Billing for radiology is not general billing with a different code set. Professional and technical components, and orders that must show medical necessity from the referring provider.
Prior authorization for advanced imaging is near-universal and is the specialty’s dominant denial source.
At a glance
What drives the coding
Professional and technical components, and orders that must show medical necessity from the referring provider.
What drives the payer behavior
Prior authorization for advanced imaging is near-universal and is the specialty’s dominant denial source.
Coding
Assigned by certified coders from your documentation.
Reporting
Denials segmented by reason, payer, and provider.
Where radiology claims actually fail
- Advanced imaging performed without authorization
- Component billed by the wrong party
- Referring provider necessity not documented
How we work it
We code from what your record documents and query you when it does not support a code, which in radiology is where most of the avoidable exposure sits.
Denials are worked by cause rather than in queue order, so the same failure stops recurring instead of being re-worked every month.
We keep the books. You run the business.
Categorization, reconciliation, month-end close, and clean financial statements — with nothing left for you to chase.
View pricingHow It Works
Review
We look at your current radiology denials and aging.
Scope
A written scope and price before any work starts.
Transition
Coding and submission move across without a gap.
Report
Denial causes reported monthly, segmented by payer.
Radiology — Frequently Asked Questions
Do you have coders who know radiology?
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Yes. All coding is performed by certified coders, and specialty assignment is deliberate — professional and technical components, and orders that must show medical necessity from the referring provider.
Do you guarantee we will collect more?
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No, and nobody honestly can. Payment is decided by the payer. What we commit to is the process and the six numbers we report, which you can check against your own system.
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Book a free consultation and we will tell you what your books need and what it costs.
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