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

Cardiology billing services in New York

Sources checked: . Sources and review scope.

Cardiology billing services in New York start with NGS, your Medicare contractor for jurisdiction JK. Its coverage rules for echo, nuclear and monitors can differ from other contractors'. We bill cardiology only, for independent practices across the state, at 3% of collections.

3% of collectionsNo setup feeNo contract

Cardiology billing services in New York: a cardiologist handing a Holter monitor to a patient in a Long Island office
93224 · NGSNew York · jurisdiction JKPaid
New York claims go to NGS
01Medicare

How NGS pays cardiology in New York

CMS lists National Government Services (NGS) for jurisdiction JK, which includes New York and New England. Medicare local coverage determinations are made by the contractor for its jurisdiction; a coverage decision may differ in another jurisdiction.

The note is where claims slip. It needs the indication, the prior result and the reason for this study, not just a diagnosis code. When the note doesn't say enough, we ask the doctor before the claim goes out.

Held before it goes out
Claim 50312Nuclear SPECT · POS 11
  1. FlaggedIndication missing from the note
  2. QueriedDoctor confirms the reason on the order
  3. PaidSent once the note supports it
Held until the note supports it
02Payers

The New York payers we bill

Commercial products in New York include Anthem Blue Cross and Blue Shield (formerly Empire), UnitedHealthcare/Oxford, Aetna, Cigna, and EmblemHealth. State Medicaid managed-care plans include options such as Fidelis Care, Healthfirst, and MetroPlusHealth. Verify product, provider network, and member assignment for each claim.

Upstate examples include Excellus, Independent Health, and Highmark, depending on the product and service area. New York's Department of Financial Services describes state surprise-bill protections and an independent dispute-resolution process for qualifying claims. We check whether the coverage and service meet the applicable criteria rather than treating the protection as universal.

Billed to the right plan
Payer checkEcho 93306 · POS 11
  • AnthemFormerly Empire, commercialPaid
  • OxfordUnitedHealthcare commercial planPaid
  • Fidelis CareMedicaid managed carePaid
  • Independent HealthBuffalo commercial planPaid
  • Claim statusPaid
Downstate and upstate plans billed
03Your city

Cardiology practices we serve in New York City, Long Island, Westchester, Buffalo

We're built for independent practices of 1 to 10 cardiologists. Echo, vascular, nuclear, monitors or device checks run in the office. Networks and member products can differ across New York service areas, so we verify coverage rather than infer it from a practice's location.

Medicare physician fee schedule locality is tied to the applicable ZIP-to-carrier/locality mapping. We check the current CMS crosswalk for the service location rather than infer a rate from a county or broad region.

Posted at your rate
Payment 50347Echo 93306 · Queens
  • Medicare rate for the Queens locality
  • Contract rate for the plan
  • Payment matched line by line
Payment checkMatched
Every payment checked on arrival
04Switching

Switching from a local biller

Leaving a biller who treats every NGS denial as a surprise? The switch runs on a 60-day plan. Claims keep moving while we work the old A/R, starting with unappealed denials.

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

Your first 60 days with us
Old A/R worked in parallel
Your old A/RDay 1 and day 60
Day 1Handover

Open denials

Unappealed, sorted by deadline

StatusOpen
Day 60Handover done

Worked

Appealed or closed, one by one

StatusClosed
Old denials sorted by deadline
05Questions

FAQ

Do you bill outside the city and Long Island?

Yes. NGS covers all of New York, and we bill statewide, from Westchester to Albany to Buffalo.

Do you bill New York Medicaid managed care?

Yes. We bill each plan by its own authorization and claim rules.

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 York Medicaid, and New York DFS 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. New York surprise-bill protections are coverage- and service-specific; confirm applicable rules, eligibility, 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.

3% of collectionsNo setup feeNo contract

Free, no strings
Your 90-day New York reviewLast 90 days
  • Every claim, by studyIncluded
  • Denials never appealedIncluded
  • Checked against NGS policyIncluded