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Cardiovascular Care

Elevating Cardiology Revenue Cycle Management

In cardiology, where the stakes are high and the complexity of care is significant, effective revenue cycle management (RCM) is essential for maintaining financial health and delivering top-tier patient care. At One Hive, we specialize in providing advanced RCM solutions specifically designed for cardiology practices. Our expertise ensures that your practice thrives financially while you focus on providing exceptional cardiovascular care.

Complexities

Unique Challenges in Cardiology RCM

Cardiology involves a range of advanced diagnostic and therapeutic procedures, each with its own billing and documentation requirements. This complexity presents several challenges for the revenue cycle

Complex Procedures and Coding

Cardiology procedures, from echocardiograms to interventional cardiology, require precise coding and detailed documentation to ensure accurate billing and reimbursement.

High-Cost Treatments and Devices

The use of expensive cardiovascular devices and treatments necessitates careful handling of payer negotiations and reimbursement processes.

Insurance and Payer Issues

Navigating varying payer policies and reimbursement rates for complex cardiology services can be challenging and impact your practice's financial stability.

Regulatory Compliance

Adhering to stringent regulatory requirements and maintaining accurate documentation are crucial for avoiding compliance issues and ensuring proper reimbursement.

Innovative solutions

Our Innovative Approach to Cardiology RCM

At One Hive, we offer a comprehensive suite of RCM services tailored to the needs of cardiology practices

Specialized Coding and Billing

Our team of experts is well-versed in cardiology-specific coding and billing practices, ensuring accurate claims submission and optimizing reimbursement for complex procedures.

Efficient Management of High-Cost Treatments

We assist with managing the financial aspects of high-cost cardiovascular treatments and devices, including payer negotiations and reimbursement optimization.

Payer Relations and Optimization

We handle payer relations and address reimbursement challenges, ensuring that you receive appropriate compensation for the advanced services provided.

Rigorous Compliance and Documentation

Our solutions include robust documentation practices and compliance management to meet regulatory standards and reduce the risk of audit issues.

Customizable RCM Solutions

Recognizing that each cardiology practice is unique, we offer flexible RCM solutions that align with your specific needs and operational goals.

let's Start

Partner with Us for Success in Cardiology RCM

In the specialized field of cardiology, partnering with a dedicated RCM provider can enhance your practice’s financial health and operational efficiency. One Hive is committed to delivering specialized RCM services that support your practice’s success and optimize your revenue cycle.

Contact us today to learn how our expertise in cardiology RCM can drive your practice’s success and improve your financial outcomes.

Case Studies

Popular Use Cases

Medical Coding

4.8

(5.8K +)

Cardiology Case Study

Client: A large cardiology practice struggling with claim denials for complex cardiac procedures. 

  • Challenge: The practice was facing a high denial rate for procedures like cardiac catheterizations and echocardiograms due to coding errors and insufficient documentation. 
  • Solution: We implemented a tailored RCM solution focused on accurate coding (CPT and ICD-10) and pre-authorization workflows. Our team provided specialized training to ensure cardiologists and staff understood the importance of detailed documentation for these high-value procedures. 
  • Result: Denial rates dropped by 30%, and overall collections increased by 20% within six months. 

Medical Billing

4.8

(5.8K +)

Oncology Case Study

Client: A multi-location oncology clinic experiencing slow reimbursements from payers. 

  • Challenge: The clinic’s complex chemotherapy billing, along with frequent coding errors, resulted in delayed payments and denials. 
  • Solution: We optimized their billing processes, ensuring accurate coding for drug administration, therapies, and supportive care. We also developed a system for monitoring claims and tracking prior authorizations to minimize delays. 
  • Result: Claims processing times were reduced by 40%, and their accounts receivable over 90 days decreased by 25%. 

Transcription

4.8

(5.8K +)

Orthopedics Case Study

Client: An orthopedic group facing issues with high patient balances post-surgery. 

  • Challenge: Many patients were unaware of their out-of-pocket costs, leading to a high volume of unpaid bills after surgeries. 
  • Solution: We created a patient financial engagement plan that provided upfront cost estimates based on insurance benefits and out-of-pocket requirements. Our RCM team also implemented automated payment plans for patients. 
  • Result: The practice saw a 35% increase in patient collections and a 20% reduction in the time it took to receive payments from patients. 

Medical Coding

4.8

(5.8K +)

Pediatrics Case Study

Client: A pediatric practice with a high rate of claim rejections due to coding inconsistencies. 

  • Challenge: The practice struggled with frequent rejections on well-child visits and immunizations, which affected their revenue stream. 
  • Solution: We worked with the pediatricians to ensure proper coding for preventive care and vaccinations, while also enhancing their billing software to identify errors before submission. 
  • Result: The claim rejection rate dropped by 45%, and the practice experienced a 15% increase in monthly revenue. 

Medical Billing

4.8

(5.8K +)

Behavioral Health Case Study

Client: A behavioral health clinic dealing with denied mental health service claims. 

  • Challenge: The clinic faced constant challenges from payers regarding the medical necessity of services, which led to claim denials. 
  • Solution: Our team provided detailed training on the necessary documentation to establish medical necessity. We also revamped their claim appeals process and set up follow-up procedures for denied claims. 
  • Result: The clinic reduced their denial rate by 50% and increased collections by 18%. 

Testimonial

What Our Clients Say

Our doctors’ testimonials showcase how OneHive’s RCM solutions have streamlined billing, improved cash flow, and enhanced patient care. Their feedback underscores our commitment to efficiency and exceptional support.

4.9 Rated

4.9/5

Partnering with OneHive Billing Solutions has been a game-changer for my practice. Their team handles everything from billing to denial management with incredible efficiency, allowing me to focus solely on my patients. My revenue has never been this consistent!

Dr. Sarah Mitchell

@Family Medicine

5.0 Rated

5/5

What sets OneHive Billing Solutions apart is their personalized approach and commitment to excellence. From the moment we signed on, they’ve been proactive in resolving billing issues, improving cash flow, and keeping us compliant. They’re a fantastic partner!

Dr. Angela Lee

@Dermatologist

4.9 Rated

4.9/5

I used to spend hours dealing with billing errors and insurance claims. Since we started working with OneHive Billing Solutions, I’ve seen a 30% improvement in collections, and my claims are getting paid faster than ever. Their expertise is unmatched.

Dr. James Carter

@Cardiologist

4.8 Rated

4.8/5

I’ve worked with other RCM companies in the past, but none have matched the level of service and results we’ve experienced with OneHive Billing Solutions. Their attention to detail and quick follow-up on denied claims have been essential in growing my practice’s revenue.

Dr. Michael Brown

@Neurologist

5.0 Rated

5/5

Before OneHive Billing Solutions, we struggled with delayed payments and high denial rates. Their streamlined process has transformed our revenue cycle, and I no longer worry about unpaid claims. They truly understand the needs of physicians.

Dr. William Harris

@Orthopedic Surgeon

4.9 Rated

4.9/5

The team at OneHive Billing Solutions is highly professional and knowledgeable. They’ve significantly reduced our claim rejection rates, and their reporting tools provide valuable insights into our financial health. I highly recommend their services to any medical practice!

Dr. Emily Rodriguez

@Pediatrician