Radiology Billing & Revenue Cycle Services
Maximize imaging revenue with precise coding, eligibility checks, and payer-compliant claims — tailored for diagnostic and interventional radiology.
From X-rays to advanced MRI and teleradiology, we help practices and imaging centers reduce denials, capture missed revenue, and remain audit-ready.
Schedule a Free ConsultationModality-Specific Coding Accuracy
We offer expert CPT and ICD-10 coding across all modalities — reducing errors and ensuring correct billing for technical and professional components.
Teleradiology Billing Expertise
We support radiologists offering remote reads by managing state licensure billing rules, POS code usage, and global vs. split billing scenarios.
- Professional vs. technical component breakdown
- State-specific payer rules for out-of-state reads
- Proper reporting of supervising physician and location
- Global code conversion for shared billing
Documentation & Compliance Review
We ensure your reports meet payer requirements — validating clinical indications, interpretation details, referring physician orders, and appropriate modifiers.
Checklist for Clean Claims:
- Signed order from referring provider
- Documented medical necessity
- Complete impression & findings
- Referring NPI capture
Avoid Audit Red Flags:
- Missing indication for CT/MRI
- Global billed with incomplete records
- Improper use of -26/-TC modifiers
Eligibility Verification & Prior Authorization
Avoid denied high-end imaging claims by confirming coverage and obtaining pre-auths for CT, MRI, PET, and nuclear studies.
- Verify patient coverage & imaging benefits
- Check for procedure authorization requirements
- Gather necessary clinical documentation
- Submit payer-specific pre-authorization requests
- Track status and update front desk
Radiology-Specific Modifiers
Radiology billing depends on precise use of modifiers. Our coders ensure correct usage to avoid bundling denials and ensure payer compliance.
| Modifier | Usage | Example |
|---|---|---|
| -26 | Professional component only | Radiologist interpretation of CT scan |
| -TC | Technical component only | Imaging center use of MRI machine |
| -59 | Distinct procedure | Two unrelated imaging studies same day |
| -76 | Repeat procedure by same provider | Repeat chest X-ray within 24 hours |
What Radiology Providers Say
Dr. Jonathan Reynolds
ImagingCare Group
"Their billing helped us reduce CT scan denials by 40% and recover thousands in missed MRI claims. Excellent modifier handling!"
Michelle T., Billing Director
Pacific Diagnostic Center
"We now get paid faster and with fewer rejections thanks to their pre-auth and eligibility verification system. Highly recommended."