MBS for Physicians

Radiology

Billing Services

Optimize Your Practice Revenue & Billing Efficiency

Specialty
30 +
Clean Claim
98 %

Getting Started

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 the key performance metrics that reflect our dedication to accurate coding, reduced denials, and maximized reimbursements for healthcare providers.

Claims Processing Metrics

95%

First Pass Resolution Rate

Percentage of claims paid successfully on first submission.

21%

Average Days to Payment

Average number of days it takes for claims to be paid, typically within 21 days.

Financial Metrics

90%

Net Collection Rate

Percentage of total charges collected successfully.

30%

Denial Resolution Velocity

Average number of days taken to fix and resolve a denied claim, typically within 30 days.

Operational Metrics

100%

Average Monthly Claims

Volume of claims submitted.

98%

Staff Productivity Rate

Claims processed per biller per day.

Radiology Billing Services

Driving Claim Accuracy and Compliance for Enhanced Revenue Outcomes

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.

MBS 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.

Get Instant Access to Radiology Billing Guide

Why Choice Us

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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.

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Dedicated Account Manager

Receive personalized attention to manage your account with precision and ensure complete accuracy.

Weekly Meeting Progress

Structured updates to monitor growth and drive continuous improvement.

Monthly Dashboard Forecast

Detailed insights to anticipate trends and guide financial planning.

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System Agnostic

Flexible integration with any system, enhancing compatibility.

Multi-disciplinary Team

Expert team with diverse skills for comprehensive support.

Flexible Pricing, Waterfall Structure

Customized pricing models that adapt to your financial needs.

Start Optimizing Your Radiology Billing Process Today!

Get in touch with us for more information.