Oregon Cardiology Billing Requires More Than Standard Claim Processing
Cardiovascular practices in Oregon serve many payers, including Medicare, Oregon Health Plan (OHP), Coordinated Care Organizations (CCOs), and commercial carriers, each of which can have different rules for diagnostic testing, cardiac procedures, authorization processes, and reimbursements.
Our Oregon cardiology billing support addresses:
Oregon Health Plan eligibility and CCO identification
Medicare and commercial cardiology coverage policies
Prior authorization requirements for cardiac imaging and procedures
Medical necessity documentation for diagnostic cardiac testing
Professional and technical component billing
NCCI edits, procedure bundling, and modifier requirements
Electrophysiology and cardiac catheterization claims
Timely filing, corrected claims, and payer appeal deadlines
Our team can help your practice understand payer rules, identify billing differences and ensure your cardiac claims are moving forward.