insurance is crucial for reimbursement and care delivery. Identifying coverage for cardiology care can be challenging due to factors.
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Cardiology coverage can vary across different geographic regions and insurance plan types.
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Payer coverage differs for stress tests, echocardiograms, heart monitors and office visits.
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Cardiac monitoring devices need prior authorization before coverage and payment approval.
Outsource Strategies International (OSI) has extensive experience with cardiology insurance verifications. We meticulously verify coverage before the visit, checking patient details for accurate claims and quality care.
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Reduce Denials and Delays! Maximize Reimbursement!

Speak to an Expert

Our Cardiology Insurance Verification Services

Our comprehensive services cover checking patient insurance eligibility and authorizations, coding, and accounts receivable (AR) follow-up.

Insurance Verifications

Affordable Care Act (ACA) compliant plans cover hospital care, doctor visits, emergency services, prescription drugs, lab tests, preventive care, and rehabilitation. Coverage varies by state, the patient’s situation, and health plan, with pre-existing condition clauses possibly excluding heart disease. We verify coverage before service to ensure timely, optimal payment.
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Coding

Accurate coding is essential for appropriate coverage and reimbursement. Our team ensures detailed insurance verification, identifying the specific codes that are covered under the patient’s plan. This ensures that your claims are submitted with the correct CPT and ICD-10 codes for diagnostic tests, heart procedures, surgeries, and post-op care, reducing risk of denials.
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Authorizations

Payers often require prior authorization for cardiology services like echocardiograms, nuclear stress tests, various dopplers, angiograms, catheterizations, stents, RF ablations, and laser ablations. Our team promptly submits accurate authorization requests, improving approval rates. This reduces delays and denials, and ensures your patients get the timely care they need.
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AR Follow Up

We implement efficient insurance verification to streamline your RCM. Our team monitors the status of every claim that goes out, tracks any denials or delays in reimbursement. By quickly resolving any issues, our proactive approach can improve your financial performance. We also provide regular reports to give you visibility into your revenue cycle.
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We verify insurance coverage before services are provided. This allows you to calculate and inform patients about service costs and out-of-pocket expenses. Verifying coverage will help them understand if their plan covers office visits, testing, and treatment infusion therapy, which can be expensive. Checking coverage upfront allows them to better plan for their care.

What Sets Us Apart

Live callers

We call the insurance company to verify patient coverage. Up-to-date insurance information supports accurate billing and claims processing, helping to avoid denials and delays.

Smooth communication

Our team effectively communicates with insurance companies, expediting verification processes. They will ensure that the policy is active and determine the specifics of coverage. Transparent communication helps timely approvals by promptly resolving any issues.

Expertise

Our expertise has made us a reliable partner for insurance verifications and authorizations. Our team has extensive experience dealing with leading commercial carriers as well as government payers.

We serve all 50 states

Our Patient Insurance Eligibility Verification Process

1

Collecting patient information
9
Patient education
4
2
Insurance eligibility verification
9
Prior authorization

5

3
Documentation
9
Updating the billing system
6

1

Collecting patient information
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2
Insurance eligibility verification
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3
Documentation
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4
Patient education
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5
Prior authorization
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6
Updating the billing system
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Collecting patient information

All demographic and insurance information is collected during appointment scheduling. We set up a dedicated file for each patient.
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Insurance eligibility verification

We verify the patient’s coverage and benefits, ensuring that their policy is active at the time of the service. Our team does this by calling the insurance company, using an online portal, or through electronic health record (EHR) systems.
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Documentation

We enter all the verified information in the patient’s file, making it easily accessible for billing purposes.
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Patient education

Patients are informed about what their insurance will cover as well as their out-of-pocket costs, such as coinsurance, co-pays and deductibles. This helps them plan for their treatment
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Prior authorization

If any service requires prior authorization, we submit the request for approval and necessary documentation to the insurance company.

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Updating the billing system

Your practice’s billing system is updated with the verified insurance information.

Why Outsource Insurance Verification to Us?

  • Dedicated team of insurance verification experts
  • Multi-level QA checks
  • Cost savings of 30-40%
  • Timely reporting based on your needs
  • HIPAA-compliance
Outsource Insurance Verification

Cost-Effective and Convenient Pricing Options

Based on the specific insurance verification services our clients need, we offer a range of flexible pricing options.

Full-Time Equivalent

In this model, services are billed based on the equivalent cost of a full-time employee (FTE) for a specified duration, usually monthly or annually.
Per Verification Billing
Like an FTE model, a person is dedicated to your practice. Perfect for a practice that is busy. They work as an extension to your business.
FTE/Per Verification Billing
This option is ideal for a practice that is unsure about their work requirements. This can have per request pricing for eligibility and other functions.

AR is only FTE

In this model, you will be charged a fixed monthly or annual fee based on the number of full-time equivalent staff required to manage your practice’s AR follow-up activities. We are also considering a blended model for AR.

Healthcare and Dental Revenue Cycle Management Process

Learn How Our Verification Service Can Benefit Your Practice

Contact Us Today

FAQs

What does your insurance verification for cardiology services cover?

We verify insurance eligibility and benefits for a wide range of cardiology procedures, including stress tests, echocardiograms, cardiac monitoring, office visits, and more. We provide customized support based on the specific services you provide.

Do you verify coverage for both in-network and out-of-network cardiology services?

Yes, we verify benefits for both in-network and out-of-network cardiology providers. This allows us to provide you with a comprehensive view of the patient’s coverage.

How quickly can you complete insurance verifications?

We can provide insurance verifications within 1 business day for routine requests. We can also meet demands for expedited services.