MBC for Physicians

Radiology Billing Services

Optimize Your Practice Revenue &
Billing Efficiency

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Radiology practices face unique challenges with their diverse diagnostic and interventional procedures. From managing high patient volumes to adhering to strict coding and compliance standards, effective revenue cycle management is crucial. 

Our Radiology medical billing services are tailored to simplify these complexities, offering streamlined billing processes that maximize revenue and operational efficiency. 

By leveraging expertise in the latest radiology advancements, we help practices focus on delivering exceptional patient care while ensuring financial success.

Medical Billing At A Glance

Explore key figures that highlight our commitment to
seamless coding and optimized reimbursement.

Claims Processing
Metrics

First Pass
Resolution Rate

Percentage of claims paid on the first submission.

Average Days to
Payment

Average number of days it takes for claims to be paid.

Financial Metrics

Net Collection
Rate

Percentage of total charges that are collected.

Average Denial
Resolution Time

Average number of days taken to fix and resolve a denied claim.

Operational Metrics

Average Claims
Submitted Per Month

Volume of claims
submitted.

Staff Productivity
Rate

Claims processed per biller per day.

Radiology Billing Services

Maximizing claim efficiency and compliance for
superior revenue management

Radiology medical billing demands in-depth knowledge of CPT codes and appropriate modifiers. Clinical priorities and diagnostic constraints often limit radiologists’ involvement in billing processes, which can lead to claim delays, denials, or resubmissions.

Our radiology medical billing services are tailored to mitigate these issues, ensuring smooth revenue cycle management across diverse radiology services.

Key Services Include:

  • Bone densitometry.
  • CAT scans of chest/thorax, abdomen, head/neck, pelvis/spine, and extremities.
  • MRI of chest, extremities, spine/pelvis, and head/neck.
  • Ultrasound of internal organs and Doppler/duplex-vascular ultrasound.
  • X-rays and nuclear medicine for internal disorders.

Our experts stay updated on changes to CPT codes to ensure compliance and accurate claims processing.  Recent Updates Include:

  • CPT code 73100 for wrist X-rays (2 views, left and right) coded as 73100RT & 73100LT or 73100-50 modifier.
  • CPT codes 78000 & 78001 (thyroid determination) replaced by CPT 78012.
  • CPT 72040 (cervical spine X-ray) now billed for three views instead of 2-3 views.

Our services are both cost-effective and efficient. By maintaining physician-friendly fees and prioritizing quality, we enhance billing accuracy and maximize revenue, allowing diagnostic centers to focus on clinical efficiency. Benefits of Partnering with Us:

  • Comprehensive management for diagnostic modalities like X-rays, CT, MRI, PET, and interventional radiology.
  • Skilled use of CPT codes and modifiers to avoid delays, denials, or audits.
  • Streamlined operations for billing, coding, submission, and revenue realization.

Our billing specialists bring proven expertise and credentials to optimize revenue cycles. Our Credentials Include:

  • Certification from The American Association of Professional Coders (AAPC).
  • Proficiency with EHR software like NextGen, Epic, Cerner, AthenaOne, and more.
  • Expertise in CPT, HCPCS, and ICD-CM coding compliant with CMS guidelines.
  • Successful billing with commercial insurers like United Health, WellPoint, and Medicare/Medicaid.

We cover the entire billing process, from patient enrollment to denial management, ensuring higher collection rates and better operational efficiency. RCM Services Include:

  • Insurance verification and authorizations.
  • Charge entry, coding, and reconciliation of accounts.
  • Denial management, appeals, and physician credentialing.

Teleradiology billing involves handling HIPAA regulations, IT security compliance, and state-specific malpractice laws, creating risks of claim rejections and revenue loss. Administrative tasks and IT requirements can divert time and resources from patient care. Outsourcing to MBC provides a seamless solution by managing the billing cycle from insurance verification to claim submission and follow-ups, helping Teleradiologists focus on their expertise.

  • Expertise in navigating HIPAA-compliant billing processes.
  • Management of state-specific malpractice insurance regulations.
  • Reduction in claim rejections through accurate data handling.

MBC offers tailored solutions for Teleradiology services across the U.S., leveraging state-specific expertise. Our team optimizes revenue cycles by recommending appropriate software, identifying training needs, and eliminating revenue leakage, ensuring smooth billing operations for subspecialty services.

  • Support for CT Angiograms, MR Angiograms, Mammography, and more.
  • Coverage for Nuclear studies, Digitized X-rays, and Ultrasounds.
  • Enhanced efficiency through local expertise and advanced tools.

With ICD-10 and HIPAA 5010 compliance, our overall radiology billing affiliates are equipped to handle evolving billing standards, ensuring seamless and compliant claims processing.

Mastering Every Code for
Radiology Specialty

Our expertise spans the full code range, ensuring precision and
compliance in every claim we process

Diagnostic Radiology (Diagnostic Imaging) Procedures

70010-70319

Head and Neck

71010-71035

Chest

72010-72133

Spine

72191-72194

Magnetic Resonance (MR) Imaging, Spine

72200-72295

Upper and Lower Extremities

73010-73090

Abdomen

73510-73660

Bones and Joints

74000-74775

Gastrointestinal Tract

75000-75574

Genitourinary Tract

76000-76499

Miscellaneous

Diagnostic Ultrasound Procedures

76506-76999

Various Ultrasound Procedures

Radiologic Guidance

77001

Fluoroscopic Guidance for Needle Placement

77002

Fluoroscopic Guidance for Central Venous Access

77003

Fluoroscopic Guidance for Vascular Access

77011

CT Guidance for Needle Placement

77012

CT Guidance for Radiation Therapy Fields

77013

MR Guidance for Needle Placement

77014

CT Guidance for Stereotactic Localization

77021

MR Guidance for Radiation Therapy Fields

77022

Ultrasound Guidance for Intraoperative Procedures

Breast, Mammography

77046-77067

Mammography Procedures

Bone/Joint Studies

77071-77092

Bone and Joint Imaging

Radiation Oncology Treatment

77261-77799

Planning and Delivery of Radiation Therapy

Nuclear Medicine Procedures

78012-79999

Radioactive Imaging and Diagnostic Procedures

Specific Radiology CPT Code Updates

CPT 73100

X-ray Examination, Wrist (can include modifiers RT, LT, or -50)

CPT 78012

Replacement for CPT 78000 & 78001 (Thyroid Determination)

CPT 72040

X-ray Cervical Spine (3 Views - 2013 Update)

Download Your Radiology
Billing Guideline Here

Why Choose Us?

Analyze Practice & Benchmark

Data-driven analysis to compare and enhance your practice’s performance.

Practice Documentation SOP

Standardized operating procedures for seamless practice documentation.

Measure Results Consistently

Continuous monitoring to deliver reliable and consistent results.

Ready To Optimize Your
Radiology Billing Process ?

Real Physicians, Real Results

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