Precise imaging CPT coding, clean professional and technical claims, and fewer payer denials for radiology groups and imaging centers, handled by a dedicated billing team.
Radiology billing has its own rules. Every study depends on a valid order, proven medical necessity and the right split between professional and technical components. Add contrast materials, laterality, repeat studies and strict advanced imaging authorizations, and a small mistake can mean a denied claim or an underpayment. Our team manages these details so your radiologists can focus on reading studies.
We follow each study from order to final payment so nothing is missed.
We review unpaid and pending claims every day and follow up with payers promptly.
We match each study’s diagnosis to payer coverage policies before the claim goes out.
We compare payments against contracted rates and dispute anything paid too low.
From the referring provider’s order to the final payment posting, each stage of our process is built around how imaging claims are actually reviewed and paid.
We confirm a valid referring provider order and check that the diagnosis supports the study under payer and Medicare coverage policies.
We obtain approvals for CT, MRI, PET and nuclear medicine studies, including those managed through radiology benefit managers, before the scan is performed.
We bill global, professional (modifier 26) and technical (modifier TC) services correctly, based on who owns the equipment and who reads the study.
Coders assign accurate codes from the 70000–79999 range, including with/without contrast, views and contrast material HCPCS codes.
We apply modifiers such as 50, RT/LT, 59 and 76 correctly and account for multiple procedure payment reductions on same-session studies.
We analyze denial patterns, file timely appeals and chase aging A/R and short payments to protect your collections.
We support every step from scheduling and order intake to charge capture, coding, claim submission, payment posting and patient statements. The goal is steady cash flow and less admin work for your staff.
An in-house billing team means salaries, software, training and constant payer updates. One missed modifier or an unauthorized scan can cost far more than the work itself. With RCM360 Solutions you get experienced radiology billers without the overhead, along with transparent reporting and a team that keeps up with CMS and payer changes.
We work inside the EHR/EMR and RIS you already use, so your technologists and radiologists keep their current workflow. Our team pulls charges, reports and patient details directly from your system to keep billing accurate and on time.
See where your imaging practice may be losing money. Share your details and our team will review your denials, A/R and coding, then send you a clear list of improvements.
We support imaging practices across the country and understand each state’s payer requirements.
Yes. We offer free online consultations where we review your current billing process, find revenue gaps and explain how our radiology billing services can improve your collections.
Yes. We handle global billing as well as separate professional (26) and technical (TC) claims, so each is billed to the right payer under the right modifier.
We check each study’s diagnosis against payer and Medicare coverage policies before the claim is submitted. If a claim is still denied, we review the reason, correct the issue and file a timely appeal.
Yes. Our team follows HIPAA-compliant processes for handling patient information, and access to your data is limited to the staff working on your account.
Let our billing experts review your claims, denials and A/R for free. We’ll show you where revenue is slipping away and how to fix it, with no obligation.
