Sources checked: . Sources and review scope.
Cardiology billing services in Texas start with your Medicare contractor, Novitas, for jurisdiction JH. Its coverage rules for echo, nuclear and monitors can differ from other contractors'. We're based in Texas and bill cardiology only, at 3% of collections with no contract.
3% of collectionsNo setup feeNo contract
CMS lists Novitas for Medicare jurisdiction JH, which includes Texas, Arkansas, Colorado, Louisiana, Mississippi, New Mexico, and Oklahoma.
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 Texas claim against applicable Novitas guidance before release. If documentation appears incomplete, we flag it for the practice to review; the treating clinician remains responsible for the record.
Commercial schedules may include Blue Cross and Blue Shield of Texas, UnitedHealthcare, Aetna, Cigna, and Humana. Texas Medicaid programs include STAR and STAR+PLUS managed care; plan availability and networks depend on program and service area. We confirm the member's plan before billing.
Texas law provides preauthorization exemptions (often called "gold cards") for qualifying provider-service combinations under plans regulated by the Texas Department of Insurance. TDI says the law does not apply to Medicaid/CHIP, Medicare Advantage, or self-funded employer plans. We verify the plan type and applicable exemption before treating prior authorization as waived.
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 rate from a city or statewide average.
93306
Posted against the Houston rate
93306
Posted against the Dallas rate
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 usYes. We bill statewide, from El Paso to Tyler to the Valley, under the same Novitas rules.
No. We work in the system you already have.
3% of collections. No setup fee, no contract, no per-claim charges.
Review context: Checked official CMS, Texas HHSC, and Texas TDI 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. Texas preauthorization exemptions are limited to qualifying products, services, and providers; confirm the plan, exemption status, and authorization for each claim.
We review them by study and by payer, free, with no strings.
3% of collectionsNo setup feeNo contract