We bill from your workflows
Every practice sets up templates and charge triggers differently. We map yours to CPT and ICD-10 logic, so a signed echo report or catch note produces the charges it should.
Cardiology billing on WRS Health
Billing services for WRS Health Cardiology-Cloud setup
A new EHR configuration decides how cleanly your first claims leave the building. Cardialogy Billing works alongside your practice during Cardiology-Cloud setup, then takes over the daily billing work: charge review, claim submission, denial follow-up, and payment posting once you go live.
Overview
How we work inside Cardiology-Cloud
Cardiology-Cloud is WRS Health's cardiology-specific EHR, and it carries charting, diagnostics, procedures, devices, and billing in one system. Our team learns your configuration first, because billing accuracy depends on how each screen feeds the next.
Signed notes become reviewed claims
When a provider signs a note, the linked charges land in a queue. Our coders check them against the documentation before anything reaches a payer.
- Note-to-service matching: Each note type is tied to the service it can support
- Test and report pairing: Orders, results, and interpretations stay linked
- Procedure detail checks: Vessel and lesion notes back up the codes billed
- Device schedules: Monitoring periods and remote check windows are tracked
Setup path
Our role from configuration to live claims
We join the implementation early and stay through the first production claims. Each stage below has a billing task attached to it, and none of those tasks waits until after go-live.
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Step 1
Fee and payer intake- We collect your fee schedule, payer list, and contracts, then flag gaps before they reach the billing setup.
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Step 2
Charge mapping- Templates, procedure notes, and diagnostic reports are checked for the data each CPT code needs.
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Step 3
Enrollment tracking- We follow clearinghouse registration, ERA and EFT enrollment, and payer provider IDs until each one clears.
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Step 4
Test claim review- We review sample claims for each service line, trace every rejection to its cause, and fix the setting behind it.
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Step 5
First live claims- The first production batches get closer review, with daily checks on acceptance and payer response.
How we handle it
The Cardiology-Cloud tools we work in every day
These are the areas where a billing team's habits either help the configuration or fight it. Here is how we approach each one.
We work the unreleased charge list daily and match each line to a signed note before it goes out.
WRS coding prompts are a first pass. Our coders confirm code choice, modifiers, and diagnosis linkage by hand.
ECG, echo, stress, and nuclear studies are checked for an order, an interpretation, and the right professional or technical split.
We check that vessel, lesion, and stent details support the codes and coronary modifiers, such as LD, LC, and RC, on the claim.
Remote pacemaker interrogation is reported once per 90-day period, so we track those windows to prevent early or duplicate claims.
We read eligibility responses before visits and flag inactive coverage, secondary plans, and unmet deductibles so the front desk can act early.
Clearinghouse rejections are worked the same day. We log the cause and correct the rule or template behind it.
ERA files are posted and reconciled against the deposit. Manual EOBs and patient payments get the same daily check.
We pull aging by payer and by service line, then report what is stuck, why, and what we are doing about it.
Software and people
What the system does and what our team adds
Cardiology-Cloud automates rule checks and routing. It cannot read a denial letter, argue a medical necessity decision, or call a payer. That work falls to the billing team.
What Cardiology-Cloud handles
Claim edits, eligibility lookups, charge routing, claim status tracking, and dashboards. These run quickly and consistently once the configuration is correct.
What our team handles
Coding review, payer calls, appeals, underpayment checks, and follow-up on aging claims. These tasks need judgment and someone willing to pick up the phone.
Service lines
Billing rules differ across cardiology service lines
A practice built on office visits and echoes faces different billing risks than one running a cath lab. We adjust our review to the services you actually perform.
- Office and consult visits: E/M level review and correct handling of ECGs done during the same visit.
- Echo and stress testing: Global versus split billing (modifiers 26 and TC), depending on who owns the equipment and where the study happens.
- Cath lab and PCI: Coronary modifiers, add-on codes for additional vessels, and supply documentation.
- Electrophysiology: Device implants, generator changes, ablations, and follow-up checks, each with its own bundling rules.
- Remote and long-term monitoring: Holter, event, and remote device services with fixed reporting periods and separate technical components.
- Cardiac rehab and advanced imaging: Supervised exercise sessions, plus nuclear and CT studies that often need prior authorization.
Michigan support
Billing help for Michigan practices on WRS Health
We know the payers your patients carry: Medicare through WPS, Blue Cross Blue Shield of Michigan, Priority Health, and Michigan Medicaid plans. Our follow-up work follows their submission rules, not a generic checklist.
Talk to Our Billing Team
Charges
Reviewed against notes before release
Denials
Traced to the cause and fixed at the source
Posting
ERA and EOB reconciled every day
Reports
Aging and payer trends shared with your team
Before you start
Items to settle before we take over billing
A short checklist with your WRS Health representative and our team prevents most surprises during the first month of live claims.
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01
Contract and fees: Get current pricing, setup charges, and included services in writing from WRS Health.
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02
Data conversion: Confirm which patient, insurance, and open balance data will move over, and who verifies it.
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03
Payer enrollment: List every payer that needs enrollment, including Medicare through WPS, and the lead time each one quotes.
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04
Test claim scope: Agree on which service lines get sample claims, so echo, stress, catch, and device billing are each covered.
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05
Payment tools: Ask which Stripe payment features are active in your WRS environment before offering patients online payment.
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06
Access and roles: Decide who on your team and ours can view, edit, and release charges.
FAQ
Frequently asked questions
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1. Does Cardialogy Billing set up the WRS Health system for us?
System configuration is handled by WRS Health's implementation staff and your team. We take part on the billing side by advising on fee schedules, charge triggers, payer setup, and test claims, then run your billing after go-live.
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2. What does Cardiology-Cloud setup usually cover?
Practice and user creation, provider profiles, cardiology templates, billing parameters, clearinghouse connection, provider enrollment, training, and test claims. The exact scope depends on your agreement with WRS Health.
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3. How do you use WRS Health's billing rules and coding guidance?
We treat them as a first pass. Our coders review flagged charges, correct code and modifier choices, and report repeat problems so the rules can be adjusted.
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4. Can you work with our diagnostic and procedure documentation?
Yes. We check that each study has an order, a signed interpretation, and details that support the code billed. Missing pieces go back to the clinical team with a specific request.
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5. How are test claims handled before go-live?
We build sample claims for the main service lines, send them through the clearinghouse, and review every rejection. Live claims begin after those samples clear and payer enrollments are confirmed.
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6. Do you handle data migration?
Migration is arranged between your practice and WRS Health under your agreement. We review the converted insurance and balance data for billing accuracy and flag anything that does not match.
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7. Which Michigan payers do you work with?
Medicare through WPS, Blue Cross Blue Shield of Michigan, Priority Health, Michigan Medicaid and its health plans, and national commercial carriers. Each payer's own rules shape how we submit and follow up.
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8. What happens after go-live?
We work the charge queue, submit claims, post payments, follow up on denials, and send aging reports. You also have a direct line to our team for questions.