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

Cardiology billing services in Tennessee

Sources checked: . Sources and review scope.

Cardiology billing services in Tennessee start with Palmetto GBA, your Medicare contractor for jurisdiction JJ. 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 Tennessee: the Nashville skyline over the Cumberland River
93224 · Palmetto GBATennessee · jurisdiction JJPaid
Tennessee Medicare claims go to Palmetto
01Medicare

How Palmetto GBA pays cardiology in Tennessee

CMS lists Palmetto GBA for Medicare jurisdiction JJ, which includes Tennessee, Alabama, and Georgia.

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 Tennessee 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.

Checked against Palmetto
Claim 34206Stress echo · POS 11
  • Diagnosis supported by Palmetto policyChecked
  • Symptoms and prior results in the noteChecked
  • Global, 26 or TC matches the siteChecked
  • Report signed before billingChecked
  • Claim statusPaid
Palmetto policy, checked before sending
02Payers

The Tennessee payers we bill

Commercial payer examples include BlueCross BlueShield of Tennessee, Cigna, UnitedHealthcare, Aetna, and Humana. Each product has its own network and authorization requirements, so we confirm the member's plan.

TennCare services are offered through managed-care entities, with medical, behavioral, and long-term-care services covered by regional MCOs. Current plan options include BlueCare, Wellpoint, and UnitedHealthcare Community Plan; some members may be enrolled in TennCare Select. We confirm the member's current plan and provider network before billing.

Checked by plan type
Authorization check 34215Nuclear SPECT · 78452
  • BCBST PPOCommercial, its own authorization listChecked
  • Employer planSelf-funded, plan rules applyChecked
  • Medicare AdvantagePlan rules, not PalmettoChecked
  • TennCare planMedicaid managed care, by memberChecked
  • AuthorizationOn file
Each plan's rules, by patient
03Your city

Cardiology practices we serve in Nashville, Memphis, Knoxville, Chattanooga

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.

Memphis and Chattanooga practices may see patients from neighboring states. A patient's residence alone does not determine the Medicare contractor; we confirm the enrolled practice location and billing details. Medicaid and commercial claims depend on the member's own coverage and the applicable network.

Held at our desk
Claims 34239, 34240Echo 93306 · POS 11
As sent to usClaim 34239

Old plan ID

Card on file from a prior year

Our checkHeld
After our checkClaim 34239

Plan confirmed

Current TennCare plan verified

Claim statusPaid
Current 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 TennCare claims?

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

We see Mississippi and Arkansas patients. Can you bill their plans?

Yes. We bill in all 50 states, so plans from across the state line are routine.

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 Tennessee TennCare 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 plan, enrolled practice location, 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 Tennessee reviewLast 90 days
  • Every claim, by studyIncluded
  • TennCare claims routed by planIncluded
  • Checked against Palmetto policyIncluded