Medicare Payment Conditions for Radiology Services

Medicare covers diagnostic and radiology services, but these services must be completed or supervised by a certified radiology physician. Both radiology and other diagnostic health services go under a patient’s Medicare Part B coverage. Radiology services are typically under a fee schedule. This means the payment is either the lower billing charge or the Medicare […]


Read More.. Medicare Payment Conditions for Radiology Services

E&M Billing for Interventional Radiology

A radiology practice that includes interventional procedures has to be up to date on the use of documentation and coding techniques for Evaluation and Management (E&M) services. Since these CPT codes in the 99xxx range are less commonly utilized in many radiology practices, identifying circumstances where E&M services are billable, and then properly documenting and […]


Read More.. E&M Billing for Interventional Radiology

Benchmarking Financial Performance of Radiology Practices

Benchmarking involves comparing business statistics to historical data or to the same type of data gathered across a wider spectrum. This is only one statistic, or metric, that can be used to evaluate a practice’s performance. In addition to physician productivity, practices often measure their quality of service and financial performance against internal goals or […]


Read More.. Benchmarking Financial Performance of Radiology Practices

How to do billing for Radiology during COVID?

Radiologists who are practicing in an imaging center or other non-hospital facility have updates available which will potentially allow them to reimburse some of the added costs related to safety precautions taken during the COVID-19 emergency. Medicare will pay under the Medicare Physician Fee Schedule billing for radiology services when beneficiaries obtain services through a […]


Read More.. How to do billing for Radiology during COVID?

Impact of Radiology Billing Mistakes on Reimbursement

There are many hurdles during the process of radiology billing reimbursement. Claim rejection and postponements are not only disappointing to your imaging center but also showcase the extended timeline inpatient care, idle machines, and wasted physician hours. From the past few years, imaging centers have observed an increase in prior authorization declinations. Furthermore, in some […]


Read More.. Impact of Radiology Billing Mistakes on Reimbursement

Best Practices for Radiology Billing and Coding process

The radiology billing and coding was usually seen as a bulky process. It is quite difficult to stay upgraded on different changes in rules and regulations of an individual payer. Irregularity in billing and coding can occur in the tough radiology environment. Moreover, this can create hurdles such as lost or under-coded filing and the […]


Read More.. Best Practices for Radiology Billing and Coding process

Radiology Part B Billing for Hospital and SNF Patients

Acceptable HCPCS codes for radiology and other diagnostic services are taken primarily from the CPT-4 portion of HCPCS. Payment is the lower of the charge or the Medicare physician fee schedule amount. Deductible and coinsurance apply, and coinsurance is based on the allowed amount. For claims to A/B MACs (A) or (HHH), revenue codes, HCPCS […]


Read More.. Radiology Part B Billing for Hospital and SNF Patients

Top 3 Radiology Claims Denials and How to Avoid Them?

The goal of a well-managed radiology billing operation is to submit claims for services promptly and receive reimbursement as quickly as possible. Timely submission and prompt payment enhance the practice’s cash flow and keep the overall cost of billing at a minimum.  All too often, however, payment is delayed because the payer denies the claim […]


Read More.. Top 3 Radiology Claims Denials and How to Avoid Them?

Why documentation of procedure holds the key in Radiology Medical Billing?

Documentation of procedure is key in Radiology Medical Billing The brilliant principle for therapeutic charging has dependably been “If it’s not archived, it wasn’t finished.” For demonstrative imaging focuses, that is particularly valid, where exact repayment relies on very exact documentation and coding. What’s more, in case you’re not hitting the nail on the head, […]


Read More.. Why documentation of procedure holds the key in Radiology Medical Billing?