Cardiac Electrophysiology EHR and AI Medical Billing Software

Electrophysiologists treat rhythm problems with drugs, devices and ablation. XEHR keeps rhythm history, device checks and procedure notes together and bills each part correctly.

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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

Paroxysmal atrial fibrillation; considering ablation.

I48.0 Paroxysmal atrial fibrillation

ReviewSign note

Diagnosis carried to the claimI48.0

THE HARD PARTS

What makes cardiac electrophysiology billing hard

Device checks on a schedule

Pacemakers and defibrillators are checked in clinic and remotely at set intervals, each with frequency limits payers enforce.

Procedures in the hospital lab

Ablations and implants happen in the hospital and carry global periods that change what can be billed afterward.

Rhythm history scattered

Monitors, device reports and earlier ablations live in different places, which slows every decision.

WHERE THE WORK HAPPENS

How cardiac electrophysiology care is delivered and billed

Electrophysiology combines a rhythm clinic, a device clinic and the hospital electrophysiology lab. Clinic visits, device checks and monitor interpretations are billed on the professional claim. Implants and ablations are performed in the hospital or, for some device work, in an outpatient facility; the physician bills the professional service with the facility place of service, and the facility bills its own claim. Remote monitoring runs continuously between visits.

What payers check on cardiac electrophysiology claims

Remote and in-person device checks have separate frequency limits, and billing both inside the same window is denied.
Implants and ablations carry a global period; routine follow-up inside it is part of the procedure.
Defibrillator implants follow published coverage criteria, and the documented indication must meet them.
Monitor interpretations must be documented by the physician and billed once for each monitoring period.
Procedures in the hospital carry a facility place of service on the professional claim.

Common cardiac electrophysiology diagnoses ICD-10-CM

I48.0	Paroxysmal atrial fibrillation
I47.20	Ventricular tachycardia, unspecified
I49.5	Sick sinus syndrome
I44.2	Atrioventricular block, complete
Z95.0	Presence of cardiac pacemaker
Z95.810	Presence of automatic (implantable) cardiac defibrillator

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 cardiac electrophysiology visit, start to payment

1
Collect the rhythm data

Monitor and device reports are filed to the patient before the visit, with the last check date visible.
2
Decide drug, device or ablation

The note documents symptoms, rhythm findings and the reason for the chosen treatment, which supports the approval later.
3
Schedule and approve

Procedures are booked at the facility, coverage is checked and any prior authorization is prepared before the date.
4
Bill check, read or procedure

Each device check, interpretation or procedure is billed with its own rules, and the global period follows the procedure.

How XEHR helps

From the cardiac electrophysiology visit to the payment

Checks scheduled and countedIn-clinic and remote checks are scheduled and recorded, so the next one is due when the payer allows it.
Global periods visibleThe procedure date and its global period are on the chart, so follow-up visits are billed correctly.
One rhythm recordMonitor results, device reports and procedure notes sit together in the patient’s record.
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 cardiac electrophysiology

AI medical billing for cardiac electrophysiology practices

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

Before the claim leaves

The claim-check agent looks for

Remote and in-person device checks have separate frequency limits, and billing both inside the same window is denied.
Implants and ablations carry a global period; routine follow-up inside it is part of the procedure.
Defibrillator implants follow published coverage criteria, and the documented indication must meet them.
Monitor interpretations must be documented by the physician and billed once for each monitoring period.

Around the visit

Agents run on their own

Coverage checked before each cardiac electrophysiology 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 cardiac electrophysiology EHR

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

Ask us on a demo

Does the system keep remote and in-person device checks within their separate frequency limits?
Is each procedure’s global period visible so follow-up is billed correctly?
Can monitor results, device reports and ablation notes sit in one rhythm record?
Are defibrillator indications documented against coverage criteria?
Which procedures are flagged for prior authorization when scheduled?

QUESTIONS

Cardiac Electrophysiology practices ask us

Does XEHR handle device clinic follow-up?

Yes. In-clinic and remote device checks are scheduled, documented and billed within the payer’s frequency rules.

Can electrophysiologists bill hospital procedures from XEHR?

Yes. Procedures are billed with the hospital place of service, and the global period is tracked.

Does XEHR help with ablation approvals?

Yes. Procedures that need prior authorization are flagged when scheduled and the request is prepared from the chart.

Can XEHR keep monitor results with the patient?

Yes. Monitor reports and interpretations are filed to the patient record next to the visit that ordered them.

Does XEHR support device clinics run by nurses?

Yes. Nurses document checks, and the physician reviews and signs the interpretation.

Can XEHR record anticoagulation decisions for atrial fibrillation?

Yes. Risk scores and the decision are documented in the note.

Can electrophysiologists bill implants done in an outpatient facility?

Yes. The claim carries the facility’s place of service.

How much does XEHR cost for a cardiac electrophysiology 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 cardiac electrophysiology 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.

Related specialties

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See XEHR set up for cardiac electrophysiology

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

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