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

Cardiology billing services in Missouri

Sources checked: . Sources and review scope.

Cardiology billing services in Missouri 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 Missouri: the St. Louis skyline and the Gateway Arch
78452 · WPSMissouri · jurisdiction J5Paid
Missouri Medicare claims go to WPS
01Medicare

How WPS pays cardiology in Missouri

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

Medicare contractor and locality depend on the service address and date of service. We check the applicable Medicare Administrative Contractor and CMS locality files for each claim rather than assume a shared Kansas City route.

Medicare route checked
Claim 32507Stress echo · POS 11
  • Applicable MAC and policy identifiedChecked
  • Documentation reviewed against policyChecked
  • Global, 26 or TC matches the siteChecked
  • Report signed before billingChecked
  • Claim reviewComplete
Medicare route checked by service address
02Payers

Missouri health plans and billing

Plans that appear in Missouri include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, UnitedHealthcare, Aetna and Cigna. Member eligibility, product, provider agreement and service determine applicable terms; we don't infer statewide market share or network status from plan names.

MO HealthNet has both managed care and fee-for-service coverage. We check the member's current coverage and relevant billing instructions for the service rather than assume a single route.

Checked by plan type
Authorization check 32522Nuclear SPECT · 78452
  • Anthem PPOCommercial coverage and terms verifiedChecked
  • Blue KC planMember eligibility and product verifiedChecked
  • Medicare AdvantagePlan rules, not WPSChecked
  • MO HealthNetMember route and provider instructions verifiedChecked
  • AuthorizationChecked
Each plan's rules, by patient
03Your city

Cardiology practices we serve in St. Louis, Kansas City, Springfield, Columbia

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 32544, 32545Echo 93306 · POS 11
St. Louis officeClaim 32544

93306

ZIP and date checked in CMS files

Payment checkMatched
Kansas City officeClaim 32545

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 offices on both sides of the state line?

Yes. We bill Missouri and Kansas offices together, both under WPS for Medicare.

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