Home Specialities Cardiology
Test-driven revenue
where the money actually is
Recurring monitoring
revenue that should repeat
Expert human review
inside your systems
$1.4M recovered
one group, 12 months
Nothing gets denied. The money just quietly doesn't arrive.
A denial is loud. Somebody sees it, works it, fixes it. The losses that hurt a cardiology group are the silent kind: the reading that never got billed, the monitoring cycle that slipped, the payment that came in under contract. Nothing bounces. Nothing lands in a work queue. It just never shows up.
That's why it's invisible from the deposit. The money looks fine because you never see what should have been there next to it.
See what's missingFour leaks, none of them loud
These are the patterns we look for most often in cardiology. None of them appear as a rejection, which is exactly why they persist.
Monitoring is supposed to pay every cycle.
You're watching a patient's device or rhythm continuously, and that care is meant to be billed on a regular schedule. When a monitoring cycle is skipped, there is no rejection to chase. The revenue never appears. Multiply one patient's missed cycles across your whole monitored panel and it's a serious number.
A patient on monitoring, cycle after cycle
Illustrative of a monitoring pattern we see often; how often care can be billed and what it pays depends on the service, your contracts, and payer rules.
Five ways cardiology revenue slips away.
Plain versions of what we find most often. Every one of them sits inside a claim that already looks fine.
Half the test, none of the pay
Most cardiac tests are two pieces of work: performing the test, and the physician reading that turns it into an answer. Depending on where the test happens and who interprets it, the technical and professional components may be billed separately. When only one component is submitted, you are paid for half of the work even though the full service was performed.
Monitoring that stops paying
Watching a patient's device or rhythm is ongoing care that's meant to bill on a regular schedule. Monitoring cycles get missed when a date slips, a report is not logged, or a patient’s schedule changes. The revenue then stops without creating an obvious billing alert.
Work folded into something else
A procedure or service you performed separately gets absorbed into another payment, as though it were part of it. You did the extra work; the payment doesn't reflect it.
Paid less than your contract says
DistYou negotiated a rate. Payers do not always pay correctly. Sometimes an outdated fee schedule is still loaded, and sometimes the payment is simply short. On a high-volume test, a small shortfall repeated hundreds of times is real money.
Revenue lost between locations
Multi-site groups run tests in one place, read them in another, and bill from a third. Handoffs are where revenue is often lost. A test may be performed but never billed, or an interpretation may never make it back into the claim.
A cardiovascular group, twelve months, $1.4 million.
Not a projection or a hypothetical. A cardiovascular group with 28 providers across 9 locations brought us in to review revenue they believed had already been collected.
$1.4M recovered
over 12 months · 28 providers · 9 locations
real client result$1.4M recovered
Revenue the group believed was already collected, found and recovered over twelve months.
28 providers, 9 locations
We provide consistent oversight across every provider and location, so revenue does not fall through the gaps between sites.
One clear view
Leadership could finally see what was being paid versus what the work should have paid.
Bandwidth, not effort
Your billing team is not failing. They are buried in surgical scheduling, prior authorization work, and daily claim activity while back-end payments go unaudited.
Paid looks like done
When a claim says paid, the file closes. A paid claim often does not get reopened to ask whether it paid the correct amount. There is usually no obvious reason to check.
Nobody chases what never happened
A skipped monitoring cycle produces no denial, no rejection, no task. There's nothing to work, so it's never worked.
The loud problems win
Your team triages. Denials shout; quiet shortfalls don't. Without something pointing at them, the silent losses always lose the queue.
We show you the gap, then we go get it.
You get clear visibility for leadership and experienced reviewers doing the actual work inside the systems you already use. No software change, no disruption to your staff.
See it clearly
Our ClearView dashboard gives your leadership a straight answer to a simple question: what did this work actually pay, versus what it should have? Our process runs alongside your systems, so nothing changes for your staff.
People who know cardiology
When something looks short, it goes to reviewers who know cardiology billing. Specialty reviewers compare the payment against the record and determine whether it is actually owed. That requires human judgment, not guesswork.
Go get it
We build the appeal or correction with the documentation behind it, and we pursue it until it's resolved.
Stop it recurring
We track which payers keep paying short and which gaps keep recurring, then fix the pattern so you are not recovering the same revenue again next year.
Who We Serve?
Revenue recovery and full-cycle billing for cardiology.
Cardiology groups & practices
Independent and group cardiology, where testing and monitoring drive the revenue.
Multi-site cardiovascular groups
Groups running tests across locations, where handoffs between sites are where revenue falls.
Device & remote monitoring programs
Practices with monitored patient panels, where recurring revenue quietly stops recurring.
Hospital-affiliated cardiology
Cardiology serving facilities, where the same work can be paid differently depending on where it happens.
Your claims data, handled properly
A BAA is executed before any claims data is shared, and everything is handled in a controlled, auditable environment.
Don't hand over 90 days of PHI. Bring us 10 remits.
Moving 90 days of claims to a new vendor is a compliance hurdle. For a lighter review, pull 10 recent high-complexity pain management remits, including spinal injections, RFAs, and complex E/M visits. Redact the identifiers, and we will show the collapsed lines live in 15 minutes using your own data.
- 1 · Pull 10 EOBs with a mix of multi-level injections, RFAs, and complex E/M visits from your top payer.
- 2 · Redact identifiers, including names, dates of birth, and member IDs. We work from codes, modifiers, and payment amounts.
- 3 · Send the redacted remits securely through our portal before the call.
- 4 · Review the results live to see where a level was bundled, a 59 or XS line was zeroed, or a complex E/M visit was downcoded.
Request received.
Thank you. A member of our team will review your information and be in touch within one business day. We look forward to showing you what your practice should be collecting.
Common questions.
Why does cardiology revenue leak more than other specialties?
Because so much of it comes from tests and ongoing monitoring rather than office visits. Every test has two halves that can be billed separately, and monitoring is meant to recur on a schedule. Both create quiet gaps that never show up as a denial.
What do you actually look for?
Tests where only one half was billed, monitoring revenue that stopped recurring, payments that came in below what your contract says, and work that got folded into another service instead of paid on its own.
How do you find it?
Our ClearView dashboard shows leadership where payments fall short of what the work should have paid, and our cardiology-experienced reviewers check those against the record and pursue the correction.
Do you make us change our systems?
No. We work inside the systems you already use and adapt to your workflow, with no software change and no disruption to your staff.
What happens on the 15-minute review?
Bring a small sample of recent remittances with patient details removed, and we will show you what came up short in real time using your own numbers. There is no bulk PHI upload.
Do we have to switch billing companies?
No. The review works alongside your current billing, and many groups start there before expanding.
Get paid for all the work, not half of it
Bring 10 claims to a 15-minute review and see what has been quietly missing using your own numbers.