Outsource Radiology Medical Billing Services

Experience the full potential of your radiology practice with our specialized billing solutions, from charge entry to denial management.

Our customized radiology medical billing services for diagnostic imaging centers and hospitals map complex payer-specific requirements and help these practices adapt to evolving healthcare coverages. We adhere to the right billing practices, which include accurate coding and billing after contractual obligations as per the CPT and ICD-10 standards to increase swift reimbursements.

With us, you receive an all-inclusive range of services, such as charge entry, payment posting, claim submission, denial management, and patient billing. Our radiology medical billing software reviews the services provided, conducts detailed audits, and runs compliance checks to prevent errors.

Radiology Medical Billing Solutions We Offer

Enjoy effortless radiology billing with our customized services designed to help you tackle the complexities of imaging-specific payments.

1. Medical Coding and Charge Entry

   

   1. Assigning the right ICD-10, CPT, and HCPCS codes
   2. RVU-based optimization of coding
   3. Modifier application for accurate claims

2. Claims Submission Services

   

   1. Transmission of electronic and paper claims
   2. Integration of EDI and clearing house
   3. CMS-1500 and UB-04 claim processing

3. Payment Posting Services

   

   1. ERA and EOB reconciliation
   2. Contractual adjustment verification
   3. Denial and underpayment flagging

4. Accounts Receivable Management Service

   

   1. Older claims report analysis and follow-ups
   2. Outstanding claim resolution
   3. Payer-specific reimbursement tracking

5. Denial Management and Appeals

   

   1. Root cause analysis for denials
   2. Appeal drafting and submission
   3. Claim adjudication dispute resolution

6. Patient Billing and Collections

   

   1. Patient payment generation and plan structuring
   2. Outstanding balance follow-ups
   3. Regulatory-compliant collections process

7. Compliance and Audit Support

   

   1. Medical necessity and documentation audits
   2. HIPAA and OIG compliance monitoring
   3. Coding compliance review and risk assessment

8. Reporting and Analytics

   

   1. Denial trend and AR forecasting
   2. Claim rejection root cause insights
   3. KPI-based revenue cycle dashboards

9. Insurance Verification and Eligibility Checks

   

   1. Real-time coverage limitations and benefits analysis
   2. Coordination of benefits (COB) validation
   3. Preauthorization and pre-certification tracking

Are you interested in maximizing your cash flow while minimizing your administrative hassles? Then try our services to experience outstanding radiology revenue cycle management.

Why Should You Choose Our Radiology Medical Billing Outsourcing Company?

Our innovative billing technologies and healthcare industry expertise can be used to automate your claims processing, speed cash flow, and improve the radiology revenue cycle.

• Insurance Verification and Pre-Authorization

  Our real-time eligibility checks validate coverage limits and track prior authorizations for imaging exams such as MRIs and PET scans to avoid denials due to medical necessity or lack of authorization.

• Accuracy in Interventional Radiology Billing

  Our billing specialists have expertise in interventional radiology (IR) procedures, including selective vs. non-selective catheterizations, component coding, and fluoroscopic guidance.

• KPI-Based Revenue Cycle Reports

  We provide real-time, KPI-based analytics on radiology-specific revenue cycle metrics, which include modality-based profitability, reimbursement turnaround times, and AR trends.

• Swift Payment Posting and Reconciliation

  Our automated payment posting system reconciles ERA/EOB payments, and flags discrepancies for immediate payer follow-up, and identifies underpayments based on contract rates.

• Payer Negotiation and Contract Management

  We negotiate payer radiology reimbursement contracts to generate ideal fee schedules for high-revenue imaging services and track underpayment patterns to optimize collections.

• End-to-End Patient Billing and Collections Support

  Our patient-centered billing strategy offers clear statements, electronic payment options, and systematic follow-up on self-pay balances to prevent bad debt write-offs.

Additional Services You Can Benefit From

Case Study

Billing Services for a US-based Medical Billing Company

Read the case study

Partner with us for advanced radiology billing services that help you maintain accuracy and compliance while achieving faster reimbursements.