U.S.-based radiology billing experts ensuring accurate CPT/HCPCS coding for MRI, CT, X-ray, ultrasound & nuclear medicine—with 97% clean claims and 60% fewer denials.
Request a Free RCM AuditExpert application of diagnostic radiology codes—including complex guidance, contrast, and bilateral modifiers—to prevent underpayment or bundling errors.
Correct component billing for hospital-based, outpatient, and teleradiology services—ensuring both the radiologist and facility get paid in full.
Pre-submission edits catch missing modifiers, payer-specific bundling rules, and global period conflicts before claims go out.
Seamless charge capture from radiology reports, scheduling systems, and PACS—no manual data entry or lost studies.
Denied claims are appealed within 72 hours with radiology reports and clinical justification—recovering 87% of lost imaging revenue.
Your U.S.-based expert tracks modality-specific KPIs: payment per study, denial trends, and payer contracts for MRI, CT, PET, and more.
Radiology billing is highly technical—missing modifiers or incorrect component billing can trigger 100% denials or severe underpayment.
Failure to apply -26, -TC, -50, -RT/LT, or -KX leads to automatic bundling, denials, or 50% payment loss on bilateral studies.
Submitting global when only professional (or vice versa) is allowed—especially in hospital-based settings—triggers payer recoupments.
Commercial payers (e.g., United, Aetna) bundle follow-up scans or guidance codes—missing these edits causes denials with no appeal path.
Manual workflows cause 3–7 day lag—studies get missed or coded without full clinical context, leading to denials.
Built for imaging centers, hospitals, and teleradiology groups that demand precision in every claim.
Verify eligibility, benefits, and prior auth (for advanced imaging) before the patient arrives.
Extract CPT, laterality, contrast, and guidance details directly from radiology reports and scheduling systems.
Apply -26, -TC, -50, -RT/LT, and payer-specific edits based on service location and provider role.
Submit scrubbed claims daily with real-time NCCI and payer bundling checks.
Monthly dashboard: avg. reimbursement per MRI/CT/X-ray, top denial reasons, and payer performance by modality.
Clean Claim Rate
Fewer Denials
Higher Net Collections
Based on 48 imaging clients served in 2024. Results may vary.
Explore our latest insights on medical billing, compliance, and specialty-specific strategies.
Read Our Billing InsightsThe average imaging center loses $60K–$180K/year to missing modifiers, incorrect component billing, and delayed charge capture.