Radiology Billing Services

How We Streamline Radiology Medical Billing for Your Practice

Our team consists of certified professional coders (CPC) and billers (CPB) who are fully aware of the complexities of radiology medical billing. The AAPC-certified experts submit clean claims electronically to the clearinghouse, minimizing errors and maximizing first-pass acceptance rates. Here’s how they do it for you:

• Integrate Electronic Medical Records (EMR), Electronic Health Records (EHR), Electronic Data Interchange (EDI), and Practice Management Systems (PMS) with radiology-specific billing software to facilitate electronic claims processing and electronic payment processing.
• Gather patient demographics (medical history, physician referrals) and insurance details (coverage upfront, preauthorization requirements, effective dates, expiration dates, claims addresses) to verify eligibility for claims processing.
• Delegate professionals with niche expertise in value-based billing, telemedicine billing, capitation billing, and episode-of-care billing processes.
• Segregate bills as per radiology cost components such as technical components (TC), professional components (PC), and global billing.
• Pay particular attention to using the correct radiology CPT code, ICD-10 code, HCPCS Level II codes, modifiers, and Dx-codes. The assigned codes are evaluated for quality to ensure accurate reporting of imaging procedures, proper documentation, adherence to radiology coding guidelines, etc.
• Align with the American Medical Association (AMA)-specified 70010-79999 code range for radiology procedures to handle the proposed changes and continue to provide top-notch services.
• Cover billing for interventional radiology procedures (X-rays, CT scans, and MRI), radiation oncology treatments (external beam radiation therapy, brachytherapy, and stereotactic radiosurgery), diagnostic imaging, nuclear medicine, cardiology procedures, and more.
• Align with the guidelines of Medicare, Medicaid, workers' compensation insurance, Tricare, other private insurance payers like Humana, Aetna, etc, and fee schedules relevant to each entity to ensure zero-error claims file documentation.
• Identify and address any contractual adjustments required by your payer agreements.
• Obtain EOBs from the insurance payers to verify any uncovered services or disputes. If any, we resolve it and initiate the appeals process.
• Generate transparent reports detailing charges, allowed amounts, deductibles, co-payments, and co-insurance for each patient with the help of EOB. Notify patients about their payment responsibilities to prevent unpaid claims.