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

Cardiology billing services in New Mexico

Sources checked: . Sources and review scope.

Cardiology billing services in New Mexico start with Novitas, your Medicare contractor for jurisdiction JH. 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.

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3% of collectionsNo setup feeNo contract

Cardiology billing services in New Mexico: Santa Fe adobe buildings with the Sangre de Cristo Mountains
93306 · NovitasNew Mexico · jurisdiction JHPaid
New Mexico claims go to Novitas
01Medicare

How Novitas pays cardiology in New Mexico

CMS lists Novitas for Medicare jurisdiction JH, which includes New Mexico, Texas, Arkansas, Colorado, Louisiana, Mississippi, and Oklahoma.

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 assuming a decision transfers.

We check each New Mexico claim against 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.

Checked against Novitas
Claim 33109Stress echo · POS 11
  • Diagnosis supported by Novitas policyChecked
  • Symptoms and prior results in the noteChecked
  • Global, 26 or TC matches the siteChecked
  • Report signed before billingChecked
  • Claim statusPaid
Novitas policy, checked before sending
02Payers

The New Mexico payers we bill

Commercial schedules may include Blue Cross and Blue Shield of New Mexico, Presbyterian Health Plan, UnitedHealthcare, or other products. Confirm the contract, network status, and member's specific plan before billing.

New Mexico Medicaid runs through Turquoise Care, the managed care program that replaced Centennial Care in 2024. Its plans are Blue Cross and Blue Shield of New Mexico, Molina, Presbyterian and UnitedHealthcare. One carrier can hold a patient under commercial, Medicare Advantage or Turquoise Care. So we check the product on every card.

Checked by plan type
Authorization check 33121Nuclear SPECT · 78452
  • BCBSNM PPOCommercial, its own authorization listChecked
  • PresbyterianCommercial or Medicare Advantage, by productChecked
  • Medicare AdvantagePlan rules, not NovitasChecked
  • Turquoise CareMedicaid managed care, by memberChecked
  • AuthorizationOn file
Each plan's rules, by patient
03Your city

Cardiology practices we serve in Albuquerque, Santa Fe, Las Cruces, Farmington

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.

Medicare physician fee schedule locality is tied to the relevant ZIP-to-carrier/locality mapping. We check the current CMS crosswalk for the service location and date rather than assume a single rate across the state.

Paid at the state rate
Claims 33146, 33147Echo 93306 · POS 11
Albuquerque officeClaim 33146

93306

Posted against the New Mexico rate

Payment checkMatched
Las Cruces officeClaim 33147

93306

Posted against the same state rate

Payment checkMatched
One state rate, checked
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 Turquoise Care claims?

Yes. We bill each Turquoise Care plan and check which one holds the patient before the study.

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

Review context: Checked official CMS and New Mexico Medicaid 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 statewide locality or payment assertion is made here. Confirm the applicable locality, member eligibility, 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 Mexico reviewLast 90 days
  • Every claim, by studyIncluded
  • Every payer, paid or deniedIncluded
  • Checked against Novitas policyIncluded