Best Cardiology Billing Services in California | 20% Revenue Improvement
As the best cardiology billing company in California, Transcure helps you manage:
- Complex billing and coding for interventional and non-invasive procedures
- Compliance with the No Surprises Act and California Assembly Bill 72
- Secure handling of patient data following HIPAA and ISO27001 standards
- Prior authorizations for complex cardiac procedures
- Claim denial prevention with up to 20% Revenue Improvement
What Cardiology Billing Challenges Do California Practices Face?
Cardiology practices in California face many challenges that are explained below:
- Keeping up with frequent updates in CPT, ICD-10, and HCPCS codes for cardiology procedures.
- High claim denial rates stemming from missing documentation or modifiers, especially for complex services like interventions.
- Securing prior authorizations and demonstrating medical necessity under multiple payer rules (Medicare, Medi-Cal, commercial).
- Collecting patient payments amid rising deductibles with regulatory mandates like the No Surprises Act.
- Integrating technology, EHRs, and billing systems across specialties while staying compliant with California’s strict healthcare laws.
How Transcure Helps California Practices With Cardiology Billing Services?
Dedicated Cardiology Coders
We have AAPC-certified cardiology coding experts who thoroughly understand complex CPT codes (such as 93451 for catheterization and 93306 for echocardiogram).
Preauthorization Expertise
Transcure secures prior authorizations for costly procedures (e.g., interventional cath, EP studies) ahead of time, reducing denials and service delays.
Clinical Documentation Improvement (CDI)
Our team works with your providers to strengthen medical necessity documentation, ensuring justification matches payer rules and reducing audits.
Denial Prevention & Rapid Appeals
Transcure’s expert coders apply CPT, ICD-10, and modifier coding correctly for procedures, such as 64635 and 62323, to avoid underbilling.
AR Recovery & Analytics
Transcure provides real-time dashboards, monitors A/R (especially > 90 days), and drives aggressive recovery efforts so you don’t leave money on the table.
Compliance & Regulations Support
We keep you compliant with both federal and California rules (like Medicare/NCCI edits, state payer policies, HIPAA) to minimize risk of penalties.
Our Success in Numbers
Which Cities Does Transcure Serve with Their CA Cardiology Billing Services?
Los Angeles, California
San Diego, California
San Jose, California
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San Fransisco, California
Fresno, California
Sacramento, California
Long Beach, California
Bakersfield, California
Oakland, California
How Can Transcure Streamline Cardiology Revenue Cycle Management for California Practices?
Transcure speeds up your cardiology revenue cycle using its AI agents. We deploy specialized bots across eligibility, coding, claims, denials, AR, and reconciliation. This ensures a 99.99% clean claim rate and fewer rejections.
Transcure’s AI framework autonomously submits prior authorizations, scrubs claim lines for cardiology-specific rules, and auto-generates appeals. As a result, your practice reduces manual work, cuts administrative burden, and accelerates cash flow while staying compliant.
Which Counties does Transcure’s Cardiology Billing Services serve?
Los Angeles County
San Diego County
Orange County
Riverside County
San Bernardino County
Santa Clara County
What Cardiology Procedures Does Transcure Handle with Their California Billing Services?
Transcure’s cardiology billing and coding services for California practices cover all minor and major procedures, including:
Transthoracic Echocardiogram Billing
Transcure handles full Doppler and color flow echocardiograms, including professional (-26) and technical (-TC) component splits and ensures state-specific modifier compliance.
Electrocardiogram Billing
The team ensures correct code use for full ECG with interpretation and report, managing component restrictions, and avoiding unbundled billing.
Cardiovascular Stress Test Billing
Billing includes monitoring, interpretation, and reporting of exercise or pharmacologic stress tests, with documentation of protocol and supervision details.
Coronary Angiography (Left Heart Catheterization) Billing
Transcure manages coding for imaging of coronary arteries, ventriculography, and catheterization, with documentation of the number of vessels and contrast use.
Stent Placement (PCI) Billing
Services like stent placement are billed accurately, including the number of vessels, drug-eluting stent types, and appropriate modifiers to prevent underbilling.
Pacemaker or ICD Implantation Billing
Transcure handles device placement claims, including leads, generator, laterality, and follow-up interrogation, aligning with California payer rules and documentation standards.
Why Should You Outsource Cardiology Billing in California to Transcure?
Our expertise with local laws and in-depth knowledge of working with cardiology practices make us the best option for your practice. Here is why you should choose Transcure to outsource cardiology billing services:
Dedicated Account Manager
You get a dedicated account manager to coordinate your billing needs, resolve issues quickly, and act as your single point of contact.
A/R Recovery
Transcure drives AR recovery by aggressively following up on aged claims to reduce them by 30% and boost cash flow.
Cardiology Specialist Coders
Our AAPC-certified cardiology coders deliver precise, compliant coding, which minimizes denials and maximizes procedural reimbursements.
Reporting and Real-time Dashboards
You receive real-time dashboards & reporting, giving you transparency into claim status, denial trends, and practice revenue performance.
Align Your Cardiology Billing Practice with California Laws and CPT Changes
Changing CPT codes, documentation rules, and payer policies converts small errors into major claim denials. The 2025 cardiology code updates introduced new Category I/III codes and telehealth changes. Practices that aren’t aware risk revenue loss and audit exposure.
Transcure’s AAPC-certified coding team stays ahead of evolving rules, scrubs claims for accuracy, and drives a clean-claim rate above 98%. Our specialty workflow for California cardiology practices ensures that claims meet state and payer-specific compliance requirements.
Which Cardiology Billing EHRs Does Transcure Support?
Transcure supports working with 32+ different Cardiology EHRs, ensuring quick takeover of your billing tasks without forcing you to switch. Here are a few well-known EHRs that we support:
How Cardiology Practices Benefit from Our Medical Billing Services?
Check out our valuable clients’ reviews that have been our partners in this journey for years, and see how they benefit from our cardiology billing services:
Jackie Judd
Practice Manager
Wilson Creek Internal Medicine
As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found Transcure. They excel in tailoring solutions to fit my requirements.
Amber Vaughan
Office Manager
Idaho Kidney & Hypertension Institute
We are a large practice with 15 providers. Transcure has been working with us for the last 5 years. This billing company has been a great asset to us. I work with Transcure and they provide everything I ask for. The team is friendly and very pleasant to work with.
Ashlee Rose
Practice Manager
Harding Memorial Healthcare
We’ve been working with Transcure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.
Frequently Asked Questions (FAQs)
What makes cardiology billing different from general medical billing?
Cardiology billing is more complex due to specific CPT and ICD-10 codes for procedures such as catheterizations, echocardiograms, and device implantations. Ultimately, it requires dedicated expertise and ongoing compliance with payer rules.
How do billing companies handle California’s state-specific insurance and Medicaid rules?
Reputable billing firms like Transcure understand state and local payer regulations. In this way, they stay updated with Medicare and Medicaid guidelines as they apply to California.
What services are typically included in cardiology billing packages?
Cardiology billing services packages often include insurance verification, coding, claim submission, denial management, and pre-authorization. In short, you can expect to get a complete Cardiology RCM package, along with compliance support.
What is the credentialing process for California-based cardiologists?
The credentialing process for California-based cardiologists involves submitting all required documents, completing the CAQH profile, and then verifying licenses, work history, and malpractice coverage directly with primary sources. After verification, a committee reviews the file for approval and hospital privileging, followed by payer enrollment and confirmation of billing eligibility.
How does telehealth cardiology billing differ from in-person billing?
Tele-cardiology requires the use of correct modifiers and adherence to telehealth billing mandates, which a good cardiology billing company will handle for California’s laws and payers.