Cardiology EHR and AI Medical Billing Software

Cardiology runs on testing: ECGs, echocardiograms, stress tests and monitors, each with its own rules on who bills which part. XEHR keeps orders, results, notes and claims together.

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Includes Advanced Heart Failure and Transplant Cardiology Clinical Cardiac Electrophysiology Interventional Cardiology

Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Atrial fibrillation follow-up; palpitations improved.

I48.91 Atrial fibrillation, unspecified

ReviewSign note

Diagnosis carried to the claimI48.91

THE HARD PARTS

What makes cardiology billing hard

Imaging that needs approval first

Stress imaging, echocardiograms and advanced imaging often need prior authorization. Missing it turns a completed test into a write-off.

Split billing for tests

When a test is done in one place and read in another, the professional and technical parts are billed separately, and getting it wrong means a denial or a refund request.

Device and monitor follow-up

Pacemaker, defibrillator and long-term monitor checks happen on a schedule, and each has documentation and frequency rules that payers audit.

WHERE THE WORK HAPPENS

How cardiology care is delivered and billed

Cardiology splits its work between the office, the hospital and the testing lab. Office visits and test interpretations are billed on the professional claim; when the practice owns the equipment it also bills the technical part. Procedures in the catheterization or electrophysiology lab happen in the hospital, so the cardiologist bills the professional service with a hospital place of service while the facility bills its own claim.

What payers check on cardiology claims

A test billed as complete, as reading only or as technical only must match who owned the equipment and who interpreted it.
Many payers require prior authorization for nuclear stress tests, echocardiograms and cardiac imaging; a test done without it is usually not paid.
Device checks for pacemakers and defibrillators have frequency limits, and remote and in-person checks follow different rules.
The medical necessity for each test has to be supported by a covered diagnosis documented before the test, not after it.
Procedures in the hospital lab carry a global period, so routine follow-up inside it is not billed as a separate visit.

Common cardiology diagnoses ICD-10-CM

I48.91	Unspecified atrial fibrillation
I25.10	Atherosclerotic heart disease of native coronary artery without angina pectoris
I50.22	Chronic systolic (congestive) heart failure
I35.0	Nonrheumatic aortic (valve) stenosis
R00.2	Palpitations
Z95.0	Presence of cardiac pacemaker

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A cardiology visit, start to payment

1
Order with approval in mind

When an echo, stress test or advanced imaging is ordered, XEHR flags the payers that usually need prior authorization and prepares the request from the chart.
2
Test and result

The result and the report are filed to the patient, next to the order that requested them, so nothing is read without its clinical question.
3
Interpret and sign

The cardiologist documents the interpretation and the plan; the AI scribe drafts the office note around it for review and signature.
4
Bill the right part

The claim shows whether the practice performed the whole test, only the reading, or only the technical part, and the remittance posts against each line.

How XEHR helps

From the cardiology visit to the payment

Authorization before the testTests that usually need approval are flagged at ordering, and the request is prepared from the chart for staff to review and send.
Professional and technical parts kept straightEach claim shows which part of a test you performed, so reading-only and global billing are not confused.
Results in the chartTest results and reports sit next to the note, so the interpretation and the follow-up plan are documented in one place.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for cardiology

AI medical billing for cardiology practices

XEHR is an agentic EHR: AI agents do the administrative work around every cardiology visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

A test billed as complete, as reading only or as technical only must match who owned the equipment and who interpreted it.
Many payers require prior authorization for nuclear stress tests, echocardiograms and cardiac imaging; a test done without it is usually not paid.
Device checks for pacemakers and defibrillators have frequency limits, and remote and in-person checks follow different rules.
The medical necessity for each test has to be supported by a covered diagnosis documented before the test, not after it.

Around the visit

Agents run on their own

Coverage checked before each cardiology visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a cardiology EHR

Ask every vendor, including us. The answers show whether a system was built for cardiology work or only adapted to it.

Ask us on a demo

Does each test claim say whether we billed the complete service, only the reading or only the technical part?
Which cardiac tests does the system flag for prior authorization at the moment of ordering?
Are device check dates and frequency limits visible before we schedule the next check?
Can results and reports be filed next to the order that requested them?
Can hospital procedures and clinic visits be billed by the same cardiologist from one record?

QUESTIONS

Cardiology practices ask us

Does XEHR handle prior authorization for cardiac imaging?

Yes. Tests that commonly need approval are flagged when ordered, and the request is prepared from the chart. Your staff reviews and submits it.

Can cardiology practices bill only the reading of a test?

Yes. Claims distinguish the professional part, the technical part and the complete service.

Can XEHR handle a cardiology practice that owns its own testing equipment?

Yes. When the practice owns the equipment it bills the complete service; when it only reads, it bills the professional part. Each claim line says which.

Does XEHR work for cardiologists who also round in the hospital?

Yes. Hospital visits and lab procedures are billed with the hospital place of service from the same record as the clinic.

Does XEHR work for cardiology groups with several locations?

Yes. Each location and provider is set up separately, and claims carry the right location and billing details.

Can XEHR flag a test ordered without a supporting diagnosis?

Yes. Claims are checked for a covered diagnosis before they are sent, so the gap is found while it can still be fixed.

How much does XEHR cost for a cardiology practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a cardiology practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

SUBSPECIALTIES

Cardiology subspecialties on XEHR

Related specialties

See all specialties

See XEHR set up for cardiology

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

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