Why Cardiology Imaging Gets Denied — And How DynaNet Fixed It for One Clinic

Cardiology clinics deal with one of the most frustrating pain points in healthcare operations: inconsistent prior authorization (PA) criteria for imaging tests like echocardiograms, nuclear stress tests, and cardiac CT scans.

One mid-sized cardiology group came to DynaNet with a denial rate of over 30% on imaging-related claims. They were losing time, revenue, and patient trust.

Here’s how we helped them cut denials by 25%, improve scheduling, and get ahead of payer confusion.

The Problem: Unclear Rules, High Denials

Every payer had a different checklist:

- One required chart notes within 48 hours

- Another wanted previous imaging records

- Some denied authorizations if symptom codes weren’t specific enough

The result?

25–30% of cardiac imaging PAs were denied
Repeated rescheduling, physician frustration, and billing rework

The DynaNet Fix: Smart Automation + Specialty Knowledge

DynaNet implemented a payer-specific automation engine that:

- Matched diagnosis codes to required documentation in real time

- Flagged missing medical necessity language before submission

- Applied a clinical checklist layer for imaging staff

- Auto-escalated denials to physician review within 24 hours

We also provided a custom cheat sheet per payer for front-desk and clinical teams.

Results Within 45 Days

- Denials dropped by 25%

- Patient scheduling delays reduced by 40%

- Claim resubmissions decreased by 60%

- Staff had 20% more time for direct patient care

“We had no idea how many rules we were violating until DynaNet mapped them out for us. It completely changed our flow.”
– Clinical Coordinator, Cardiology Clinic

Why It Matters

Cardiology imaging isn’t optional—it’s diagnostic and time-sensitive. Every denied echo or delayed nuclear scan sets care back days and hurts both clinical outcomes and revenue.

DynaNet helps cardiology groups get it right the first time.