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

Cardiology billing services in West Virginia

Sources checked: . Sources and review scope.

Cardiology billing services in West Virginia start with Palmetto GBA, your Medicare contractor for jurisdiction JM. 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 West Virginia: the New River Gorge Bridge
78452 · Palmetto GBAWest Virginia · jurisdiction JMPaid
West Virginia claims go to Palmetto
01Medicare

How Palmetto GBA pays cardiology in West Virginia

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

Patients may come from Ohio, Kentucky, or Pennsylvania. A patient's home state alone does not determine the Medicare contractor; we confirm the enrolled practice location and claim details before routing.

Checked against Palmetto
Claim 34803Stress 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 West Virginia payers we bill

Commercial payer examples include Highmark Blue Cross Blue Shield West Virginia, PEIA-related coverage, UnitedHealthcare, Aetna, and Medicare Advantage plans. Networks and benefits vary by product; confirm the member's plan and provider status.

West Virginia Medicaid runs mostly through Mountain Health Trust, its managed care program. Members pick among several plans, each with its own authorization rules. We check which plan holds each patient before the study.

Checked by plan type
Authorization check 34816Nuclear SPECT · 78452
  • Highmark PPOCommercial, its own authorization listChecked
  • PEIA planState employees, its own rulesChecked
  • Medicare AdvantagePlan rules, not PalmettoChecked
  • Mountain Health TrustMedicaid managed care, by memberChecked
  • AuthorizationOn file
Each plan's rules, by patient
03Your city

Cardiology practices we serve in Charleston, Morgantown, Huntington, Wheeling

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.

Paid at the state rate
Claims 34829, 34830Echo 93306 · POS 11
Charleston officeClaim 34829

93306

Posted against the West Virginia rate

Payment checkMatched
Wheeling officeClaim 34830

93306

Posted against the same state rate

Payment checkMatched
One state rate, checked
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

We see Ohio and Kentucky patients. Can you bill their plans?

Yes. We bill in all 50 states, so plans from across the river are 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 West Virginia BMS 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 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 West Virginia reviewLast 90 days
  • Every claim, by studyIncluded
  • Every payer, paid or deniedIncluded
  • Checked against Palmetto policyIncluded