Radiology billing is a crucial aspect of healthcare revenue management, and it demands precision, expertise, and compliance with ever-evolving regulations. As radiologists focus on providing exceptional patient care, the burden of managing billing and coding processes can become overwhelming. That’s where the radiology billing company comes into play. These specialized service providers, such as Medical […]
Enhance Efficiency and Revenue with Radiology Billing Company
Read More.. Enhance Efficiency and Revenue with Radiology Billing Company
Understand the Basics of Radiology Billing Codes
Basics of Radiology Billing Codes To receive accurate insurance reimbursements it is important to have a detailed understanding of radiology billing codes. The Current Procedural Terminology (CPT) code range for radiology procedures is 70010-79999, which is maintained by the American Medical Association (AMA). This code range is further sub-divided into 7 groups namely, 70010-76499: Diagnostic […]
Understanding CT Scan Coding Guidelines
Basics of CT Scan Coding CT scan coding guidelines refer to a set of rules and principles used to assign appropriate codes to diagnostic imaging procedures performed using Computed Tomography (CT) technology. The purpose of these guidelines is to ensure accurate and consistent coding of CT scans across different healthcare settings, including hospitals, clinics, and […]
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 […]
5 Inefficiencies in Radiology Billing and Coding
Most radiology practices are currently feeling the pinch of deep reduction in imaging revenue and decreased volume. Based on an analysis of the change in imaging volume from Yale’s academic multi-specialty radiology practice, the group saw a 70 percent dip in outpatient imaging since the start of the COVID-19 crisis, including a 50 percent drop […]
Challenges to Radiology Medical Billing
Radiology medical billing has its own set of challenges. Unlike the rest of medical billing specialties, radiology billing has two components i.e., the professional component and the technical component. While billing for radiology, when a radiologist uses a radiology apparatus, dyes & machines, it must bill it under technical elements, whereas diagnostic results must be […]
Appropriate Use of Modifier 26 and Modifier TC
Most radiology services or procedures, although described by a single CPT code, comprise two distinct portions: a professional component and a technical component. The professional component is provided by the physician and may include supervision, interpretation, and a written report. To claim only the professional portion of a service, CPT Appendix A i.e., Modifiers, instructs […]
Coding for Treatment Devices in Radiation Oncology
Coding for Treatment Devices Treatment devices, designs, and construction may be charged during a course of therapy when documentation substantiates multiple volumes of interest/ports, the use of custom-made devices, and/or the necessity of replacement devices. Providers should bill for devices at the beginning of the treatment course and then may bill again later in the […]
Role of Artificial Intelligence in Radiology
To understand the role of Artificial Intelligence in Radiology first we need to understand Artificial intelligence (AI): AI and machine learning and it will also be used to develop more clever algorithms that make CAD more intelligent. To achieve this, companies need high-quality data to generate high-quality data output with pathological proof. A data learning […]
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 […]
