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

Cardiology billing services in Iowa

Sources checked: . Sources and review scope.

Cardiology billing services in Iowa start with WPS, the Medicare contractor listed for jurisdiction J5. 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 every state remotely and bill cardiology only, at 3% of collections.

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3% of collectionsNo setup feeNo contract

Cardiology billing services in Iowa: the Des Moines skyline and the Iowa State Capitol dome
93350 · WPSIowa · jurisdiction J5Paid
Iowa Medicare claims go to WPS
01Medicare

How WPS pays cardiology in Iowa

WPS Government Health Administrators processes Medicare claims for jurisdiction J5. That covers Iowa, Kansas, Missouri and Nebraska.

WPS 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.

Checked against WPS
Claim 31504Stress echo · POS 11
  • Diagnosis supported by WPS policyChecked
  • Symptoms and prior results in the noteChecked
  • Global, 26 or TC matches the siteChecked
  • Report signed before billingChecked
  • Claim statusPaid
WPS policy, checked before sending
02Payers

Iowa plans and billing

Wellmark Blue Cross and Blue Shield is the state's Blue Cross Blue Shield company. Commercial and Medicare Advantage requirements depend on the member's product, provider network and contract, so we verify the current plan before billing.

Most Iowa Medicaid members are enrolled in Iowa Health Link, a managed-care program, while some members have fee-for-service coverage. The state publishes provider resources for both routes. We check the member's eligibility and current route before using the relevant billing instructions.

Checked by plan type
Authorization check 31519Nuclear SPECT · 78452
  • Wellmark PPOCommercial, its own authorization listChecked
  • Employer planSelf-funded, plan rules applyChecked
  • Medicare AdvantagePlan rules, not WPSChecked
  • Iowa Health LinkMedicaid route confirmed by memberChecked
  • AuthorizationOn file
Each plan's rules, by patient
03Your city

Cardiology practices we serve in Des Moines, Cedar Rapids, Iowa City, Davenport

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.

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.

Locality confirmed for service ZIP
Claims 31536, 31537Echo 93306 · POS 11
Des Moines officeClaim 31536

93306

ZIP and date checked in CMS files

Payment checkMatched
Davenport officeClaim 31537

93306

ZIP and date checked in CMS files

Payment checkMatched
Medicare payment checked by service ZIP
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 switch60-day plan
  1. Day 1New claims go out daily
  2. Weeks 1 to 8Old A/R worked in parallel
  3. Day 60Your biller fully on the account
Claims keep moving from day one
05Questions

FAQ

Do you bill for outreach clinics in rural Iowa?

Yes. We bill statewide, from Sioux City to Dubuque. Each claim carries the site where the study ran.

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 Iowa reviewLast 90 days
  • Every claim, by studyIncluded
  • Every payer, paid or deniedIncluded
  • Checked against WPS policyIncluded