What this page covers

  1. Advanced cardiac imaging and device authorization
  2. Diagnostic scheduling, recall, and chronic follow-up
  3. How Flexbone runs a cardiology practice
Imaging-gatedadvanced cardiac imaging commonly needs authorization through a benefit manager
Chronic recallcardiology depends on getting chronic patients back for follow-up and monitoring
Documentation-heavydevice and interventional requests carry detailed clinical documentation

Cardiology combines high diagnostic volume with an imaging authorization load that gates revenue. Nuclear stress tests, cardiac CT and MRI, and stress echocardiography commonly require prior authorization, often through a radiology benefit manager, and chronic cardiac patients need consistent recall to stay on their monitoring schedule. Flexbone automates the scheduling, recall, and authorization work that keeps the diagnostic schedule full and covered.

How does AI handle cardiology prior authorization?

Flexbone determines whether a study needs authorization, assembles the clinical documentation the benefit manager expects, and submits the 278 request, because much of a cardiology authorization workload sits in advanced imaging. Nuclear stress testing and myocardial perfusion imaging, cardiac CT and coronary CT angiography, cardiac MRI, and stress echocardiography commonly require prior authorization, and many plans route these through a radiology or cardiology benefit manager such as eviCore or Carelon rather than directly to the payer. Implantable devices and interventional procedures add documentation-heavy requests. Flexbone tracks each CPT-coded request to a decision, routing denials to appeal. The cardiovascular prior authorization page covers the procedure detail.

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How does AI schedule and run calls for a cardiology practice?

Flexbone answers inbound calls, books office visits and diagnostic studies, and runs the recall that keeps chronic patients on schedule. Cardiology schedules a high volume of office visits, diagnostic studies, and follow-ups, and much of its revenue depends on recall: getting chronic patients with heart failure, arrhythmia, and coronary disease back for monitoring, device checks, and repeat imaging. Flexbone confirms appointments and any prep and fills cancellations from a waitlist. It verifies eligibility before the visit so a coverage gap does not surface after the study.

Can AI verify insurance eligibility for a cardiology practice?

Yes. Flexbone runs the 270/271 eligibility check before the visit and deploys voice and browser agents inside your cardiology EHR. The front office gets scheduling, diagnostic booking, recall, and confirmation. The back office gets eligibility, advanced-imaging and device authorization, and denial follow-up that reads the 835 remittance and its CARC and RARC codes. Results write back to the chart under HIPAA, and exceptions go to staff with context. The rollout is scoped to your study mix, benefit managers, and payers.