Comprehensive Radiology Billing Services
At A Medi Solution, we offer scalable radiology medical billing services tailored to the specific needs of your practice. Our end-to-end solutions include full revenue cycle management (RCM), accounts receivable (A/R) recovery, advanced EHR/EMR integration, practice management support, and tools to enhance patient engagement. Whether you’re a solo radiologist or a multi-provider imaging center, we help streamline your billing processes and maximize reimbursements.
The Results Will Amaze You
88%
First Pass Clean Claims Rate
15-20%
Revenue Increase
30%
Reduction in A/R
Simplified Billing. Amplified Revenue
Partner with us for streamlined radiology billing services, so you can focus on patient care with ease.
Radiology Billing Services for Faster Reimbursements
〫We manage billing for professional services provided by radiologists and other specialists, ensuring accurate and timely claim submission.
〫For hospital and skilled nursing facility (SNF) patients, we ensure all claims meet the latest regulatory standards and payer requirements.
〫Our team bills according to radiology’s key components—technical (TC), professional (PC), and global billing—based on your service setup.
〫We ensure correct application of CPT, ICD-10, HCPCS codes, Dx-codes, and modifiers like -26 and -TC for interventional, diagnostic, and therapeutic radiology.
〫We handle technical billing for imaging services such as X-rays, MRIs, CT scans, ultrasounds, and other advanced radiology procedures.
〫We create clear patient reports that include charges, allowed amounts, co-pays, deductibles, and co-insurance based on the Explanation of Benefits (EOB).
〫We collect EOBs from payers, identify uncovered or disputed services, and manage appeals to recover revenue efficiently.
Radiology Billing Company that Understands Your Unique Challenges
Our radiology medical billing professionals review patient records and assign the appropriate diagnosis codes, including claims that contain only a rule-out diagnosis. That means quick, timely reimbursement for you.
Medicare and Payer Compliance: NCCI Edits & MPPR Made Simple
Staying compliant with Medicare guidelines—especially NCCI (National Correct Coding Initiative) edits and MPPR (Multiple Procedure Payment Reduction) rules—is essential for accurate radiology billing and optimal reimbursement. Overlooking these policies can lead to denied claims or reduced payments. That’s why, before submitting any claims, we carefully review coding to ensure accuracy and full compliance with NCCI edits. Our advanced radiology billing software flags potential issues in real time, helping to prevent errors and improve claim approval rates. The result? Faster processing, fewer denials, and higher reimbursements for your practice.
Simplifying Authorization and Pre-Certification for Advanced Imaging
Securing prior authorization for high-end imaging procedures like MRI, CT, and PET scans can be a time-consuming process that often delays care and affects revenue. Missed or delayed authorizations frequently lead to claim denials and administrative headaches.
We take a proactive, organized approach to minimize these challenges by:
Building streamlined workflows that accelerate the prior authorization process and reduce patient wait times.
Closely tracking and managing requests, including consistent follow-ups with payers to ensure timely approvals and fewer delays.
Reducing Medical Necessity Denials in Radiology Billing
Payers often deny radiology claims on the grounds that services were not “medically necessary.” To avoid these denials, radiologists must provide clear, supportive documentation—especially when working with specialties like Pathology, Thoracic Surgery, Gastroenterology, and Urology.
Our radiology billing services are designed to address these challenges effectively by:
Applying in-depth knowledge of payer-specific policies and prior authorization requirements.
Collecting key clinical data, including medical history, imaging indications, and diagnostic codes, to justify the medical necessity.
Communicating directly with insurance companies to clarify guidelines and resolve issues proactively.
Handling appeals for denied claims with thorough documentation and professionally written appeal letters.
Why Outsource Your Radiology Billing Services to Us?
Unlike other radiology billing companies, we prioritize transparency and personalized service to enhance client satisfaction.
Clean Claims, Fewer Denials, & Streamline Operations
. 90%+ collection ratios
. 24/7 radiology billing services
. 50% reduction in overhead costs
. Client base extends over 50 states
. 70,000+ claims processing per day
. Qualified Clinical Data Registry (QCDR) for MIPS reporting
. Compliant with the No Surprise Act, ACR, CMS, HIPAA, OIG, ACA, and AMA guidelines.
. Standard and Ad Hoc reporting (Days in A/R, Collection Rates, Net Revenue)
. 600+ certified professional biller (CPB) & certified professional coder (CPC) team
User-friendly Radiology EHR/EMR/PMS Software
. Integration with PACS (Picture Archiving and Communication System) for storing and retrieving medical images.
. Appointment scheduling for patients.
. Automate billing processes.
. Secure access for patients to view their records, results, and communicate with healthcare providers.
. Ability to share data with other healthcare systems and providers
. EHR software includes a fully integrated Radiology Information System (RIS) for efficient imaging management.
Outsource your radiology billing services to A Medi Solution for a revenue boost of up to 30%!