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

Cardiology billing services in South Carolina

Sources checked: . Sources and review scope.

Cardiology billing services in South 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 bill cardiology only, at 3% of collections with no contract.

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3% of collectionsNo setup feeNo contract

Cardiology billing services in South Carolina: Rainbow Row and the harbor in Charleston
78452 · Palmetto GBASouth Carolina · jurisdiction JMPaid
South Carolina claims go to Palmetto
01Medicare

How Palmetto GBA pays cardiology in South Carolina

CMS lists Palmetto GBA for Medicare jurisdiction JM, which includes South Carolina, North Carolina, Virginia, and West Virginia.

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 South Carolina claim against 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.

78452 CPT code guide
Coded from the note
CMS-1500 · Claim 34012Nuclear SPECT · POS 11
DOSPOSCPTModDx09/14/261178452A09/14/261193015A
Claim statusPaid
Palmetto policy, coded from the note
02Payers

The South Carolina payers we bill

Commercial insurance and Medicare are separate coverage paths. A service covered under Original Medicare may still need separate network or authorization checks under the member's commercial plan.

Commercial payer examples also include UnitedHealthcare, Aetna, Cigna, and Humana, including Medicare Advantage products. We confirm the member's specific plan and its requirements before billing.

Two payers, two rulebooks
Claims 34031, 34032Echo 93306 · POS 11
Traditional MedicareClaim 34031

Palmetto GBA

Billed under Medicare policy

Claim statusPaid
Blue Cross PPOClaim 34032

Plan rules

Billed under the plan's own policy

Claim statusPaid
Same Blue family, separate rules
03Your city

Cardiology practices we serve in Charleston, Columbia, Greenville, Myrtle Beach

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.

Most Healthy Connections Medicaid members are enrolled in a managed-care organization, but services and delivery paths differ by program. Effective January 1, 2026, the state added some members to managed care for medical services while all waiver services remained fee-for-service. We confirm the member's current program, plan, and service-specific requirements.

Plan checked first
Claim 34056Event monitor · 93228
  • Healthy Connections plan confirmedChecked
  • Plan authorization list checkedChecked
  • Reason for the study in the noteChecked
  • Report signed before billingChecked
  • Claim statusPaid
Medicaid plan confirmed per visit
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 outside the big South Carolina cities?

Yes. We bill statewide, from Florence to Rock Hill to Beaufort, under the same Palmetto GBA rules.

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 South Carolina DHHS 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. South Carolina's January 2026 Medicaid delivery change has service and waiver-specific exceptions; confirm the member's program, service, and plan before billing.

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 South Carolina reviewLast 90 days
  • Every claim, by studyIncluded
  • Blue Cross payments against your contractIncluded
  • Checked against Palmetto GBA policyIncluded