Our Specialties

Radiology Billing Services

Specialized billing solutions for radiology practices and imaging centers to optimize revenue, reduce denials, and streamline billing for diagnostic and interventional imaging procedures.

Radiology Billing Services

Our Services

Radiology Billing Expertise

  • Specialized coding for diagnostic imaging (X-rays, CT scans, MRIs, ultrasound)
  • Expert billing for interventional radiology procedures
  • Accurate coding of nuclear medicine studies
  • Compliant documentation assistance for imaging services
  • Specialized appeals for complex imaging procedure denials
  • Radiology-specific charge capture optimization
  • Payer-specific radiology documentation requirements
  • Radiology compliance program support

Coding Expertise

Common Radiology CPT Codes

Code Description
70450 CT scan of head/brain without contrast
70551 MRI brain without contrast
71045 X-ray, chest, single view
74177 CT abdomen and pelvis with contrast
76700 Ultrasound, abdominal, complete
77067 Screening mammography, bilateral

Our Process

Radiology Billing Process

Our comprehensive approach ensures maximum revenue and minimal administrative burden for your radiology practice.

Patient Registration

Patient Registration & Insurance Verification

We verify radiology-specific insurance benefits and coverage for imaging procedures and tests before services are rendered, including:

  • Verification of coverage for diagnostic imaging (MRIs, CT scans, X-rays)
  • Pre-authorization for advanced imaging studies
  • Coverage confirmation for interventional procedures
  • Patient responsibility estimation for high-cost imaging studies
  • Coordination of benefits for multiple radiology services
Radiology Coding

Specialized Radiology Coding

Our radiology coding specialists ensure accurate code assignment for all cardiovascular services:

  • Precise coding for diagnostic radiology services (ECGs, echocardiograms, stress tests)
  • Expert coding for interventional radiology procedures (catheterizations, angioplasties)
  • Accurate device coding (pacemakers, ICDs, loop recorders)
  • Proper modifiers for multiple cardiovascular procedures
  • Compliant documentation support for complex cardiac procedures
Claim Submission

Clean Claim Submission

We achieve a 98% clean claim rate for radiology services through our thorough process:

  • Cardiac-specific claim scrubbing to identify coding errors
  • Verification of medical necessity documentation for cardiac procedures
  • Inclusion of required cardiac diagnostic test results
  • Proper sequencing of cardiac diagnosis and procedure codes
  • Electronic submission to all major payers within 24-48 hours
Denial Management

Radiology Denial Management

Our specialized approach to cardiac claim denials includes:

  • Expertise in appealing medical necessity denials for cardiac procedures
  • Management of bundling/unbundling issues common in radiology
  • Documentation support for complex cardiac intervention appeals
  • Appeals for denied device implantation procedures
  • Monitoring and addressing cardiac-specific payer policy changes
Performance Analytics

Radiology Practice Analytics

Our radiology-specific reporting and analytics help optimize your practice:

  • Procedure-specific profitability analysis
  • Revenue analysis by cardiac service line (diagnostic, interventional, device)
  • Payer-specific performance metrics for radiology services
  • Denial trend analysis by cardiac procedure type
  • Recommendations for revenue optimization by service area

frequently asked questions

Radiology Billing FAQs

Get answers to common questions about our radiology medical billing services, coding challenges, and revenue optimization strategies.

Common radiology claim denials include medical necessity issues for diagnostic tests, incorrect bundling of services, missing documentation for cardiac devices, improper use of modifiers, and lack of prior authorization for certain procedures. Our specialized denial management team addresses these issues proactively to minimize denials.

Our approach to cardiac device billing involves comprehensive documentation review, verification of device information (model, serial number), proper coding of the device and associated procedures, and ensuring all required elements for reimbursement are captured. We also manage manufacturer warranties and maintain accurate inventory tracking.

Our dedicated radiology coding specialists participate in ongoing education, specialty-specific training, and radiology coding certifications. We monitor updates from the American College of Radiology, attend radiology coding webinars, and maintain relationships with radiology specialty organizations to stay ahead of changes.

For cardiac catheterization procedures, we implement a specialized review process that includes verification of the specific approach, vessels accessed, imaging performed, interventions completed, and any complications. Our team understands the complex rules around cardiac cath coding, including proper use of modifiers and correct component coding.

Ready to optimize your radiology revenue cycle?

Contact us today for a free consultation and learn how our specialized radiology billing services can benefit your practice.

How can we help you?

I can help with radiology billing questions, insurance information, or scheduling assistance.