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

Cardiology billing services in New Jersey

Sources checked: . Sources and review scope.

Cardiology billing services in New Jersey start with Novitas, the Medicare contractor listed for jurisdiction JL. Its coverage policies are local to its jurisdiction. Commercial products and provider contracts vary, so we verify the applicable plan before billing. We bill cardiology only, at 3% of collections.

Talk to our teamExplore pricing

3% of collectionsNo setup feeNo contract

Cardiology billing services in New Jersey: a cardiologist running a pacemaker check in a Monmouth County office
93280 · NovitasNew Jersey · jurisdiction JLPaid
New Jersey claims go to Novitas
01Medicare

How Novitas pays cardiology in New Jersey

CMS lists Novitas as the Medicare contractor for jurisdiction JL, which includes New Jersey, Pennsylvania, Delaware, Maryland and Washington, DC. Medicare local coverage determinations are made by the contractor for its jurisdiction; a coverage decision may differ in another jurisdiction.

We compare each claim's diagnosis, frequency, and documentation with applicable Novitas guidance before release. If documentation appears incomplete, we flag it for the practice to review; the treating clinician remains responsible for the record.

Held at our desk
Claim 60114Holter monitor · 93224
As sent to usClaim 60114

No indication

Diagnosis code only, no reason in the note

Our checkHeld
After our checkClaim 60114

Query answered

Reason for the study confirmed by the doctor

Claim statusPaid
Indication documented before sending
02Payers

The New Jersey payers we bill

Commercial schedules can include Horizon, UnitedHealthcare/Oxford, Aetna, AmeriHealth, and Cigna products. NJ FamilyCare uses managed care organizations; confirm the member's current plan and provider network before billing.

Payment terms and provider networks can differ by plan product and contract. We post each payment against the applicable fee schedule and pursue discrepancies.

How we post payments
Short lines pursued
Claim 60172Horizon · echo 93306
  1. PostedPaid below the contract rate
  2. PursuedWith the contract page attached
  3. PaidBalance paid by Horizon
Underpayments found at posting
03Your city

Cardiology practices we serve in Newark, Jersey City, the Shore, Princeton

We're built for independent practices of 1 to 10 cardiologists. Echo, vascular, nuclear, monitors or a device clinic run in the office. Practices may see commercial, Medicare, and Medicaid products from different service areas; we verify the member's coverage and applicable contract rather than infer it from location.

New Jersey's DOBI prompt-payment regulation sets deadlines for covered carriers and clean claims, subject to its scope and claim-specific rules. We track applicable deadlines and follow up when a covered claim is overdue.

Followed up on time
Claim 60203Device check · 93280
  • Clean claim sent dailyChecked
  • Prompt pay deadline trackedChecked
  • Follow-up when the deadline passesChecked
  • Interest requested where the law allowsChecked
  • Claim statusPaid
State deadlines tracked per claim
04Switching

Switching from a local biller

Leaving a local biller who never checked Horizon's payments? The switch runs on a 60-day plan. Claims keep moving while we work the old A/R and re-check recent Horizon remits.

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

Your first 60 days with us
Claims keep moving
Your switchFirst 60 days
  • Day 1New claims sent dailyStarted
  • Weeks 1 to 8Old A/R worked in parallelOngoing
  • Weeks 1 to 8Recent Horizon remits re-checkedOngoing
  • Day 60Your biller fully on the accountDone
  • Your claimsMoving
Old A/R worked alongside new claims
05Questions

FAQ

Do you check Horizon payments against our contract?

Yes. Every payment is posted against your fee schedule, and short lines are pursued.

We see New York patients. Can you bill their plans?

Yes. We bill in all 50 states, so a New York plan on a New Jersey schedule is routine.

What does it cost?

3% of collections. No setup fee, no contract, no per-claim charges.

Sources and review context

Review context: Checked official CMS, New Jersey Medicaid, and New Jersey DOBI 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 locality, member eligibility, carrier/regulatory scope, provider requirements, and authorization for each claim.

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 New Jersey reviewLast 90 days
  • Every claim, by studyIncluded
  • Horizon payments against your contractIncluded
  • Checked against Novitas policyIncluded