Sources checked: . Sources and review scope.
Cardiology billing services in Montana start with Noridian, your Medicare contractor for jurisdiction JF. Its coverage rules for echo, nuclear and monitors can differ from other contractors'. We're based in Texas, bill every state remotely, and bill cardiology only, at 3% of collections.
3% of collectionsNo setup feeNo contract

CMS lists Noridian for Medicare jurisdiction JF, which includes Montana, Alaska, Arizona, Idaho, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming.
Medicare local coverage determinations are made by the contractor for its jurisdiction. Requirements may differ across jurisdictions, so we check the current applicable policy rather than assume a decision transfers.
We check each Montana claim against applicable Noridian guidance before release. If documentation appears incomplete, we flag it for the practice to review; the treating clinician remains responsible for the record.
Commercial payer examples include Blue Cross and Blue Shield of Montana, PacificSource, UnitedHealthcare, Aetna, Cigna, and Humana. Medicare and Medicare Advantage coverage depend on member eligibility and plan choice; we verify each patient's coverage.
Montana's Primary Care Montana (PCMT) program replaced Passport to Health on July 1, 2026. A state provider notice says PCMT began that day and that other orders, referrals, and prior-authorization rules may still apply by service. We check the current provider manual and fee schedule before billing; we don't assume every Medicaid claim follows the same path.
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 Montana cardiologists also see patients at outreach clinics in smaller towns. When the hospital owns the equipment, you bill only the professional read with modifier 26. We match the place of service and modifier to each site.
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 usYes. We bill statewide, from Kalispell to Miles City, under the same Noridian rules.
No. We work in the system you already have.
3% of collections. No setup fee, no contract, no per-claim charges.
Review context: Checked official CMS and Montana provider sources on September 30, 2026. This is an administrative source check, not a clinical review, a claim-level coverage determination, legal advice, or a payment guarantee. CMS's current fee-schedule page links a ZIP-to-carrier-locality file updated August 13, 2026; its separate Locality Key table is labeled 2024. No blanket 2026 locality or payment assertion is made here. Confirm the applicable locality, member eligibility, provider requirements, and authorization for each claim.
We review them by study and by payer, free, with no strings.
3% of collectionsNo setup feeNo contract