Radiology Services Built Around the Complexity of Diagnostic Imaging and Image-Guided Care.
Specialty-focused medical billing, coding, and revenue cycle support for radiology practices managing X-ray, CT, MRI, ultrasound, mammography, nuclear medicine, interventional radiology, image-guided procedures, specialty imaging, and complex claims.
Talk to Our Radiology Billing Team
Tell us about your radiology practice, imaging services, and revenue cycle needs.
Radiology Billing Connects Imaging Modality, Interpretation, Technical Resources, Documentation, and Payer Rules.
Radiology revenue cycle management may involve multiple imaging modalities, professional interpretation, technical resources, contrast or procedure details, clinical indications, diagnosis coding, and payer-specific requirements.
Multiple Imaging Modalities
Radiology workflows may include X-ray, CT, MRI, ultrasound, mammography, nuclear medicine, and other diagnostic imaging.
Professional & Technical Components
Applicable radiology services can involve professional, technical, or global reporting, making component identification important during claim preparation.
Interpretation & Documentation
The imaging study, clinical indication, interpretation, report, and other required documentation should align with the submitted service.
Coding & Payer Rules
Modality-specific coding, modifiers, medical necessity, NCCI edits, authorization, and payer policies can affect the claim lifecycle.
Radiology Medical Billing Services
From insurance verification and credentialing to charge entry, radiology coding, claim submission, denial management, payment posting, and A/R follow-up, our workflow connects imaging services with the complete revenue cycle.
Insurance Verification
Verify eligibility, imaging benefits, authorization requirements, referrals, and applicable patient responsibility.
02Radiologist Credentialing
Support payer enrollment and credentialing workflows for radiologists and applicable providers.
03Radiology Charge Entry
Capture imaging studies, diagnoses, components, modifiers, and required claim information.
04Radiology Coding
Coordinate CPT, ICD-10-CM, HCPCS, component reporting, modifiers, and documentation requirements.
05Denial Management
Review authorization, coding, medical necessity, documentation, eligibility, and payer denials.
06Payment Posting
Post payer and patient payments, adjustments, ERA, and EOB information accurately.
07A/R Management
Monitor unpaid claims, aged receivables, payer follow-up, and unresolved balances.
08Radiology Revenue Cycle Management
Connect scheduling, imaging documentation, coding, claims, payments, denials, and A/R.
Radiology Billing for X-Ray, Computed Tomography, and Diagnostic Imaging Services.
Diagnostic radiology workflows should connect the clinical indication, imaging study, anatomical area, interpretation, report, applicable service components, diagnosis, and payer requirements.
Digital X-Ray
Support billing workflows for documented radiographic examinations across applicable body regions.
Chest Radiography
Connect documented indication, imaging study, interpretation, diagnosis, and claim information.
Bone & Extremity Imaging
Support radiology coding for documented skeletal, extremity, joint, and musculoskeletal studies.
CT Imaging
Billing support for applicable CT examinations, body regions, contrast considerations, and reporting.
CT Angiography
Coordinate applicable CTA services with documented anatomy, clinical indication, interpretation, and coding.
Head & Neck Imaging
Support diagnostic imaging workflows involving cranial, facial, neck, and related anatomical regions.
Abdominal & Pelvic Imaging
Connect documented indication, imaging protocol, interpretation, diagnosis, and claim requirements.
Emergency Radiology
Support high-volume diagnostic imaging workflows across emergency and urgent clinical settings.
Radiology Billing for MRI, Ultrasound, Advanced Imaging, and Image Interpretation.
Advanced imaging workflows require accurate identification of the modality, anatomical region, clinical indication, documented findings, interpretation, and applicable professional or technical reporting.
Explore Medical Coding →MRI Billing
Support billing workflows for documented MRI studies across applicable body regions and protocols.
Magnetic Resonance Angiography
Coordinate applicable vascular MRI services with documented indication, anatomy, and interpretation.
Musculoskeletal MRI
Support imaging workflows for documented joints, muscles, tendons, ligaments, and related anatomy.
Neurologic MRI
Connect brain and spine imaging with clinical indication, interpretation, diagnosis, and claim information.
Ultrasound
Billing support for applicable diagnostic ultrasound examinations and documented imaging findings.
Doppler & Vascular Ultrasound
Support applicable vascular imaging services, interpretation, anatomical site, and coding requirements.
Abdominal & Pelvic Ultrasound
Connect documented clinical indication, imaging service, interpretation, and diagnosis coding.
Image Postprocessing
Review applicable advanced imaging and postprocessing services according to documentation and payer requirements.
Radiology Billing for Breast Imaging, Nuclear Medicine, PET, SPECT, and Specialty Diagnostic Services.
Specialty imaging services bring additional modality-specific coding and documentation requirements. Billing workflows should connect the ordered study, indication, imaging procedure, interpretation, and applicable payer rules.
Screening Mammography
Support applicable screening breast imaging workflows, documentation, diagnosis coding, and claim submission.
Diagnostic Mammography
Connect documented clinical indication, diagnostic study, interpretation, and applicable coding requirements.
Breast Ultrasound
Billing support for applicable supplemental breast ultrasound and image interpretation services.
Nuclear Medicine
Support billing workflows for applicable nuclear medicine examinations, radiopharmaceuticals, and interpretation.
PET Imaging
Coordinate applicable PET imaging, clinical indication, tracer-related requirements, and interpretation.
SPECT Imaging
Support applicable SPECT study billing, documentation, diagnosis, and interpretation workflows.
Bone Density Imaging
Billing support for applicable bone density studies and documented diagnostic indications.
Specialty Diagnostic Imaging
Connect less-common imaging services with appropriate documentation, coding, and payer requirements.
Specialty Radiology Billing for Image-Guided, Vascular, Nonvascular, and Interventional Procedures.
Interventional radiology billing can involve procedure-specific coding, imaging guidance, vascular or nonvascular anatomy, supplies, sedation relationships, documentation, and applicable component or payer rules.
Vascular Interventions
Support applicable diagnostic and therapeutic vascular procedures with documented anatomy and clinical indication.
Nonvascular Interventions
Billing workflows for applicable image-guided procedures involving nonvascular anatomy.
Image-Guided Biopsy
Connect documented target, imaging guidance, procedure, pathology relationship, and coding requirements.
Image-Guided Drainage
Support applicable drainage procedures and associated imaging documentation.
Angiography
Coordinate applicable angiographic procedures, anatomical vessels, imaging findings, and coding.
Fluoroscopy-Guided Procedures
Support applicable fluoroscopic guidance and interventional procedure reporting.
Ultrasound-Guided Procedures
Connect applicable ultrasound guidance with the procedure performed and documented.
Complex Interventional Radiology
Support detailed procedure documentation, component reporting, modifiers, and claim review.
Radiology Coding Connects Imaging Documentation With CPT, ICD-10-CM, Components, Modifiers, and Claim Rules.
Our radiology coding workflow considers the imaging modality, anatomical site, clinical indication, interpretation, professional or technical component, applicable modifiers, medical necessity, NCCI edits, and payer requirements.
Radiography Coding
Support CPT coding for documented X-ray and radiographic services based on the study actually performed.
CT & MRI Coding
Coordinate modality, body region, contrast details, interpretation, and applicable coding requirements.
Ultrasound Coding
Review applicable ultrasound examinations, imaging documentation, findings, and coding.
Mammography & Nuclear Medicine Coding
Support specialty imaging coding with modality-specific documentation and payer requirements.
Professional Component — 26
Review applicable professional-component reporting when the physician portion of a radiology service is separately reported.
Technical Component — TC
Coordinate applicable technical-component reporting for services where the facility or provider furnishes the technical portion.
Modifiers & Laterality
Review applicable modifiers, anatomical site, laterality, repeat-service reporting, and payer rules.
NCCI, MUE & Medical Necessity
Review applicable coding edits, unit limitations, documentation, clinical indication, and medical necessity.
Connect Imaging Benefits, Medical Necessity, Authorization, Documentation, and Claims Before Billing.
Radiology coverage can involve payer-specific requirements, imaging authorization, clinical indications, benefit verification, referral requirements, medical necessity, and documentation related to the requested study.
Eligibility Verification
Verify active coverage, imaging benefits, plan details, and applicable patient responsibility.
Imaging Benefit Review
Review applicable coverage for X-ray, CT, MRI, ultrasound, mammography, nuclear medicine, and other imaging.
Prior Authorization
Support authorization workflows for imaging studies where payer approval is required.
Clinical Indication Review
Connect the ordered imaging study with the documented clinical indication, diagnosis, and payer requirements.
Medical Necessity
Support documentation workflows connecting the patient's condition, requested study, indication, and applicable policy.
Clean Claim Preparation
Review imaging code, diagnosis, components, modifiers, authorization, documentation, and payer requirements.
A Connected Billing Workflow From Imaging Order to Final A/R Resolution.
A structured radiology RCM process brings together verification, authorization, imaging documentation, coding, component review, claims, payment posting, denial management, and accounts receivable.
Verify
Confirm eligibility, imaging benefits, referrals, authorization, and payer requirements.
Authorize
Track applicable imaging authorization, medical necessity, and payer requirements.
Capture
Capture imaging study, modality, diagnosis, clinical indication, components, and documentation.
Code
Coordinate CPT, ICD-10-CM, HCPCS, components, and applicable modifiers.
Review
Check documentation, medical necessity, 26/TC rules, NCCI, MUE, and claim edits.
Submit
Submit accurate claims and monitor payer responses, rejections, and acknowledgments.
Resolve
Post payments, manage denials, follow up on A/R, and resolve outstanding balances.
Billing Workflows Built Around Different Radiology Practice Models.
Common Questions About Radiology Billing and Coding.
What does radiology medical billing include? +
Radiology medical billing can include eligibility verification, authorization review, charge capture, coding, professional and technical component review, claim submission, payment posting, denial management, and accounts receivable follow-up.
What radiology services can be included in a billing workflow? +
Depending on the practice and documented services, workflows can include X-ray, CT, MRI, ultrasound, mammography, nuclear medicine, PET, SPECT, diagnostic imaging, interventional radiology, and applicable image-guided procedures.
What are professional and technical components in radiology billing? +
Certain diagnostic and radiology services can have a professional component representing physician work and a technical component associated with the technical resources used to perform the service. Applicable component reporting should follow the code and payer rules.
What is modifier 26 in radiology billing? +
Modifier 26 is used for the professional component of applicable services when that component is reported separately. The specific code must support separate component reporting and the claim should follow the applicable payer requirements.
What is the TC modifier in radiology billing? +
The TC modifier identifies the technical component of applicable diagnostic or radiology services when that component is reported separately. Component reporting depends on the code and applicable payer rules.
Why is the radiology report important for billing? +
The radiology report connects the imaging study with the physician's interpretation and documented findings. Billing workflows should maintain alignment among the order or indication, performed study, interpretation, diagnosis, and submitted code.
Do radiology studies require prior authorization? +
Prior authorization requirements vary by payer, imaging modality, diagnosis, service, patient benefits, and health plan. Verification should be completed according to the applicable payer requirements.
What coding systems are used for radiology billing? +
Radiology billing workflows may involve CPT, ICD-10-CM, HCPCS, professional and technical component reporting, applicable modifiers, NCCI edits, MUE considerations, and payer-specific claim requirements.
Why are NCCI edits important in radiology coding? +
NCCI procedure-to-procedure edits help identify code combinations that may represent incorrect coding when reported together. Applicable edits should be reviewed before claim submission.
Can you help with radiology claim denials and A/R? +
Denial and A/R workflows can include claim status review, authorization and eligibility checks, coding and documentation review, component analysis, payer communication, payment posting, and follow-up on unresolved balances.
Accurate Claim Capture
Connect imaging studies with diagnoses, components, modifiers, documentation, and payer requirements.
Denial Analysis
Review eligibility, authorization, coding, documentation, medical necessity, and payer responses.
Payment Posting
Track ERA, EOB, patient responsibility, adjustments, and payment activity.
Receivables Management
Organize outstanding balances and follow-up activity across payer and patient accounts.
Build a More Connected Radiology Billing Workflow.
Bring verification, authorization, imaging documentation, coding, component review, claims, denials, payments, and A/R into one coordinated radiology revenue cycle process.