Sources checked: . Sources and review scope.
Cardiology billing services in Wisconsin start with NGS, your Medicare contractor for jurisdiction J6. 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.
3% of collectionsNo setup feeNo contract
CMS lists National Government Services for Medicare jurisdiction J6, which includes Wisconsin, Illinois, and Minnesota. Medicare local coverage determinations are made by the contractor for its jurisdiction; requirements may differ across jurisdictions.
We compare each claim's diagnosis, frequency, and documentation with 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.
Commercial payer examples include Anthem Blue Cross and Blue Shield, UnitedHealthcare, Aetna, Humana, Quartz, Security Health Plan, and Network Health. Network, referral, and out-of-network coverage vary by product; confirm the member's specific plan.
Most BadgerCare Plus members receive coverage through HMOs, according to Wisconsin DHS. Available HMOs and networks vary by location and member; we confirm the assigned HMO and its authorization requirements before billing.
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.
Network participation and out-of-network benefits depend on the member's product and service. We confirm network status and applicable requirements before billing rather than assume a plan will cover an out-of-network claim.
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 Kenosha to Superior, under the same NGS rules.
Yes. We bill in all 50 states, and both states also sit under NGS for Medicare.
3% of collections. No setup fee, no contract, no per-claim charges.
Review context: Checked official CMS and Wisconsin DHS 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's assigned HMO, provider network, and authorization for each claim.
We review them by study and by payer, free, with no strings.
3% of collectionsNo setup feeNo contract