Top Denial Reasons in Cardiology & Best Practices for Coding Denial Management Services
In the world of healthcare revenue cycle management, cardiology stands out as one of the most complex specialties. High-value procedures, intricate coding requirements, and payer-specific documentation rules make it especially vulnerable to claim denials. For this reason, coding denial management services have become a vital component of cardiology revenue cycle management — ensuring faster reimbursements and fewer payment losses. This article explores the most common denial reasons in cardiology and outlines proven strategies to prevent, manage, and overturn them. Why Denials Are a Critical Issue in Cardiology RCM Cardiology practices handle a large number of diagnostic and interventional services — from EKGs and echocardiograms to complex catheterizations and device implantations. Each comes with unique CPT and ICD-10 codes, authorization requirements, and documentation standards. Even a small mistake in these areas can trigger a den...