Cardiology on Athenahealth

Cardiology medical billing for practices using Athenahealth

Your cardiologists already know athenaOne. Your front desk knows it. Your schedule, charts, and orders live there.

None of that has to change to get better billing.

VeroRCM manages the cardiology revenue cycle for independent practices that want to keep Athenahealth while tightening how testing claims, authorizations, denials, A/R, and underpayments are handled.

Keep athenaOne

Keep Athenahealth. Fix the billing around it.

Changing how your billing is managed does not mean changing your EHR.

Your physicians keep documenting the way they do today. Your staff keeps scheduling, checking in patients, and placing orders in the same system.

What changes is who is watching the claims after the visit: who catches an authorization that does not match the study, who works the denial, who notices that an echo was paid short, and who makes sure high-dollar claims do not sit in aging A/R.

If you want the bigger picture on keeping your EHR while changing billing, see Athenahealth medical billing.

The work

Cardiology billing is not office-visit billing

A single cardiology day can produce very different claims. An E/M visit, an in-office echo, a Holter read, a stress test, a device check, and a hospital procedure do not bill the same way, and payers do not treat them the same way.

We manage the billing around the services your practice actually performs.

Authorizations that match the claim

Imaging, nuclear studies, and many procedures need authorization before the service.

The problem is often not a missing authorization. It is an authorization that does not line up with the CPT code, the date of service, the site, or the payer on the claim.

We review whether the authorization matches the billed service, date, site, and payer before submission when that information is available.

Global and technical components

Many cardiology diagnostic services can be billed globally, or split into professional and technical components depending on where the study was done and who owns the equipment.

The claim needs to reflect what your practice actually performed. A small component error repeated across hundreds of studies adds up quickly.

Diagnostic testing and monitoring

ECGs, Holter and event monitoring, echocardiography, stress testing, nuclear imaging, and remote device monitoring each come with their own documentation, frequency, and payer rules.

We pay attention to those rules so recurring services do not quietly fall out of compliance or out of payment.

Procedures and global periods

Procedural work brings global-period rules, modifiers, and follow-up visits that may or may not be separately payable.

We review the surrounding claims so the practice is not leaving payable work unbilled or sending claims that will be denied as bundled.

Revenue leaks

Where Athenahealth cardiology practices tend to lose revenue

Not every revenue problem looks like a denial.

Denials that keep repeating

Authorization, medical necessity, modifier, and bundling denials are common in cardiology.

Working each one is necessary. Finding out why the same denial keeps coming back is where the real recovery is.

High-dollar claims aging quietly

Nuclear, echo, and procedural claims are worth more than most claims in the queue.

We prioritize A/R by balance, payer behavior, deadlines, and the next action needed, not just by how old the claim is.

Paid, but not paid right

A study can be paid and still be paid wrong.

Where reimbursement information is available, we look for short-pays, wrong components, and allowed amounts that do not match what was expected.

Visibility

Know what is happening behind the collections number

A good month of collections does not tell you:

  • Which testing claims are still unresolved
  • Whether authorization denials are repeating
  • Which high-dollar claims are aging
  • Which payers are causing the same problems again and again
  • Whether paid studies were reimbursed correctly
  • What the billing team is working on right now

Vero is built to answer those questions for your practice.

How we work

Technology helps us see more. People do the work.

Vero uses technology to surface claims that may be at risk, spot denial patterns, prioritize A/R, and flag payments that deserve another look.

Technology helps us surface what deserves attention. Experienced billing professionals review the findings and do the actual work.

Independence

An independent billing partner for Athenahealth practices

VeroRCM is an independent medical billing and revenue cycle management company. We are not Athenahealth and are not affiliated with Athenahealth's own revenue cycle services.

You can keep the EHR your cardiologists like and still choose a different approach to billing.

Questions

Common questions about cardiology billing on Athenahealth

Can we keep athenaOne if Vero manages our billing?

Yes.

Your charts, scheduling, orders, and front-office workflows stay in Athenahealth. Vero manages the revenue cycle around them.

Can Vero work cardiology claims in Athenahealth without changing our Athena setup?

Yes.

Your physicians and staff can keep using Athenahealth for documentation, scheduling, orders, and front-office workflows. Vero manages the billing work around that existing setup, including claim review, denials, payments, A/R, and underpayment review.

Is Vero part of Athenahealth's billing services?

No.

VeroRCM is an independent company. We do not sell Athenahealth licenses and are not affiliated with Athenahealth's revenue cycle services.

What cardiology services can Vero bill?

Depending on the practice, that can include office E/M, ECGs, Holter and event monitoring, echocardiography, stress and nuclear testing, device monitoring, and procedural claims, including global, professional, and technical components.

Can you help with prior authorization denials?

Yes.

We work the denied claims and look for the pattern behind them, such as authorizations that do not match the billed code, date, or site of service.

Do we have to switch billing companies to get an audit?

No.

The Free Revenue Leak Audit looks at your existing claims and payments before you decide anything.

Next step

Already have a cardiology billing company?

You do not have to replace them to get a second look.

Vero's Free Revenue Leak Audit reviews your claims, payments, denials, underpayments, and aging A/R and shows you anything that deserves attention. If things look healthy, that is good to know too.

See what your data says first. Then decide.