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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

Why it leaks

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 missing
Where it goes quiet

Four leaks, none of them loud

Tests billed for half the work no denial
Monitoring that stops recurring no denial
Work folded into another service no denial
Paid below your contracted rate no denial

These are the patterns we look for most often in cardiology. None of them appear as a rejection, which is exactly why they persist.

THE QUIET ONE

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 cycle gets skipped, there's no rejection to chase — the revenue simply 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

cycle 1
cycle 2
missed
cycle 3
cycle 4
missed
cycle 5
missed
cycle 6
cycle 7
missed
cycle 8
Same patient, same care — half the cycles never billed

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.

Where the money goes

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.

01

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 reads it, those can be billed separately — and when only one side goes out the door, you're paid for half a job you did in full.

Why it slips through: Nothing is rejected. The claim pays, the deposit looks normal, and the missing half is invisible unless someone is checking that both pieces were billed.
02

Monitoring that stops paying

Watching a patient's device or rhythm is ongoing care that's meant to bill on a regular schedule. Cycles get skipped — a date slides, a report doesn't get logged, a patient's schedule drifts — and the revenue just stops arriving.

Why it slips through: There's no denial for a claim that was never sent. It's the quietest loss in cardiology, and it repeats every cycle until someone notices.
03

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.

Why it slips through: The main service paid, so the claim looks complete — and the absorbed piece disappears without anything flagging it.
04

Paid less than your contract says

DistYou negotiated a rate. Payers don't always pay it — sometimes an old fee schedule is still loaded, sometimes the payment is just light. On a high-volume test, a small shortfall repeated hundreds of times is real money.

Why it slips through: The shortfall per claim is too small to trip anyone's alarm, so nobody compares the paid amount to the contracted rate.
05

Revenue lost between locations

Multi-site groups run tests in one place, read them in another, and bill from a third. Handoffs are where things fall — a test performed but never billed, a reading that never made it back.

Why it slips through: No single person sees the whole path, so a claim that quietly never happened looks like nothing at all.
The proof

A cardiovascular group, twelve months, $1.4 million.

Not a projection or a hypothetical. A real cardiovascular group — 28 providers across 9 locations — brought us in to look at revenue they assumed was already collected.

$1.4M recovered

over 12 months · 28 providers · 9 locations

real client result
month 1 month 12

$1.4M recovered

Revenue the group believed was already collected, found and recovered over twelve months.

28 providers, 9 locations

Consistent oversight across every provider and site — no more gaps between locations.

One clear view

Leadership could finally see what was being paid versus what the work should have paid.

WHY IT SLIPS THROUGH

Bandwidth, not effort

Your billing team isn't failing — they're buried in surgical scheduling and prior-auth battles while the back-end payments go unaudited.

Paid looks like done

When a claim says paid, the file closes. Nobody re-opens it to ask whether it paid the right amount — there's no reason to.

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.

HOW WE WORK

We show you the gap, then we go get it.

Clear visibility for your leadership, experienced people doing the actual reviewing — 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? It runs alongside your systems — nothing changes for your staff.

1
2

People who know cardiology

When something looks short, it goes to reviewers who know cardiology billing. They check it against the record and decide whether it's genuinely owed — a person, not a guess.

Go get it

We build the appeal or correction with the documentation behind it, and we pursue it until it's resolved.

3
4

Stop it recurring

We track which payers keep coming up short and which gaps keep repeating, and fix the pattern — so you're not recovering the same money 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.

SECURITY & COMPLIANCE

Your claims data, handled properly

A BAA is executed before any claims data is shared, and everything is handled in a controlled, auditable environment.

HIPAA compliant
PCI DSS
BAA before data
Role-based access
Audit-logged
Zero-risk · 15 minutes

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. The lighter version: pull 10 recent high-complexity pain remits — spinal injections, RFAs, complex E/M — redact the identifiers, and we'll show the collapsed lines live in 15 minutes, using your own data.

  • 1 · Pull 10 EOBs — a mix of multi-level injections, RFAs, and complex E/M from your top payer.
  • 2 · Redact identifiers — names, DOB, and member IDs come out; we work from codes, modifiers, and amounts.
  • 3 · Send securely — the redacted remits go into our secure portal before the call.
  • 4 · Live reveal — where a level was bundled, a 59/XS line was zeroed, or a complex E/M was downcoded.
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Frequently Asked

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 — no software change, no disruption to your staff.

What happens on the 15-minute review?

You bring a small sample of recent remittances with patient details blacked out, and we show you what came up short — live, using your own numbers. 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.

READY TO FIND WHAT YOUR REPORTS MISS?

Get paid for all the work, not half of it

Bring ten claims to a 15-minute review and see what's been quietly missing — using your own numbers.

No obligation consultation HIPAA Compliant Response within 1 business day