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

Cardiology billing services in North Carolina

Sources checked: . Sources and review scope.

Cardiology billing services in North Carolina start with Palmetto GBA, your Medicare contractor for jurisdiction JM. 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.

Talk to our teamExplore pricing

3% of collectionsNo setup feeNo contract

Cardiology billing services in North Carolina: the Charlotte skyline
78452 · PalmettoNorth Carolina · jurisdiction JMPaid
North Carolina claims go to Palmetto
01Medicare

How Palmetto pays cardiology in North Carolina

CMS lists Palmetto GBA for Medicare jurisdiction JM, which includes North Carolina, South Carolina, Virginia, and West Virginia. 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 Palmetto guidance before release. If documentation appears incomplete, we flag it for the practice to review; the treating clinician remains responsible for the record.

Matched to Palmetto
Claim 33314Nuclear SPECT · POS 11
  • Diagnosis on Palmetto policy
  • Symptoms and prior results in the note
  • Stress and imaging codes paired
  • Signed report attached
Claim statusPaid
Remittance · claim 33314Palmetto GBA
78452Myocardial perfusion SPECTPaid
Palmetto policy, checked before sending
02Payers

The North Carolina payers we bill

Your schedule carries Blue Cross and Blue Shield of North Carolina, UnitedHealthcare, Aetna, Cigna and Humana. Medicare Advantage plans each keep their own authorization lists for imaging.

Most NC Medicaid beneficiaries receive services through a managed-care health plan. Current Standard Plan options include AmeriHealth Caritas North Carolina, Healthy Blue, UnitedHealthcare, and Carolina Complete Health (available in specified regions). NC Medicaid Direct is a separate program for members who are not enrolled in a Standard Plan; verify the member's program and plan for the date of service.

Routed by plan
Claim 33352Echo 93306 · Medicaid patient
  1. CheckedPatient enrolled in a Standard Plan
  2. RoutedSent to that plan, not the state
  3. PaidBy the patient's plan
Medicaid billed to the right plan
03Your city

Cardiology practices we serve in Charlotte, Raleigh, Greensboro, Asheville

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.

With Standard Plans and other Medicaid program options, the billing route depends on the member and service. Incorrect routing can delay processing, so we confirm the patient's program and plan for the date of service before billing.

Plan or state, sorted
Claims 33371, 33372Holter 93224 · POS 11
Standard Plan memberClaim 33371

Health plan

Billed to the patient's Standard Plan

Claim statusPaid
NC Medicaid DirectClaim 33372

State

Billed to the state fee-for-service program

Claim statusPaid
Each claim billed to its payer
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
Claims keep moving
Your switchFirst 60 days
  • Day 1New claims sent dailyStarted
  • Weeks 1 to 8Old A/R worked in parallelOngoing
  • Weeks 1 to 8Medicaid denials re-sent to the right planOngoing
  • Day 60Your biller fully on the accountDone
  • Your claimsMoving
Old A/R worked alongside new claims
05Questions

FAQ

Do you bill outside Charlotte and the Triangle?

Yes. We bill statewide, from Wilmington to the mountains, under the same Palmetto rules.

We see South Carolina patients. Can you bill their plans?

Yes. We bill in all 50 states, and South Carolina also sits under Palmetto for Medicare.

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 North Carolina 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 2026 locality or payment assertion is made here. Confirm the applicable locality, member program, plan, 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 North Carolina reviewLast 90 days
  • Every claim, by studyIncluded
  • Medicaid claims by planIncluded
  • Checked against Palmetto policyIncluded