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

Cardiology billing services in Vermont

Sources checked: . Sources and review scope.

Cardiology billing services in Vermont start with NGS, your Medicare contractor for jurisdiction JK. Its coverage rules for echo, nuclear and monitors shape what gets paid. We're based in Texas, bill cardiology only in every state, and charge 3% of collections.

3% of collectionsNo setup feeNo contract

Cardiology billing services in Vermont: Burlington and Lake Champlain with green mountains beyond
93280 · NGSVermont · jurisdiction JKPaid
Vermont Medicare claims go to NGS
01Medicare

How NGS pays cardiology in Vermont

CMS lists National Government Services for Medicare jurisdiction JK, which includes Vermont, Connecticut, Maine, Massachusetts, New Hampshire, New York, and Rhode Island.

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 Vermont claim against applicable NGS 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 NGS
Claim 34511Device check · POS 11
  • Device type and programming documented
  • Interval since last check noted
  • Diagnosis on NGS policy
  • Signed report attached
Claim statusPaid
Remittance · claim 34511NGS
93280Pacemaker programming evaluationPaid
NGS policy, checked before sending
02Payers

The Vermont payers we bill

Commercial payer examples include Blue Cross and Blue Shield of Vermont, MVP Health Care, and Cigna. Medicare Advantage products also have plan-specific networks and authorization rules; confirm coverage and participation for each member.

Vermont's Department of Vermont Health Access (DVHA) administers the state's Medicaid program and publishes provider resources, including manuals and billing guidance. Vermont Medicaid includes distinct coverage programs; we confirm the member's program and current billing channel rather than assume every claim follows one route.

Sent to the right place
Claim 34526Echo 93306 · POS 11
  1. VerifiedGreen Mountain Care member confirmed
  2. CheckedState prior authorization rules
  3. PaidSent to the state directly
Green Mountain Care, billed to the state
03Your city

Cardiology practices we serve in Burlington, Rutland, Berlin, Bennington

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.

Vermont practices near the borders may see patients from New Hampshire, New York, and Massachusetts. CMS lists all four states in jurisdiction JK, but commercial and Medicaid coverage remain plan- and program-specific; we verify the patient's details for each claim.

Checked by plan
Eligibility checkStress echo · 93350
  • BCBSVTCommercial plan, its own rulesChecked
  • MVP Health CareCommercial plan, its own rulesChecked
  • New Hampshire planOut-of-state plan verifiedChecked
  • New York planOut-of-state plan verifiedChecked
  • EligibilityConfirmed
Neighbor-state plans verified
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 switchFirst 60 days
  • New claims sent from day 1Included
  • Old A/R worked in parallelIncluded
  • Payers and EHR learnedIncluded
  • Your biller fully on by day 60Included
  • Your claimsMoving
Claims keep moving from day one
05Questions

FAQ

Do you bill New Hampshire and New York plans?

Yes. We bill in all 50 states, so a neighbor-state plan on a Vermont schedule is routine.

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 Vermont DVHA 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. Vermont publishes distinct Medicaid provider programs and instructions; confirm the member's program, billing channel, and current provider requirements 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.

3% of collectionsNo setup feeNo contract

Free, no strings
Your 90-day Vermont reviewLast 90 days
  • Every claim, by studyIncluded
  • Every payer, paid or deniedIncluded
  • Checked against NGS policyIncluded