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Cardiology Medical Billing Services in Illinois

AMS Solutions provides specialized cardiology medical billing services in Illinois. From Chicago to Aurora and the rest of the state, our AAPC-certified billers handle the full cardiology code set (93451-93461 catheterization, 92920-92944 PCI, 93306-93308 echo, 93619-93655 EP) and the prior authorization for advanced imaging (CT coronary angiography, cardiac MRI, PET) and structural-heart procedures (TAVR, MitraClip) that Illinois practices need to navigate.

Illinois-specific payer landscape

We work with Illinois Medicaid (HealthChoice Illinois MCOs: Aetna Better Health, Blue Cross Community, CountyCare, Meridian, Molina, YouthCare), plus all major commercial plans: Blue Cross Blue Shield of Illinois, UnitedHealthcare, Aetna, Cigna, Humana, Health Alliance. Illinois operates under National Government Services (NGS) as the Medicare Administrative Contractor. Illinois falls under NGS Jurisdiction 6 with strict timely-filing requirements (180 days for Medicare).

Cardiology services we bill

Our cardiology billing team handles PCI/cath lab procedures, echocardiography, electrophysiology studies, nuclear cardiology, and cardiac CT/MRI. We’re particularly strong at managing the common modifier 26/TC splits, CTO PCI documentation (92943-92944), and global-period overlaps. Our workflows integrate with leading practice management and EHR platforms, including Athenahealth.

Why Illinois cardiology practices choose AMS

  • 33+ years bringing cardiology billing expertise to Medicare billing across all 8 MAC jurisdictions including National
  • 95%+ clean claim rate on first submission, vs 85-90% industry average
  • 100% U.S.-based billing team — no offshoring, all PHI stays domestic
  • HIPAA-compliant with full BAA, encrypted data exchange, role-based access
  • AAPC-certified coders — every chart is reviewed by a CPC, COC, or CRC

Frequently asked questions

Do you bill all Illinois Medicaid Managed Care plans?

Yes — every plan listed in HealthChoice Illinois MCOs: Aetna Better Health, Blue Cross Community, CountyCare, Meridian, Molina, YouthCare. We verify benefits before each billing cycle.

How do you handle National Medicare LCDs?

We work with all in-state Medicare Advantage plans, commercial plans, and Medicaid MCOs. We verify benefits and authorizations before each catheterization or imaging study.

What’s your approach to cardiology denial management?

We track payer-specific bundling rules and apply correct modifiers (26 professional, TC technical, 76 repeat) at the time of charge entry. Our denial rate on cardiology cases is under 5%.

Ready to talk? Call (214) 571-6317 or book a free 30-minute review with our team. We’ll audit a sample of your Illinois cardiology claims at no cost.

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