Florida practices, First Coast rules first

Cardiology billing services in Florida

Sources checked: 2026-09-30. Sources and review scope.

Cardiology billing services in Florida start with First Coast Service Options, your Medicare contractor for jurisdiction JN. 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 bill cardiology only, at 3% of collections.

Talk to our team Explore pricing

3% of collectionsNo setup feeNo contract

Cardiology billing services in Florida: a cardiologist reading a nuclear stress study in a Miami office — Florida claims go to First Coast

01Medicare

How First Coast pays cardiology in Florida

First Coast processes Medicare claims for jurisdiction JN: Florida, Puerto Rico and the US Virgin Islands. It writes its own local coverage policies for echo, nuclear imaging and cardiac monitoring.

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.

Matched to First Coast

Claim 30218Repeat echo · POS 11

Diagnosis on First Coast policy
Change in symptoms documented
Prior echo date noted
Signed report attached

Claim statusPaid

Remittance · claim 30218First Coast

93306Complete echo with DopplerPaid

First Coast policy, matched first

02Payers

The Florida payers we bill

Your Florida schedule carries Florida Blue, UnitedHealthcare, Aetna, Cigna and Humana. In South Florida, many patients over 65 are on Medicare Advantage rather than traditional Medicare.

Florida Medicaid includes the Statewide Medicaid Managed Care program. Medicaid and Medicare Advantage plan requirements are separate from Original Medicare; we verify the member's current program and plan instructions for each service.

Same study, two paths

Claims 30244, 30245Nuclear SPECT · 78452

Traditional MedicareClaim 30244

First Coast

Billed under First Coast policy

Claim statusPaid

Medicare AdvantageClaim 30245

Plan rules

Authorization on file before the scan

Claim statusPaid

Medicare Advantage needs its own authorization

03Your city

Cardiology practices we serve in Miami, Tampa, Orlando, Jacksonville

We're built for independent practices of 1 to 10 cardiologists. Echo, vascular, nuclear, monitors or a device clinic run in the office.

CMS fee-schedule files map service locations to payment localities. We check the current ZIP-to-locality and rate information for the practice address and date of service rather than assume that a city name determines the rate.

Payment checked by service ZIP

Payments postedEcho 93306 · Medicare

MiamiZIP and date checked in CMS filesMatched
Fort LauderdaleZIP and date checked in CMS filesMatched
TampaZIP and date checked in CMS filesMatched
JacksonvilleZIP and date checked in CMS filesMatched
Payment checkDone

Medicare payment checked by service ZIP

04Switching

Switching from a local biller

Leaving a biller who bills every specialty, or one who retired? The switch runs on a 60-day plan. Claims keep moving while we work the old A/R, including Medicare Advantage denials left unappealed.

Your dedicated biller learns your plans and your doctors, and stays with you.

Your first 60 days with us

Old denials worked

Claim 30290Medicare Advantage denial

FoundDenied, never appealed
AppealedWith the authorization and the note
PaidInside the appeal deadline

Old denials appealed in parallel

05Questions

FAQ

Do you bill Medicare Advantage differently from traditional Medicare?

Yes. Each plan has its own authorization list, records process and appeal path, and we work to each one.

Do you bill Florida Medicaid plans?

Yes. We bill each Statewide Medicaid Managed Care plan by its own rules.

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.

Medicare contractor: CMS's JN jurisdiction page identifies Florida and the other JN states and territories. CMS's MAC directory links state provider websites.
Fee schedule and locality: CMS's CY 2026 Physician Fee Schedule locality data and CMS fee-schedule downloads and ZIP-to-locality guidance support checking a service ZIP and date. No city-to-rate assertion is made here.
Florida Medicaid: The Agency for Health Care Administration describes Statewide Medicaid Managed Care; the Florida Medicaid provider portal supports provider billing. Confirm each member's program and plan.
Commercial payer: BCBSA's state company directory lists Florida Blue. It does not establish market share or a specific contract's terms; verify the member's product and provider agreement.

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 team Explore pricing

3% of collectionsNo setup feeNo contract

Free, no strings

Your 90-day Florida reviewLast 90 days

Every claim, by studyIncluded
Medicare Advantage denials, by planIncluded
Checked against First Coast policyIncluded