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Specialty billing

Billing built for Radiology & Diagnostic Imaging

Imaging billing across modalities — prior auth for advanced imaging, PC/TC splits, and payer-specific multiple-procedure reductions.

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The challenges

Where radiology & diagnostic imaging revenue leaks

  • Advanced imaging (MRI, CT, PET) requires near-universal prior authorization
  • Multiple-procedure payment reductions applied incorrectly go unnoticed
  • Professional/technical splits vary by site and contract

Our playbook

How we fix it

  • Imaging-specific prior authorization workflows with AUC awareness
  • MPPR validation against payer contracts
  • PC/TC billing accuracy by facility arrangement
  • Modality-level profitability reporting

Core solutions

What radiology & diagnostic imaging clients typically use

Medical BillingEnd-to-end claim submission, scrubbing, and follow-up that gets you paid faster — engineered to a 98%+ first-pass clean claim standard.
Medical CodingAAPC- and AHIMA-certified coders delivering 95%+ accuracy across ICD-10, CPT, and HCPCS — with built-in audit protection.
CredentialingEnd-to-end provider lifecycle management — credentialing, primary source verification, expirable tracking, and AI-monitored compliance from application to recredentialing.
Denial ManagementEvery denial worked within 48 hours and root causes eliminated — because the best denial strategy is preventing the next one.
AI Revenue IntelligenceMachine learning that predicts denials before submission, prioritizes A/R by recovery probability, and finds patterns humans miss.
MIPS & Quality ReportingFull Quality Payment Program management — measure selection, data capture, submission, and score optimization that turns MIPS from a penalty risk into a payment adjustment you earn.

Get a billing health check for your radiology & diagnostic imaging practice

Free, 30 minutes, with a consultant who knows your specialty's codes and payers. We'll benchmark your denial rate, A/R days, and collections — and tell you exactly what we'd fix first.

Book my free consultation