3% of collections. Flat. All 50 states.matt@onlycardiologybilling.com  ·  Mon to Fri, 9 to 5 Central
Colorado practices, Novitas rules first

Cardiology billing services in Colorado

Sources checked: . Sources and review scope.

Cardiology billing services in Colorado start with Novitas, your Medicare contractor for jurisdiction JH. Its published coverage policies are one part of Medicare claim requirements. Policies can overlap across contractors, so payment under one contractor doesn't guarantee payment under another. We're based in Texas, bill cardiology only in every state, and charge 3% of collections with no contract.

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3% of collectionsNo setup feeNo contract

Cardiology billing services in Colorado: the Denver skyline with the Rocky Mountains behind
93306 · NovitasColorado · jurisdiction JHPaid
Colorado Medicare claims go to Novitas
01Medicare

How Novitas pays cardiology in Colorado

Novitas processes Medicare claims for jurisdiction JH. That covers Colorado, Texas, Arkansas, Louisiana, Mississippi, New Mexico and Oklahoma.

Novitas writes its own local coverage policies for echo, nuclear imaging and cardiac monitoring. They list the diagnoses that support a study and what the note has to show. A study that pays under one contractor can be denied under another.

We check the applicable policy before filing. If documentation appears incomplete, we flag it for the practice to review before submission. Only the treating clinician can determine or change clinical documentation.

Held before it's sent
Claim 30614Nuclear SPECT · 78452
  1. CheckedDiagnosis against Novitas policy
  2. Practice reviewRecord flagged for the practice to review
  3. Ready to submitPractice confirms documentation
Novitas policy, checked before sending
02Payers

The Colorado payers we bill

Your schedule likely carries Anthem Blue Cross and Blue Shield, UnitedHealthcare, Cigna, Aetna and Kaiser Permanente. Kaiser members often need a Kaiser referral before an outside cardiologist sees them. We confirm that before the visit is billed.

Health First Colorado is the state's Medicaid program. Most physical health claims are paid fee-for-service by the state. Regional organizations under the Accountable Care Collaborative coordinate member care. We confirm each member's coverage and route the claim to the right place.

Health First Colorado uses the Accountable Care Collaborative, with regional organizations coordinating care; claim routing depends on the member's program and service. For commercial plans, confirm the member's network and current out-of-network requirements before billing.

Checked by program and plan
Claim 30627Echo 93306 · POS 11
  • Health First Colorado program confirmedChecked
  • Applicable claim route checkedChecked
  • Commercial network and referral checkedChecked
  • Out-of-network instructions checkedChecked
  • Claim statusPaid
Right payer, right path
03Your city

Cardiology practices we serve in Denver, Colorado Springs, Fort Collins, Grand Junction

We're built for independent practices of 1 to 10 cardiologists with imaging in the office. That means echo and vascular labs, a nuclear camera, monitors and device checks.

A practice on the Western Slope bills under the same Novitas policies as one in Denver. We apply those rules the same way on every claim, wherever your office sits.

Same rules statewide
Claims 30641, 30642Holter 93224 · POS 11
Denver officeClaim 30641

93224

Checked against Novitas policy

Claim statusPaid
Grand Junction officeClaim 30642

93224

Checked against Novitas policy

Claim statusPaid
Every city, one set of rules
04Switching

Switching from a local biller

Leaving a local biller, or a biller who left? The switch runs on a 60-day plan. Your claims keep moving from day one, and we work the old A/R in parallel.

Your dedicated biller learns your payers, your EHR and your doctors, and stays with your practice.

Your first 60 days with us
No gap in claims
Your switchFirst 60 days
  • Day 1New claims sent dailyStarted
  • Weeks 1 to 8Old A/R worked in parallelOngoing
  • Day 60Your biller fully on the accountDone
  • Your claimsMoving
Claims keep moving from day one
05Questions

FAQ

Do you bill outside the Front Range?

Yes. We bill statewide, from Pueblo to Durango to Grand Junction, under the same Novitas rules.

Do we need to change our EHR?

No. We work in the system you already have.

What does it cost?

3% of collections. No setup fee, no contract, no per-claim charges.

Sources and review context

Checked on September 30, 2026. This administrative source check is not a clinical or credentialed coding review, legal opinion, payer-contract audit, or guarantee of coverage or payment.

06Get in touch

Send us your last 90 days of claims

We review them by study and by payer, free, with no strings.

Talk to our teamExplore pricing

3% of collectionsNo setup feeNo contract

Free, no strings
Your 90-day Colorado reviewLast 90 days
  • Every claim, by studyIncluded
  • Every payer, paid or deniedIncluded
  • Checked against Novitas policyIncluded