Cardiology Medical Billing Services in Florida

AMS Solutions provides specialized cardiology medical billing for practices across Florida. Whether you’re in Miami, Tampa, Orlando, Jacksonville, or anywhere statewide, our AAPC-certified billers handle the full cardiology code set (93451-93461 catheterization, 92920/92924/92928/92930/92933/92937/92941/92943/92945 PCI, 93306-93308 echo, 93619-93655 EP) and the Florida payer mix that Florida practices encounter.

CPT 2026 change (effective 1 January 2026): 92921, 92925, 92929, 92934, 92938 and 92944 were deleted. Branch work is now included in the base code for that major coronary artery, 92930 covers two or more distinct lesions with two or more stents in two or more segments or a bifurcation lesion treated in both the main artery and the side branch, and 92945 covers a chronic total occlusion treated by combined antegrade and retrograde approaches.

Florida-specific payer landscape

Florida cardiology billing crosses First Coast Service Options (the MAC for FL Medicare Part B), Florida Medicaid (Statewide Medicaid Managed Care plans), Florida Blue, Humana, AvMed, and Aetna.

Where Florida cardiology revenue leaks

  • Florida Blue and Humana MA plan PA denials on echo and stress nuclear studies
  • No-fault auto (PIP) claims for cardiac evaluations after MVAs — Florida-specific billing
  • First Coast LCD compliance on CCTA and cardiac MRI
  • Same-day procedure + E/M bundling without Modifier 25

What AMS handles for Florida practices

  • Pre-encounter eligibility verification and benefit checks
  • Coding, charge entry, and claim submission supported by NextGen Healthcare
  • Denial management and appeals (we don’t write off — we fight)
  • A/R follow-up and patient statements
  • Monthly reporting tied to your practice management system

Florida compliance

Florida Statute 627.736 governs PIP billing — there’s a $10,000 limit per accident and strict 35-day submission window. We file PIP claims correctly the first time. AAPC-certified, $5M E&O.

Get a Cardiology Billing Assessment for Your Florida Practice

Call 866-973-2221 or book a 30-minute review with our team. We’ll audit your last 90 days of claims, flag every recoverable issue, and show you exactly what’s leaking — no obligation.

Do you handle First Coast Medicare LCDs for cardiac imaging in Florida?

Yes. We track First Coast LCD revisions monthly and ensure ICD-10 medical necessity matches before claim submission.

Can you bill Florida Medicaid Managed Care plans (Sunshine Health, Humana, Molina)?

Yes — we bill all FL SMMC plans for cardiology services including cath, PCI, echo, and EP.

Do you handle no-fault (PIP) cardiac billing for MVA patients?

Yes. We file PIP claims to the at-fault auto carrier within Florida’s 35-day window per FL Statute 627.736.

How does AMS support clean claims for Florida cardiology billing?

Specialty-trained billers work First Coast Medicare LCDs, Florida Blue, Humana MA prior auths, and PIP claims — with AAPC-certified coding and denial follow-up before submission. Request a free 90-day billing audit.

Are you set up for Medicare Advantage prior-auth submissions for FL Humana/Florida Blue plans?

Yes. We submit PA requests with required clinical documentation and track turn-around times to avoid claim denials.

Related resources

See our full Cardiology Medical Billing services, Florida medical billing services, or download the 2026 Cardiology CPT Cheat Sheet.

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