Radiology Billing Services for Imaging Centers and Radiologists

EZE Medical Billing Services

Radiology Billing Solutions to Maintain Steady Cash Flow

Radiology plays a vital role in modern healthcare by providing essential diagnostic information through X‑rays, MRIs, CT scans, and ultrasounds. Yet the billing process for these services can be just as complex as the technology itself. Accurate coding of detailed imaging procedures, securing prior authorizations, and managing claim denials all require careful attention and specialized know‑how.

Our expert radiology billing team simplifies every step of the revenue cycle. We handle precise code assignment, timely claim submission, and follow‑up on unpaid or rejected claims.

Complete Services for the Highest Collections

Patient Coverage Verification & Eligibility Checks
Precision Coding for Diagnostic Imaging
Prompt Claim Filing & Payment Reconciliation
Denial Resolution & Root Cause Investigation
Prior Authorization for Specialized Imaging Procedures
Tailored Reporting & Revenue Analytics

Proactive Radiology Billing for Enhanced Revenue

Streamlined Prior Authorization Workflows

We simplify the approval process for high‑value imaging services to cut down on delays and boost patient satisfaction.

Accurate Coding and Claim Submission

We apply precise imaging codes and send claims promptly to secure faster reimbursements.

Custom Reporting and Revenue Insights

Gain actionable data on claim performance, authorization rates, and revenue trends to make informed decisions.

Expert Denial Management

Our team identifies and resolves claim issues early, reducing revenue loss and keeping your practice financially strong.

Comprehensive Payment Reconciliation

Every payment is tracked and matched against submitted claims to maintain clear financial records.

99.5% Authorization Success Rate

We achieve a 99.5% approval rate for imaging services from payers, ensuring your treatments proceed without interruption.

Benefits of Radiology Billing Services – EZE Medical Billing Services

Faster Reimbursements: Precise coding and prompt claim submissions speed up payment from insurers.
Reduced Claim Denials: Expert review of every claim minimizes errors and prevents denials.
Improved Cash Flow: Consistent billing processes and quick follow‑up keep revenue steady.
Enhanced Compliance: Adherence to payer guidelines and regulatory requirements lowers audit risk.
Streamlined Workflows: Automated authorization and claims tracking free up your staff for patient care.
Detailed Revenue Insights: Custom reports highlight trends, identify bottlenecks, and guide financial decisions.
Scalable Support: Services adapt as your imaging practice grows, ensuring continuous efficiency.
Patient Satisfaction: Fewer billing errors and delays result in a smoother experience for patients.

Benefits of Radiology Billing Services – EZE Medical Billing Services

Every imaging study has two parts. The technical component covers the equipment, staff and supplies used to perform the scan. The professional component covers the radiologist’s interpretation and report. Who bills which part depends on who owns the equipment and who reads the study.

Billing type	Who bills	Modifier
Global	One provider owns the equipment and reads the study	None
Professional component	Radiologist reading a study done elsewhere	26
Technical component	Facility or imaging center that performed the scan	TC

Billing the wrong component, or both the facility and the radiologist billing globally for the same study, leads to denials and payer audits. We set up the right split for every location and reading arrangement you work with.

Our expert radiology billing team simplifies every step of the revenue cycle. We handle precise code assignment, timely claim submission, and follow‑up on unpaid or rejected claims.

Imaging Prior Authorization

Most commercial and Medicaid plans require approval before advanced imaging such as MRI, CT, PET and nuclear medicine, often through a separate radiology benefit manager. We check requirements at scheduling, submit requests with the supporting clinical notes and confirm approval matches the exact study, body part and contrast before the patient is scanned.

Coding Details That Protect Your Revenue

Radiology codes change with contrast use, number of views, body side and whether imaging was diagnostic or screening. We code every study from the final signed report, apply laterality and other required modifiers, and link each study to a diagnosis that supports medical necessity.

Multiple Procedures on the Same Day

When a patient has more than one advanced imaging study in the same session, Medicare and many other payers reduce payment for the additional studies. We sequence procedures correctly so the highest paying study is paid in full and each reduction is applied only where it should be.

Interventional and Teleradiology Billing

We bill interventional radiology procedures, including the separate imaging guidance that often goes with them. For teleradiology groups, we manage billing across the facilities you read for and make sure each reading radiologist is licensed and credentialed where required. Learn more about our medical licensing services.

Radiology Billing in New Mexico

From our Albuquerque office, we bill imaging services for all four Turquoise Care plans, Medicare and commercial payers across New Mexico, supporting hospital imaging departments, outpatient imaging centers and independent radiology groups.

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Let’s Talk About Your Billing Needs

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Frequently Asked Questions

What is the difference between professional and technical component billing?

The technical component covers performing the scan, including equipment, staff and supplies. The professional component covers the radiologist’s interpretation and report. When one provider does both, the study is billed globally.

When are modifiers 26 and TC used?

Modifier 26 is used when a radiologist bills only for reading a study performed at another facility. Modifier TC is used when a facility bills only for performing the scan. Using the wrong one, or leaving it off, often leads to denials or duplicate payment issues.

Do you handle prior authorization for MRI, CT and PET scans?

Yes. We check authorization requirements at scheduling, submit requests with the required clinical notes and confirm the approval matches the exact study before it is performed.

How are multiple imaging studies on the same day paid?

Many payers, including Medicare, reduce payment for additional advanced imaging studies performed in the same session. We sequence and code each study correctly so the reductions are applied only where they belong.

Do you bill interventional radiology procedures?

Yes. We bill interventional procedures along with any separately reportable imaging guidance, based on the documentation in the procedure report.

Can you bill for teleradiology groups?

Yes. We manage billing across every facility your radiologists read for and help make sure each radiologist is licensed and credentialed in the states where they read studies.

Why are radiology claims denied so often?

Common reasons include missing authorizations, diagnoses that do not support medical necessity, wrong contrast codes, missing laterality modifiers and both the facility and radiologist billing the same component. We check each of these before a claim is submitted.