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

Cardiology billing services in Kentucky

Sources checked: . Sources and review scope.

Cardiology billing services in Kentucky start with CGS, your Medicare contractor for jurisdiction J15. 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.

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3% of collectionsNo setup feeNo contract

Cardiology billing services in Kentucky: the Louisville skyline over the Ohio River
78452 · CGSKentucky · jurisdiction J15Paid
Kentucky Medicare claims go to CGS
01Medicare

How CGS pays cardiology in Kentucky

CGS processes Medicare claims for jurisdiction J15, which covers Kentucky and Ohio.

CGS 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 CGS
Claim 31714Nuclear SPECT · POS 11
  • Diagnosis supported by CGS policyChecked
  • Symptoms and prior results in the noteChecked
  • Global, 26 or TC matches the siteChecked
  • Report signed before billingChecked
  • Claim statusPaid
CGS policy, checked before sending
02Payers

The Kentucky payers we bill

Your schedule likely carries Anthem Blue Cross and Blue Shield, Humana, UnitedHealthcare, Aetna and CareSource. Humana is based in Louisville, and its Medicare Advantage plans are common here.

Kentucky Medicaid includes managed-care organizations and has published resources for members and providers. We check the member's current coverage, service and plan requirements rather than assume a single authorization route for every claim.

Authorization by plan
Claim 31728Medicaid plan · echo 93306
  1. VerifiedMember's current Medicaid coverage confirmed
  2. CheckedApplicable service and plan requirements
  3. ReadyAuthorization status checked before submission
Member coverage and plan requirements verified
03Your city

Cardiology practices we serve in Louisville, Lexington, Bowling Green, Paducah

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.

Many of your older patients carry Medicare Advantage instead of traditional Medicare. Those plans follow their own coverage and authorization rules, not CGS policy. We check which one holds each patient before the claim goes out.

Near Louisville and Northern Kentucky, Indiana and Ohio plans show up on the schedule too. We bill them the same day as your Kentucky claims.

Plan rules, not CGS
Authorization checkStress echo · 93350
  • Traditional MedicareCGS policy appliesChecked
  • Humana MAMedicare Advantage, plan rulesChecked
  • Anthem MAMedicare Advantage, plan rulesChecked
  • Employer planSelf-funded, its own authorization listChecked
  • AuthorizationOn file
Advantage plans checked by plan
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 daily

No pause while you switch

Your claimsStarted
Weeks 1 to 8Old A/R

Worked in parallel

Open claims followed to payment

Your A/ROngoing
Claims keep moving from day one
05Questions

FAQ

Do you bill outside Louisville and Lexington?

Yes. We bill statewide, from Pikeville to Owensboro to Paducah, under the same CGS 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 Kentucky reviewLast 90 days
  • Every claim, by studyIncluded
  • Every Medicaid plan, paid or deniedIncluded
  • Checked against CGS policyIncluded