Maximize Your Revenue: Recover 95%+ of Outstanding Claims
Radiology Billing Services
Reduce Denials by 65% & Maximize Reimbursements with Specialty-Specific Coding
Modality-Specific Experts – CPT coding for MRI (70553), CT (74177), and interventional radiology (75901)
Radiology-Specific Rules – Correct use of TC/26 modifiers and laterality indicators
EHR/RIS Integration – Seamless with Epic Radiology, RamSoft, and Merge PACS
Hospital & Outpatient – Facility vs. professional component expertise
HIPAA-Compliant
Pay as you go
No fixed contract
Radiology Billing Services
Medical billing services
- Smooth Transition Between EHR/EMR Systems
- Efficient Electronic Funds Transfer (EFT), EDI, and ERA Setups
- Claims Submission Within 24 Hours
- Prompt follow-up with payers.
- Free provider credentialing, CAQH maintenance & revalidation
- Comprehensive Revenue Cycle Management (RCM) Services
- Appeals & Adjustments.
- Coding and Chart Review
- Referral Coordination with Other Doctor Offices
- Reimbursement Strategies for Optimized Billing
Why 68% of Private Practices lose 15-30% of their revenue to these preventable issues
Biggest Radiology Billing Challenges
Modality-Specific Coding Errors
Confusion between MRI (70553), CT (74177), and ultrasound (76700) codes causes 35-50% claim denials in radiology practices.
Our Fix:
Radiology-certified coders achieve 98% accuracy with ACR guidelines
TC/PC Modifier Misuse
Incorrect application of Technical Component (TC) vs Professional Component (26) modifiers leads to $28k/year in lost revenue.
Our Fix:
Automated component validation with 95% reduction in CMS edits
Prior Authorization Delays
Average 12-day wait for advanced imaging (MRI/CT) causes patient cancellations and scanner downtime.
Our Fix:
Dedicated radiology PA team with 48-hour turnaround for 90% of requests
Medical Necessity Denials
Missing ACR Appropriateness Criteria documentation results in 40% rejections for high-cost imaging.
Our Fix:
Integrated clinical decision support with 99% compliance
Interventional Radiology Coding
Complex procedures (75901-75989) with incorrect bundling lose $52k/practice/year.
Our Fix:
SIR-certified coders recover 94% of eligible fees
Laterality Errors
Missing RT/LT indicators or incorrect bilateral billing (modifier 50) causes 25% claim rejections.
Our Fix:
RIS-integrated laterality checks ensure 100% accuracy
Schedule a Consultation with Our Medical Billing Experts
We understand your need to keep things small, intimate, and personalized. Our medical billing specialists for independent small practices thoroughly study your needs and offer custom-made solutions.
Radiology Billing Services
We Offer
Radiology Billing Services
Process
Benefits of Outsourcing
Radiology Billing Services
Modality-Specific Coding
Precision coding for MRI (70553), CT (74177), ultrasound (76881), and interventional radiology (75901) with correct TC/26 modifier usage.
95% clean claim rateMedical Necessity Defense
Pre-claim ABN checks and appeal letters for denied studies (e.g., MRI L-spine without 6-week conservative care).
88% denial reversal rateHospital vs. Office Billing
Proper split of professional (26) and technical (TC) components across all settings (POS 21 vs 11).
100% complianceRadiology Prior Auths
End-to-end authorization management for high-end imaging (MRI, PET) and interventional procedures.
72-hour turnaroundRIS/PACS Integration
Seamless connectivity with Epic Radiology, RamSoft, Merge PACS, and other imaging systems.
Real-time charge captureMIPS for Radiologists
Specialized quality reporting for diagnostic measures (e.g., #130: CT Radiation Dose Reduction).
Maximize incentivesRadiology Billing Services
FAQs
How much do radiology billing services cost?
We charge 3-6% of collections (based on modality mix) with no hidden fees. Small practices start at $499/month flat-rate.
No long-term contracts
Do you handle all imaging modalities?
Specialists in:
- MRI: 70551-70559 with contrast documentation (ACR guidelines)
- CT: 71260-71275 with correct use of 3D rendering codes (76376-76377)
- Interventional: 36247-36248 for complex vascular procedures
What's your denial rate for radiology claims?
Our pre-audit system maintains a <5% denial rate (vs. 15-22% industry average) with 94% appeal success for:
- Medical necessity (ACR Appropriateness Criteria®)
- Prior authorization gaps
- Modifier misuse (TC/26/52)
How do you handle TC/PC billing splits?
We ensure compliant splits per CMS guidelines:
- Accurate 26 (professional) and TC (technical) modifiers
- Hospital vs. freestanding center rules
- Global period tracking for interventional radiology
Can you manage MIPS reporting for radiologists?
Full MIPS support including radiology-specific measures:
- Measure #145: Radiology Exposure Time
- Measure #147: Nuclear Medicine Correlation
- Promoting Interoperability for PACS systems
Do you work with radiology-specific RIS/PACS?
Seamless integration with:
- Merge PACS (automated charge capture)
- RamSoft PowerServer (modality-specific coding)
- Nuance PowerScribe (structured report linking)
How do you handle contrast documentation?
We ensure compliance with ACR Contrast Manual:
- Correct J-codes for contrast agents (J7030, J3410)
- Documentation of GFR/creatinine levels
- Appropriate use of Q9958-Q9960
What about interventional radiology coding?
Specialized support for:
- Vascular family rules (36221-36248)
- Embolization codes (37241-37244)
- Modifier usage (59, 76, 77 for repeat procedures)
Is my imaging data secure?
Enterprise-grade DICOM protection:
- HIPAA-compliant encrypted DICOM transfers
- PHI redaction in imaging metadata
- HITRUST CSF Certified infrastructure
How quickly can you onboard our radiology practice?
Efficient radiology-specific onboarding:
- 7 days for RIS/PACS integration
- 10 days for NPI/PTAN credentialing
- 0 interruption to dictation workflows
Radiology Billing Services
Insurances Covered
Medicare
Medicaid
VA Health
TRICARE
ACA Marketplace
UnitedHealthcare
Aetna
Cigna
Humana
Anthem
BCBS National
BCBS Alabama
Florida Blue
BCBS Michigan
Empire BCBS
Horizon BCBS
BCBS NC
Highmark BCBS
BCBS Texas
Premera BCBS
Kaiser Permanente
Molina
Centene
Oscar Health
Health Net
CDPHP
Capital Blue
Independence BC
CareFirst
Regence BCBS
UHC Medicare
Humana Medicare
Aetna Medicare
Cigna Medicare
BCBS Medicare
Trusted Medical Billing Services
Verified Results
Rx Credentialing LLC did an excellent job helping my practice join the MCOs. Their team made the process seamless and stress-free, answering all my questions promptly. I highly recommend them—their service is efficient, professional, and reasonably priced! 😁
I am a licensed psychotherapist and could not be more pleased with the efficient, professional services from RX credentialing services. No AI or bots here. Instead, RX offers real human beings who understand the needs of solo providers or group practice owners who are spread thin and have to wear many hats. Rx has hired talented individuals, like my account manager, Tyler, who will go the extra mile for you to ensure credentialing goes smoothly. We hit a hiccup on the road to becoming credentialed, but Tyler quickly intervened, advocating for my business so that the issue was resolved and I was approved for various insurance panels--some which have very high bars or administrative requirements. RX handled it all, informing me through each step of the process with clear and concise credentialing updates that put my fears to rest. Their services are kind of like therapy for therapists, because when you worry less about admin burdens, you can better focus on the client, while growing your business capacity. I would highly recommend them to any solo or group practice needing such services.
RxCredentialing has been a wonderful partner in helping with my credentialing for my new primary care practice as well as are assisting me with a few other services. They are very knowledgeable and most importantly they are not pushy in working with my needed timeline. Moreover, they are very responsive, and I am looking forward to expanding our relationship to include their other services such as medical billing. I was fortunate to find them while searching the web and so refreshing to deal with an organization that is really focused on helping me establish a medical practice the smart way and not just spend money foolishly on things I do not need until the time is right.
Adam and his team are excellent at what they do. They walk you through every step of the process. Highly recomend Adam and his team. always responding in quickly.
Attention to detail
Very attentive and efficient
Always available to explain things or answer questions or concerns
Very attentive and efficient
Always available to explain things or answer questions or concerns
Tyler has been an excellent person to work with. He kept us (our clinic) informed of our status throughout the credentialling process. They did the "heavy lifting" tracking down and following up so we didn't need to. Because this company handled our credentialling process, it allowed our company to focus on our number one priority--patient care. Thanks for taking care of us!!
they handled the issue quickly and professionally. I truly felt supported and confident in their assistance.
I can’t say enough great things about RX Credentialing! From the beginning, they’ve been incredibly efficient, responsive, and always a pleasure to work with. Anytime I had a question or needed assistance, they got back to me quickly with clear, helpful answers. They made the entire credentialing process smooth and stress-free! It truly feels like they care about their clients and go the extra mile to make sure everything is handled correctly and on time. I would highly recommend RX Credentialing to anyone looking for a credentialing partner who delivers every time!
David is wonderful very responsive and on top his work. Great experience.
Making the decision to use Rx Credentialing for my billing service was a game changer for my practice. Solo practice as an NP and lipid specialist has been challenging for sure. Rx Credentialing has provided the professional knowledgeable support I needed. I am so grateful to be partnering with them for my billing and credentialing needs.
The staff is great and very helpful. I have been with them for 2 years with no complaints. I am very satisfied with their service.
I have been working with this company for over a year and I have no complaints…They are really the best at what they do.
Trusting a third party with your sensitive information can be difficult. I encountered this challenge while seeking credentialing services for my business with various insurance providers. Although I received numerous proposals from credentialing firms, I was uncertain about the security of my personal data. A trusted colleague recommended Rx Credentialing LLC, based on her positive experience. I decided to engage their services, and I’m pleased to report that they handled my information securely. Moreover, their expertise and competitive pricing make them an excellent choice for anyone needing credentialing support.
Adam is very professional and kind, always responsive when I need assistance. I have billing service through this company which has been going good so far. I was lucky enough to get a wonderful virtual assistant from Adam, I don’t know what I would do without her.
Rx Credentialing did a phenomenal job assisting with credentialing for my Ophthalmology practice start-up. Tyler is responsive and kept me up to date throughout the entire process. I would recommend Rx Credentialing to anyone hands down the best. Dr. Montenegro.
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