Eligibility and coverage review
We confirm active coverage and benefit details before a cardiology visit or procedure is billed, and flag coverage gaps to your front desk early.
Epic and Cupid billing specialists
Cardiology billing built around Epic
We support the cardiology revenue cycle for Michigan practices running Epic, working inside your existing Cupid documentation and Resolute billing setup rather than asking you to change it.
Michigan-based team
Cardiology-only focus
Epic and Cupid experience
Coding
Review and coordination
Claims
Preparation and submission
Denials
Research and appeals
A/R
Aging account follow-up
01
Cardiology only — We do not bill outside cardiovascular care
02
Cupid-familiar staff — Comfortable inside cardiovascular documentation
03
Full revenue cycle — From charge review through A/R
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Michigan based — Working with practices across the state
Our approach
We adapt to your Epic build, not the other way around
Epic gives cardiology organizations a shared record for scheduling, documentation, and billing, but the financial side still depends on people who understand how a cardiology claim actually moves. Coding a diagnostic catheterization is not the same as coding an office visit, and Epic's tools do not make that judgment for you.
Cupid captures the clinical side of invasive and non-invasive procedures, structured reports, device data, and imaging findings. Before we file anything, our staff reviews how that documentation connects to your Resolute Professional Billing or Resolute Hospital Billing setup, since the two modules route charges differently.
We treat each new client's Epic environment as its own system to learn, not a template to apply. That review usually shapes how we set up our internal workflow with your team before a single claim goes out.
Notice:
Cardialogy Billing is an independent billing company. We are not Epic Systems, an Epic reseller, or an authorized Epic implementation partner.
Our workflow
How we work inside Epic's billing workflow
We follow the same path a claim takes through Epic, and step in at the points where clinical detail and payer rules need a person's judgment.
Prior authorization tracking
Cardiac catheterizations, device implants, and imaging studies often carry payer authorization rules. We track status against the procedure schedule so approvals are in place before the claim is built.
Charge capture review
We check that documented procedures, from a stress test to an ablation, match what was ordered and performed before charges move into coding.
Coding coordination
Our staff coordinates ICD-10-CM, CPT, and HCPCS coding decisions with your providers, paying close attention to cardiology-specific codes for catheterization, EP studies, and device procedures.
Claims preparation
We build claims inside your Resolute setup, apply payer-specific edits, and correct errors before submission rather than after a rejection comes back.
Payment posting
Electronic remittance advice is posted against the correct account, with adjustments and patient balances reviewed line by line rather than batch-approved.
Denial research and appeals
When a cardiology claim is denied, we pull the clinical documentation, identify the actual reason, and prepare a corrected claim or appeal instead of resubmitting blind.
A/R monitoring
We watch aging work queues for cardiology accounts specifically, so a stalled claim does not sit unnoticed behind higher-volume specialties.
Epic revenue cycle
What we handle inside Resolute
Epic gives your organization the infrastructure. We provide the staff time and cardiology judgment that infrastructure still needs.
Eligibility verification
We run and interpret electronic eligibility checks, then follow up directly with payers when a response is incomplete or unclear.
Authorization tracking
Referral and authorization records tied to cardiology orders are checked against procedure dates so nothing is missed.
Charge review
Procedure, diagnostic, and evaluation and management charges are reviewed against documentation before coding begins.
Claim edits
We apply Resolute's claim-scrubbing edits and add our own review for cardiology-specific coding combinations.
Payment posting
Remittance data, adjustments, and patient responsibility are posted and reconciled against each account.
Reporting and work queues
We use Epic's financial work queues and reporting tools to track claims, denials, and aging balances for your cardiology accounts.
Billing structure
Professional and hospital billing, handled separately
Resolute Professional Billing and Resolute Hospital Billing follow different rules, and we staff each one according to how your organization is set up.
Resolute Professional Billing
Covers physician services and professional charges for cardiology care delivered by your providers.
- Physician charges
- Professional claim creation
- Coding coordination
- Payment posting
- Claims follow-up
Resolute Hospital Billing
Covers facility charges for inpatient and outpatient cardiovascular services.
- Facility charges
- Inpatient claims
- Outpatient hospital claims
- UB-04 claim workflows
- Facility A/R follow-up
Claims move electronically, we watch every step
Epic's financial environment exchanges standard transactions with your clearinghouse. We monitor each one rather than assuming a submitted claim was accepted.
- 837 claim submissions
- 999 acknowledgment checks
- 277 status transactions when available
- 835 remittance matching
- Claim edit review before submission
Electronic data interchange
A claim that goes out is not a claim that gets paid
An accepted 999 acknowledgment only confirms the claim reached the clearinghouse in a readable format. It says nothing about whether the payer will process or pay it, so we track claims past that first checkpoint.
Clearinghouse connections and payer transaction types vary by contract, which is why we confirm your specific setup during onboarding rather than assuming a standard configuration.
- Claim validation
- Clearinghouse communication
- Acknowledgment tracking
- Status checks
- Remittance matching
- Payment reconciliation
Cardiology specialties
Billing support across cardiovascular care
We bill for the full range of cardiology services rather than treating cardiovascular claims as a subset of general medical billing.
Non-invasive cardiology
ECG, echocardiography, stress testing, and Holter monitoring
Invasive cardiology
Diagnostic catheterization and coronary angiography
Interventional cardiology
Angioplasty, stenting, and PCI-related procedures
Electrophysiology
EP studies, mapping, ablation, and device implants
Heart failure care
Ongoing management and follow-up visit billing
Cardiac imaging
Echocardiography, nuclear studies, and diagnostic imaging
Preventive cardiology
Risk assessment and preventive visit billing
Structural heart procedures
Complex structural and valve-related claims
Pediatric cardiology
Billing for congenital and pediatric cardiovascular care
Interoperability
Documentation from every cardiology system, in one place
Cath labs, echo carts, device interrogation systems, and imaging platforms all feed data into Epic. We check that what lands in the chart actually supports the charge before coding starts.
- ECG systems
- PACS and imaging
- Implantable device data
- Hemodynamic reports
- External diagnostic feeds
- Clearinghouse interfaces
Clinical detail decides the charge
A device interrogation report or a hemodynamic tracing carries the detail that determines whether a charge is supportable. We read that detail rather than coding from a summary line.
- Procedure documentation
- Device interrogation data
- Imaging findings
- Coding coordination
- Claim submission
Automation and human review
Where automation helps, and where it does not
Epic automates routing, reporting, and some claim checks. Cardiology coding and denial decisions still need a person who understands the clinical details.
Automated routing
Accounts move into work queues based on configured rules, which speeds up triage but still needs review for cardiology-specific cases.
Financial reporting
Built-in reporting tracks claims, denials, and balances, and we check those reports daily rather than waiting for a monthly summary.
Claim edit checks
System-level edits catch common formatting and coding errors before a claim ever reaches a payer.
Notice:
Automated tools can flag routine issues, but documentation review, payer-specific rules, coding judgment, and appeal writing still require a person familiar with cardiology billing.
Our role
Where our team plugs into your workflow
We work inside the Epic environment you already have instead of asking you to adopt a separate billing system.
Charge review
We review cardiology charges against documentation before anything moves to coding.
Coding coordination
We support coding decisions for cardiology procedures and flag documentation gaps back to providers.
Claims submission and tracking
We prepare, submit, and track claims through acknowledgment, status, and payer response.
Payment posting
We post remittances, apply adjustments, and reconcile patient balances.
Denial follow-up
We research denied cardiology claims and prepare corrected claims or appeals.
A/R management
We monitor aging accounts and outstanding claims until they are resolved, not just reported.
Working across Michigan
Support for cardiology organizations across the state
We work with independent cardiology practices, hospital-affiliated groups, and multi-provider cardiovascular programs across Michigan, each running Epic differently based on their own build and payer contracts.
Our day-to-day work covers eligibility checks, authorization tracking, coding coordination, claims management, denial follow-up, and payment posting, all inside the Epic environment your organization already maintains.
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Before we start
What we review during onboarding
We do not begin billing until we understand how your specific Epic environment is set up.
Your Epic modules
We confirm whether Cupid, Resolute Professional Billing, Resolute Hospital Billing, or a combination applies to your organization.
Claims and eligibility setup
We review how eligibility checks, authorization tracking, claim creation, and claim scrubbing are configured.
Coding workflow
We look at documentation habits, charge review steps, and how coding decisions currently get made.
Integrations in place
We identify which device, imaging, diagnostic, and clearinghouse interfaces feed into your billing workflow.
Frequently asked questions
Questions about working with us on Epic
Do you need direct access to our Epic system?
Access requirements depend on your organization's security policy. Some clients grant limited billing-role access, while others share exports or reports instead. We work with whatever access model your IT and compliance team approves.
Can you work with both Professional and Hospital Billing?
Yes. We staff Resolute Professional Billing and Resolute Hospital Billing separately, since the two follow different claim rules and payer requirements.
How do you handle Cupid documentation?
Our staff reviews Cupid's structured reports for invasive and non-invasive procedures before coding, checking that the documentation supports the charge being billed.
Do you bill for electrophysiology and device procedures?
Yes. EP studies, ablations, and device implants are part of our regular billing work, and we coordinate closely with providers on the procedural detail these claims require.
What happens when a cardiology claim is denied?
We research the denial reason against the clinical documentation, then either correct and resubmit the claim or prepare an appeal, depending on what the payer requires.
How do you monitor accounts receivable?
We review aging work queues for cardiology accounts on a set schedule, rather than letting balances sit until a payer follow-up deadline is close.
Do you provide reporting on billing activity?
We can share claim status, denial trends, and A/R summaries at whatever frequency your organization prefers.
Are you familiar with multiple Epic work queue setups?
Work queue configuration varies by organization. We learn your specific setup during onboarding rather than assuming a standard structure applies.
Is your team based in Michigan?
Yes. Cardialogy Billing works with cardiology organizations across Michigan.
How does onboarding start?
Onboarding starts with a review of your Epic modules, claims and eligibility setup, coding workflow, and existing integrations, so our process matches how your organization already operates.
Talk to our team
Let's look at your cardiology revenue cycle
If your practice or cardiovascular program runs on Epic and you want billing support that works inside that environment instead of around it, get in touch with our team.
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