Radiology Billing Services

CODING

Radiology coding is highly specialized, involving both diagnostic and interventional procedures that require precision. Our coders are experienced in radiology-specific CPT, ICD-10, and HCPCS coding standards to ensure every claim is fully compliant and accurately documented.

RCM

Our radiology revenue cycle management (RCM) services focus on compliance, speed, and maximizing reimbursements while minimizing operational strain.

• We confirm insurance coverage and imaging benefits before services are rendered to avoid denials and collect upfront payments.
• All imaging services are accurately captured, coded, and reconciled to eliminate revenue leakage.
• Our experts track down denied radiology claims, correct coding or documentation issues, and submit strong appeals.
• We provide in-depth reports that highlight payer performance, denial trends, and reimbursement patterns for informed decision-making.

CREDENTIALING

Radiology credentialing requires navigating complex payer processes, verifying provider qualifications, and ensuring compliance with hospital and imaging center requirements. We take care of this process from start to finish, so radiologists can focus on patient care instead of paperwork. Our credentialing team handles:

• Initial payer enrollment applications
• CAQH, PECOS, and NPI updates
• Hospital and imaging center privileging
• Ongoing credentialing maintenance and re-credentialing

EHR

Our Radiology EHR solution is designed to meet the needs of imaging centers, teleradiology groups, and hospital radiology departments. It streamlines documentation, reporting, and billing while improving clinical efficiency. Key features include:

• Tailored templates for X-rays, MRIs, CT scans, PET scans, ultrasounds, and interventional radiology.
• Seamless integration with Picture Archiving and Communication Systems (PACS) and Radiology Information Systems (RIS).
• Built-in clinical guidelines and quality measure tracking to ensure evidence-based imaging and payer compliance.
• Automatic coding prompts for CPT/ICD-10 with modifier suggestions to minimize claim errors.
• Secure portals for report sharing, appointment scheduling, and virtual consultations

PRACTICE MANAGEMENT

Managing a radiology practice requires balancing clinical accuracy with administrative efficiency. Our Radiology Practice Management service integrates every aspect of your operations into a single, seamless system. With our practice management solutions, you can:

• Manage high imaging volumes with online scheduling, automated reminders, and radiology-specific workflow automation.
• Access updated CPT/ICD-10 libraries, payer-specific rules, and a bundling/unbundling matrix to ensure accurate billing.
• Use advanced reporting and analytics to track productivity, profitability, and turnaround times for imaging studies.
• Empower patients with portals to access imaging results, pay bills, and communicate with staff securely.
• For teleradiology and hospital networks, we centralize billing, credentialing, and compliance into one system.