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

Cardiology billing services in South Dakota

Sources checked: . Sources and review scope.

Cardiology billing services in South Dakota start with your Medicare contractor, Noridian, for jurisdiction JF. Its coverage rules for echo, nuclear and monitors can differ from other contractors'. We bill cardiology only, remotely from Texas, at 3% of collections with no contract.

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3% of collectionsNo setup feeNo contract

Cardiology billing services in South Dakota: Sioux Falls and the falls in Falls Park
93306 · NoridianSouth Dakota · jurisdiction JFPaid
South Dakota claims go to Noridian
01Medicare

How Noridian pays cardiology in South Dakota

CMS lists Noridian for Medicare jurisdiction JF, which includes South Dakota, Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, Utah, Washington, and Wyoming.

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 Dakota claim against applicable Noridian 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 Noridian
Claim 34117Echo 93306 · POS 11
  • Diagnosis supported by Noridian policy
  • Symptoms and prior results in the note
  • Global, 26 or TC matches the site
  • Report signed before billing
Claim statusPaid
Noridian policy, checked before sending
02Payers

The South Dakota payers we bill

Commercial payer examples include Wellmark Blue Cross and Blue Shield of South Dakota, Sanford Health Plan, and Avera Health Plans, alongside national and self-funded products. Networks and contracts vary; verify the member's plan.

South Dakota Medicaid has a statewide Primary Care Provider Program based on primary care case management (PCCM). The state publishes Medicaid provider manuals and fee schedules; we confirm the member's program and service-specific rules before billing.

Checked by plan type
Authorization checkNuclear SPECT · 78452
  • Wellmark BCBS of SDCommercial, its own authorization listChecked
  • Sanford Health PlanRegional plan, its own rulesChecked
  • Avera Health PlansRegional plan, its own rulesChecked
  • SD MedicaidFee-for-service, billed to the stateChecked
  • AuthorizationOn file
Each plan's rules, by patient
03Your city

Cardiology practices we serve in Sioux Falls, Rapid City, Aberdeen, Watertown

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 applicable ZIP-to-carrier/locality mapping. We check the current CMS crosswalk for the service location rather than infer a state-wide rate or adjustment.

Paid at the state rate
Claims 34151, 34152Echo 93306 · POS 11
Sioux Falls officeClaim 34151

93306

Posted against the South Dakota rate

Payment checkMatched
Rapid City officeClaim 34152

93306

Posted against the South Dakota rate

Payment checkMatched
One rate, set with a floor
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. You talk to someone who knows cardiology. Mon to Fri, 9 to 5 Central.

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 Sioux Falls?

Yes. We bill statewide, from Pierre to the Black Hills, under the same Noridian 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 Dakota DSS 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 adjustment assertion is made here. Confirm the applicable locality, member program, 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 South Dakota reviewLast 90 days
  • Every claim, by studyIncluded
  • Every payer, paid or deniedIncluded
  • Checked against Noridian policyIncluded