Specialized Radiology Billing Services

Expert medical billing solutions designed specifically for radiology practices. Our specialized team understands the unique coding, authorization, and compliance requirements for diagnostic and interventional imaging services.

Comprehensive Billing Solutions for Radiology Practices

Illustration of comprehensive radiology coding showing CPT and ICD-10 codes for X-ray, CT, MRI, ultrasound, and nuclear medicine procedures

Comprehensive Modality Coding

Expert handling of all radiological CPT and ICD-10 codes including X-ray, CT, MRI, ultrasound, nuclear medicine, and interventional procedures.

Component Billing Management

Accurate tracking and billing of technical and professional components with proper modifiers to maximize appropriate reimbursement.

Illustration depicting efficient management of prior authorizations for advanced radiology imaging studies with delay reduction workflow

Prior Authorization Management

Efficient handling of prior authorization requirements for advanced imaging studies, reducing delays and preventing denials.

Illustration showing coordination between radiology facility and professional billing components to prevent duplicate billing and ensure compliant claims

Facility & Professional Coordination

Specialized coordination between facility and professional billing components to prevent duplicate billing issues and ensure compliant claims.

Radiology Billing Challenges We Solve

Complex Component Billing

Radiology involves unique challenges with professional and technical component separation. Our specialists understand the nuances of TC/PC modifiers and global billing rules across different settings.

Prior Authorization Requirements

We navigate the complex prior authorization processes required for advanced imaging, implementing efficient workflows to obtain approvals before services are rendered.

Multiple Location Management

Radiology groups often provide services across multiple facilities. Our team ensures proper place of service coding, modifier usage, and provider credentialing for each location.

Specific Documentation Requirements

We manage the detailed documentation requirements for different imaging studies, ensuring compliance with payer-specific rules for medical necessity and appropriate test ordering.

Benefits of Specialized Radiology Billing

Increased Collections by 15-22%

Our specialized team ensures accurate coding and billing for all radiological procedures, resulting in fewer denials and increased reimbursement rates.

Regulatory Compliance Assurance

Stay protected with our strict adherence to radiology-specific compliance requirements, safeguarding your practice from audits and recoupments.

Focus on Patient Care

By handling your billing operations, we free up your radiology staff to focus on what matters most - providing exceptional diagnostic and interventional services to patients.

Comprehensive Analytics & Reporting

Access detailed financial reports through our secure portal, giving you full visibility into your radiology practice's performance metrics across all modalities and locations.

Our Radiology Billing Process

Practice Assessment

We analyze your current billing workflows, modality mix, facility relationships, and revenue cycle to identify opportunities for improvement.

Customized Implementation

Our team integrates with your RIS/PACS systems and establishes tailored processes for your specific radiology practice needs and facility relationships.

Authorization & Eligibility Management

We verify insurance coverage and obtain necessary prior authorizations for advanced imaging procedures before services are performed.

Specialized Coding & Submission

Expert coders handle procedure documentation, proper CPT/ICD-10 assignment with appropriate modifiers, and submit clean claims within 24-48 hours of service.

Ongoing Performance Monitoring

Regular analysis of key metrics, denial patterns, and revenue trends with actionable recommendations for continuous improvement in your radiology practice.

Frequently Asked Questions

How do you handle technical vs. professional component billing?

Our specialists are trained in the complex requirements for component billing, including proper usage of TC and 26 modifiers, global billing scenarios, and facility-specific rules. We implement systems to track which components your practice is responsible for at each location and ensure appropriate billing with maximum compliant reimbursement.

Can you help with billing for multiple facilities and imaging centers?

Yes, we specialize in managing multi-location radiology billing. We maintain separate provider credentialing information, fee schedules, and billing rules for each facility. Our systems ensure proper place of service coding, location-specific modifiers, and accurate tracking of where services are performed.

How does your service handle prior authorizations for advanced imaging?

We implement a proactive approach to prior authorizations, including procedure-specific documentation templates, payer-specific requirements tracking, and efficient workflows for submission and follow-up. Our team works to obtain authorizations before appointments to reduce delays and prevent denials.

What reporting will I receive about my practice's performance?

You'll receive monthly comprehensive reports including key metrics such as collection rates, days in A/R, procedure volumes by modality, denial analysis, and provider productivity comparisons. We also provide location-specific performance reports and modality profitability analysis - all accessible through our secure online portal.

Ready to Optimize Your Radiology Billing?

Schedule a free consultation with our radiology billing specialists and discover how we can help increase your collections while reducing administrative burden.