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Here's the truth nobody tells you: cardiology billing is a different beast entirely. One wrong modifier. One missed prior auth. One vague line in your documentation. And suddenly you're chasing $40,000 in unpaid claims while your staff drowns in rework. This 2026 guide pulls back the curtain on why specialty experience isn't optional it's survival. Includes a brutally honest self-assessment, a red-flags checklist, and exactly what to demand from any billing partner before you