Pre-visit verification
Eligibility and prior auth for high-cost studies and devices before they're performed.
Cath lab, electrophysiology, devices, nuclear studies and complex modifiers — coded correctly the first time by coders who live in cardiology. Stop losing revenue to under-coding and denials.
Clean-claim rate
Avg. collections lift
Days in A/R
Denials overturned
Cardiology has some of the most complex coding in medicine. A single missed add-on code or modifier on a cath-lab claim can mean hundreds of dollars lost — multiplied across every procedure, every day.
Helix assigns coders who specialize in cardiology and builds scrubbing rules around your most common procedures, so the value you deliver is the value you collect.
Correct base + add-on coding for left/right heart cath and PCI.
Ablations, pacemakers, ICDs, and remote monitoring.
Echo, stress, nuclear, Holter — global vs. professional/technical splits.
-26, -TC, -59, -XU and bundling edits handled correctly.
Eligibility and prior auth for high-cost studies and devices before they're performed.
Certified cardiology coders assign accurate CPT/ICD-10 with full add-on capture.
Cardiology-specific appeal templates and aggressive aged-A/R recovery.
These are the high-value procedures where under-coding quietly drains revenue. Our coders capture the base code and every legitimate add-on and modifier.
| 93458 | Left heart cath w/ coronary angiography | +93462 |
| 92928 | PCI with drug-eluting stent, single vessel | +92929 |
| 93653 | Comprehensive EP study with ablation | -26 / -TC |
| 33249 | ICD generator + lead insertion | -59 / -XU |
| 93306 | Transthoracic echo, complete w/ Doppler | -26 / -TC |
| 93000 | ECG, 12-lead w/ interpretation & report | -25 |
Cath add-ons (93462, 93463) submitted without the primary procedure, or stripped by payer bundling logic.
Helix fix: base+add-on pairing rules validate every cath claim pre-submission.
Echo and nuclear studies read in-office but billed global, or professional component billed without -26.
Helix fix: place-of-service logic auto-applies the correct component modifier.
Stress/nuclear studies denied when the ICD-10 doesn't meet payer LCD necessity criteria.
Helix fix: LCD/NCD necessity check against the documented diagnosis before billing.
ICD/pacemaker and high-cost imaging performed without the payer's required authorization.
Helix fix: pre-visit auth queue flags device/imaging orders before the procedure.
"We were leaving money on the table with every denied cath-lab claim. Helix rebuilt our scrubbing rules, worked our aged A/R, and collections jumped within two quarters."
A growing cardiology group with an 11% denial rate, A/R aging past 50 days, and missed add-on codes and modifiers on complex cath-lab and EP claims after a rapid expansion.
Helix migrated billing onto the RCM Engine, deployed cardiology-specific scrubbing for add-ons and -26/-TC/-59 modifiers, assigned a dedicated cardiology pod, and ran a focused 90-day A/R recovery project.
Clean-claim rate climbed to 98.6%, A/R days dropped to 21, and the practice recovered $410K in previously aged claims — while collections rose 27%.
Representative composite based on Helix engagement outcomes. Individual results vary.
"Our ablation and device claims finally go out clean. The add-on capture alone paid for the engagement."
Result: $186K recovered on reworked EP claims in year one.
"The -26/-TC splits on our echo and nuclear reads were a mess. Helix fixed the rules and the denials stopped."
Result: −63% imaging-component denials in two quarters.
Representative composites based on Helix engagement outcomes. Individual results vary.
Get a free audit of your cardiology denials and A/R, and a clear picture of the revenue you could be recovering.