Specialty Billing Focus
Radiology Medical Billing Services Specialists
- HIPAA Compliant
- Certified AAPC Coders
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Membership & Certifications
Why Specialization Matters?
Radiology is not General Medicine. Nor Should Your Billing Be.
X-ray versus CT versus MRI.
We bill X-ray (71045-71046), CT (70450-75635), and MRI (70540-73225) separately, so you never claim one as the other.
Professional & technical components.
We appropriately code modifier 26 (professional component) when there is radiologist interpretation and modifier TC (technical component) when there is facility/equipment - no longer global billing denials.
Interventional radiology billing services.
Correct use of image guidance codes (77001-77012), catheter-based procedures, plus appropriate modifiers. Get it wrong - get a rejected claim.
Modifiers & documentation.
The correct use of modifier 26 (professional component), TC (technical component), 59 (distinct service), 76 (repeat procedure) and 79 (unrelated procedure). We also verify the notes on medical necessity, contrast type and dose, number of views/regions, and physician signature.
Scope Of Expertise
Comprehensive Radiology Coverage
X-ray, CT, MRI and Ultrasound-
Fluoroscopy, Nuclear Medicine & PET
Mammography & Interventional Radiology
Pediatric, ER and Palliative Imaging
Proper Annotation of pediatric imaging, emergency room imaging, and palliative follow-up imaging, including the consideration of reduced protocols, modifier 79 (unrelated procedure), and same day repeat imaging (modifier 76).
End-to-End Workflow
Radiology Billing Solutions
Eligibility and Verification
Pre-imaging plan checks, prior authorization of CT, MRI and interventional radiology, and verification that all studies require medical necessity.
Coding & Modifiers
Review of radiology codes in medical billing for X-ray (71045-71046), CT (70450-75635), MRI (70540-73225), ultrasound (76536-76999), and correct use of modifiers 26, TC, 59, 76, 77, and 79.
Charge Capture
Consultation, Imaging guidance, administration of contrasts, multiple regions/views and interventional supplies: a complete capture of all services to ensure nothing is omitted.
Claim Scrubbing and Submission
Edit scrub versus payer edits (view limits, contrast rules), modifiers, diagnosis associations, and place of service. Send through first-pass clean claims.
Denial Management & Appeals
Quickly correct modifier, prior authorization, and medical necessity denials. Fix pre-emptively denies CT, MRI, and interventional radiology claims and pre-emptively denies claims in other categories before they age.
AR Follow-Up and Payment Posting
Post daily the payments. Pursue overdue balances with commercial payers, Medicare and Medicaid before they become unrecollectable.
Reporting & Workflow Optimization
Real-time access to denial rates, days in accounts receivable and revenue by modality. Locate issues, optimize processes quickly.
Compliance & Audit Readiness
HIPAA-safe Operations, QA documentation, audit-ready records, and a staff of specialty-trained radiology coders to serve your practice - the full medical billing service to radiology you need.
Key Metrics for Radiology Medical Billing Services
Our Methodology
Nephrology Workflow Integration
Practice Assessment
Identify previous audits in a few checks through our precise audit systems.
Onboarding
Seamless onboarding through accurate credentialing and HER alignment.
Denial Prevention
Reduce the claim denial rate with accurate and complete Gastroenterology medical billing.
Optimization
Get the latest insights and performance metrics weekly for your revenue growth.
Practice Types
Who We Serve
Multi-Provider Radiology Groups
Freestanding Imaging Centers
Hospital Based Radiology Departments
Physician Groups & Practice Administrators
Overcoming Radiology‑Specific Challenges
X-ray vs CT vs MRI vs Ultrasound
We charge each of them individually with proper views, regions and contrasts recorded. There will be no additional incorrect code options.
Modifier Mistakes (26, TC, 59, 76, 79)
TC and 26 are often interchanged. Modifier 59 is abused. We attach them so as to avoid rejection.
Documentation Gaps
No contrast dose, laterality, physician signature, or medical necessity = no payment. We do audits to identify matters prior to submission.
Payer‑Specific Imaging Limits
MRI/CT prior auth required by most payers. Medicare contains medical necessity regulations. Medicaid is state-based. We are aware of the differences.
Comprehensive Solutions
Radiology Medical Billing & Revenue Cycle Management Services
Our radiology medical billing services are part of an integrated revenue cycle solution. As a dedicated radiology medical billing company, we provide complete radiology claims management services from intake to final payment.
Radiology Billing Services
Patient coding, filing claims, and resolving denials to expedite collections on X-ray, CT, MRI, ultrasound, and interventional radiology. [View More →]
Credentialing Services
Payer enrollment, CAQH support, and follow-up of Medicare, Medicaid, and commercial payers.
Radiology Codes
Correct coding of modalities, contrast administration, and components - fewer denials, more revenue.
Front Office Support
Insurance checking, prior authorization of CT/MRI and intake to enhance billing accuracy.
Documentation Support
Compliant with orders, contrast dose, anatomy, laterality and medical necessity.
RIS/PACS Billing Integration
RIS/PACS integration and tele-radiology billing of remote interpretations.
Got Questions?
Radiology Billing Specifics
Always Available
Radiology billing service, 24/7
Still have questions?
Get in touch with us, we can answer.
Proven Results
Success Stories from Practices
Hidden Revenue Leaks in Your Radiology Billing? We Find Them.
Wrong modifiers, missing documentation, incorrect site of service codes. We fix what general billers overlook.
Let’s talk. No obligation. Just a clear view of where your revenue is going.