Summary: “The best cardiology billing companies in the USA include Transcure, which runs cardiology RCM at scale for multi-location and EP-heavy groups. AnnexMed, HealthQuist, and VB Billing & Credentialing Services are strong alternatives, while MC RevWorks bills only for cardiology and vascular practices.”
Cardiology claims fail on two fronts at once. In the CMS 2025 Medicare Fee-for-Service Supplemental Improper Payment Data, cardiology carried an 8.7% improper payment rate, worth a projected $321.2 million. Insufficient documentation caused 57.9% of those errors. Incorrect coding caused 30.3%, well above the 18.8% average across Part B.
Electrophysiology runs hotter still, at 18.1%, and records were never produced for 41.4% of its errors. A cardiology billing partner has two jobs. It must read the procedure note before the claim goes out, and it must code multi-component work like PCI, device checks, and echo splits correctly.
This list compares two cardiology specialists with eight multi-specialty firms spread from Utah to Nebraska to New York. Each entry shows what the company actually publishes about its services, pricing, and results. Use the Best For line to match a firm to your practice’s size, procedure mix, and location.
These are the top 10 cardiology billing companies in the USA for 2027, ranked for the practices each one serves best.
| Company | Rating | Best For |
|---|---|---|
Transcure
|
Rating:
★★★★★
★★★★★
5.0
|
Best For: Multi-Location Cardiology and EP Groups |
AnnexMed
|
Rating:
★★★★★
★★★★★
4.9
|
Best For: Cardiology Groups Seeking Focused RCM |
HealthQuist
|
Rating:
★★★★★
★★★★★
4.8
|
Best For: Audit-Ready Claims for Group Practices |
VB Billing & Credentialing Services
|
Rating:
★★★★★
★★★★★
4.9
|
Best For: Accident Claims and New Practice Launches |
Billing Nerds
|
Rating:
★★★★★
★★★★★
4.9
|
Best For: Fast Credentialing for Small Practices |
Resolve Medical Billing
|
Rating:
★★★★★
★★★★★
4.7
|
Best For: Founder-Led Billing and Biller Coaching |
Medical Claims Solutions
|
Rating:
★★★★★
★★★★★
4.3
|
Best For: Hands-On Billing With Carelon Support |
Avosina Healthcare Solutions
|
Rating:
★★★★★
★★★★★
4.2
|
Best For: Billing, IT, and Analytics From One Vendor |
MC RevWorks
|
Rating:
★★★★★
★★★★★
4.1
|
Best For: Cardiology Coding Audits and Education |
Cardiology-Cloud
|
Rating:
★★★★★
★★★★★
4.0
|
Best For: Cardiology EHR and Billing on One Platform |
The entries below detail each company’s cardiology services, published results, and pricing approach.
Table of Contents
Toggle1. Transcure
★★★★★ 5.0
Transcure is a cardiology billing company that runs full-cycle RCM inside a multi-specialty operation. Our 1,100+ AAPC-certified billers work interventional, electrophysiology, diagnostic, and device claims every day. That depth suits multi-location groups and practices that bill vascular or other specialties beside cardiology.
Cardiology claims break in two places, so our agents work both. CODIN reads the procedure note before coding, which catches a missing add-on vessel or an unsupported modifier 25. PRIA secures prior authorization for cath, PCI, device implants, and nuclear stress studies before the case reaches the schedule.
Claims go out within 48 hours of the encounter, so procedure revenue never sits in a coding queue. When a payer does deny, we recover 80% of those claims. Practices that move their cardiology billing to us typically see collections rise by 20% or more.
| Category | Details |
|---|---|
| Location | Offices in Farmers Branch, TX; Woodbridge, NJ; and Oviedo, FL |
| Best For | Cardiology groups running several sites or heavy EP and cath lab volume |
| Key Services |
|
| Specialties | 40+ specialties, including cardiology, vascular surgery, nephrology, and pain management |
| EHR | 43+ EHR and practice management platforms |
| KPIs Published |
|
| Pricing Model | Flat 5% of monthly collections; credentialing and old A/R recovery included |
| Founded In | 2002 |
2. AnnexMed
★★★★★ 4.9
AnnexMed is a specialty-focused RCM company with dedicated expertise in cardiology medical billing. It helps cardiology practices manage accurate coding, claim submission, denial management, AR follow-up, and eligibility verification. Its cardiology-focused workflows are designed to improve claim accuracy and help practices recover missed revenue.
AnnexMed’s approach goes beyond basic billing by addressing different stages of the cardiology revenue cycle. By combining specialty-specific billing knowledge with structured RCM processes, it helps cardiology providers maintain cleaner claims, minimize denials, and improve overall revenue performance.
| Category | Details |
|---|---|
| Location | Salt Lake City, UT |
| Best For | Cardiology practices, cardiology groups, and specialty providers seeking focused RCM support |
| Key Services |
|
| Specialties | Multi-specialty, with interventional cardiology and electrophysiology coverage |
| EHR | Works within the practice’s existing EHR |
| KPIs Published |
|
| Pricing Model | Custom pricing |
| Founded In | 2004 |
3. HealthQuist
★★★★★ 4.8
HealthQuist is a cardiology billing company option for group practices that want layered oversight on every claim. Separate quality control and compliance departments review work before it reaches payers. That structure suits cardiology groups worried about audit exposure on high-value procedure claims.
Beyond standard payer claims, the firm bills workers’ compensation, occupational medicine, and personal injury cases. Patient balances run as their own service line, apart from insurance follow-up. A consulting team also reviews payer contract wording and reimbursement gaps for practices that suspect money is being left uncollected.
| Category | Details |
|---|---|
| Location | Edison, NJ |
| Best For | Multi-provider practices that want audit-ready claims and contract review |
| Key Services |
|
| Specialties | 17 specialties, including cardiology, anesthesiology, orthopedics, radiology, and ambulatory surgery centers |
| EHR | Works within the practice’s existing EHR |
| Pricing Model | Custom pricing |
| Founded In | 2003 |
4. VB Billing & Credentialing Services
★★★★★ 4.9
VB Billing & Credentialing Services is a founder-led cardiology billing partner for practices in New York and South Florida. Valerie Bondarevsky built the firm after 25+ years managing medical practices, and she guides each account personally. Nothing is outsourced, so clients reach the in-house team directly.
The firm reaches past routine claims into no-fault and workers’ compensation billing, out-of-network navigation, and DME. Startup packages help new practices finish credentialing and payer contracting before the first claim goes out. Practice optimization consulting also covers front-office workflow for offices that are still finding their footing.
| Category | Details |
|---|---|
| Location | New York, NY |
| Best For | Practices needing accident-claim billing or help launching a new office |
| Key Services |
|
| Specialties | Multi-specialty, including cardiology, podiatry, neurology, orthopedic surgery, and pain management |
| EHR | Works within the practice’s existing EHR; also offers the free Myriad Health EHR |
| Pricing Model | Custom pricing |
| Founded In | 2014 |
5. Billing Nerds
★★★★★ 4.9
Billing Nerds is a compact billing provider for cardiology and rehab practices, started by clinicians unhappy with their own billing vendors. Its client base leans toward physical, occupational, and speech therapy. Clients praise its credentialing most, especially fast Medicare enrollment for newly added providers.
Each practice is assigned a dedicated account manager who reports on claim status and revenue trends. A separate documentation review service checks clinical notes before they turn into claims, which targets the error type behind most cardiology payment problems. Patient statements can also be handed off as a standalone service.
| Category | Details |
|---|---|
| Location | Brooklyn, NY |
| Best For | Small practices adding providers that need enrollment done quickly |
| Key Services |
|
| Specialties | Multi-specialty, including cardiology, primary care, pain management, and behavioral health |
| EHR | Works within the practice’s existing EHR |
| KPIs Published |
|
| Pricing Model | Custom pricing |
| Founded In | 2019 |
6. Resolve Medical Billing
★★★★★ 4.7
Resolve Medical Billing is a lean cardiology billing option run by CEO Crystal McIntyre, who has spent 20+ years in healthcare. It accepts new clients nationwide and puts communication first. Each practice works with a small team that knows its account, rather than a rotating queue of billers.
Patient statements go out on the 15th of each month, and the team fields patient billing questions directly. Larger balances can move onto coordinated payment plans. Practices that keep an in-house biller can buy coaching instead, which suits new offices setting up billing correctly from day one.
| Category | Details |
|---|---|
| Location | Omaha, NE |
| Best For | Small practices wanting a hands-on biller or training for in-house staff |
| Key Services |
|
| Specialties | Multi-specialty, including behavioral health |
| EHR | Works within the practice’s existing system |
| Pricing Model | Percentage of collections; consultation priced individually |
| Founded In | 2019 |
7. Medical Claims Solutions
★★★★☆ 4.3
Medical Claims Solutions is a long-running cardiology billing company option with more than 20 billing and credentialing professionals on staff. Practices get direct access to the person responsible for their account, which clients cite as a main reason they stay. The team also trains in-house staff on billing best practices.
One distinctive service targets Carelon, a benefits manager many plans use for prior authorization. The firm says it has helped practices recoup thousands of dollars tied up in Carelon problems. Its receivables approach also aims to collect patient balances without damaging the doctor-patient relationship.
| Category | Details |
|---|---|
| Location | Baltimore, MD |
| Best For | Practices on smaller or therapy-focused EHRs wanting a hands-on biller |
| Key Services |
|
| Specialties | Multi-specialty, including cardiology, gastroenterology, internal medicine, and podiatry |
| EHR | AdvancedMD, eClinicalWorks, Kareo/Tebra, Practice Fusion, Office Practicum, HealthFusion, WebPT, and 10 others |
| Pricing Model | Custom pricing |
| Founded In | 1995 |
8. Avosina Healthcare Solutions
★★★★☆ 4.2
Avosina Healthcare Solutions began with HalaX, Dr. Alidad Arabshahi’s analytics tool that sits on top of almost any EMR. A later acquisition of a local billing and IT firm turned it into a full RCM vendor. Among the cardiology billing companies here, it leans hardest on analytics.
Avosina runs a hybrid model, with offshore staff for scale and US-based oversight and account management. Its scope reaches beyond claims into IT support, staff recruitment, and MSO development. That breadth fits practices that want one vendor for back-office operations, not only billing.
| Category | Details |
|---|---|
| Location | Lorton, VA |
| Best For | Practices that want analytics-driven billing plus back-office support |
| Key Services |
|
| Specialties | Multi-specialty private practices, including neurology and pediatrics |
| EHR | Works within the practice’s existing EMR and PM system |
| Pricing Model | Custom pricing |
| Founded In | 2015 |
9. MC RevWorks
★★★★☆ 4.1
MC RevWorks is a cardiology-only billing company whose founder began as an echo tech in the cath lab. That clinical path moved into coding, compliance analysis, and risk adjustment program work over 18+ years. The result is a biller who knows what a procedure note needs before a claim exists.
Education sets this firm apart. The founder holds CPC, CPMA, CRC, and CCC credentials and has trained more than 656 providers and 100 coders and managers on documentation. A monthly education program for cardiology coders is in development for practice staff who want ongoing training.
| Category | Details |
|---|---|
| Location | Buffalo, NY |
| Best For | Cardiology and vascular practices wanting a specialist coder and auditor |
| Key Services |
|
| Specialties | Cardiology and vascular only |
| EHR | Works within the practice’s existing EHR |
| Pricing Model | Custom pricing; no upfront costs |
| Founded In | 2025 |
10. Cardiology-Cloud
★★★★☆ 4.0
Cardiology-Cloud is the cardiology billing company brand of WRS Health, an EHR and practice management vendor founded by ENT surgeon Lawrence Gordon, MD. The brand pairs a cardiology-specific record system with billing specialists who work only on cardiology claims, so documentation and coding stay in one place.
Templates cover consults, EKG and stress testing, echo interpretation, heart failure, and lipid management. A built-in scribe drafts notes in real time from cardiac history and prior diagnostics. Pricing is published at the low end of the market, so confirm which services that starting rate actually includes.
| Category | Details |
|---|---|
| Location | Goshen, NY |
| Best For | Practices replacing their EHR and billing vendor at the same time |
| Key Services |
|
| Specialties | Cardiology and cardiovascular practices, from solo cardiologists to multi-location groups |
| EHR | Cardiology-Cloud EHR by WRS Health (ONC-certified) |
| KPIs Published | Near-zero rejection rates and 100% charge capture (company claims; results vary by client) |
| Pricing Model | Starts as low as 2.9% of collections |
| Founded In | 1999 |
How Were These Cardiology Billing Companies Ranked?
Candidates came from Google Business Profile listings, search results for cardiology billing, and industry directories. Each needed a verifiable business location and live client reviews. Every fact in the entries traces to the company’s own website, its LinkedIn page, or public business profiles.
Order follows client ratings, weighed against how many reviews stand behind each one. A slightly lower rating backed by a large review base ranks above a higher rating drawn from only a few. Each company was also assessed on:
- Handling of documentation and coding, the two causes behind most cardiology payment errors
- Results published on company-owned sources, labeled as company claims in each table
- Breadth of cardiology services, from prior authorization to device and monitoring billing
- Geographic spread, so practices in different US regions find a nearby option
The list deliberately mixes large operations with small, founder-led firms. A solo cardiologist in Nebraska and a multi-site EP group in Texas need different partners. Both should find a fit among these cardiology billing providers.
Which Is the Best Cardiology Billing Company in the USA?
Transcure fits groups with EP, interventional, or multi-location volume, through cardiology billing services. A practice wanting a cardiology-only coding auditor should look at MC RevWorks. One that wants its EHR and billing from one vendor should compare Cardiology-Cloud.
How Much Do Cardiology Billing Companies Charge?
Most firms on this list quote custom pricing. Cardiology-Cloud starts as low as 2.9% of collections, Resolve uses a percentage model, and Transcure charges a flat 5%. Rates well below 5% often exclude prior authorization, patient statements, or old A/R, so compare what each quote covers.
Should a Cardiology Practice Choose a Cardiology-Only Billing Company?
It fits best when the practice is small and bills almost only cardiology. A cardiology-only firm brings deep coding focus but limited capacity. Groups that also bill vascular or other specialties, or run several sites, usually need a larger firm with cardiology-trained coders.
What Should a Practice Ask a Cardiology Billing Company Before Signing?
Ask who reviews the procedure note before coding and what happens when documentation is incomplete. Request first-pass clean claim and A/R figures from current clients. Then confirm whether prior authorization, patient statements, and credentialing sit inside the quoted fee or cost extra.
Why Do Cardiology Claims Get Denied When the Code Looks Right?
The code is often right while the claim is not. Modifier 25 on a same-day E/M, NCCI bundling between related studies, and TC/26 component splits cause most surprises. Checking cardiology CPT codes against the operative note before submission prevents many of them.
Can a Cardiology Practice Switch Billing Companies Without Changing Its EHR?
Yes. Most firms on this list work inside the practice’s current system, and only Cardiology-Cloud bundles its own EHR. Set a firm claim handoff date so no charges fall between vendors. Template depth and billing integration separate the best cardiology EMR software when a practice changes both at once.



