Advanced Radiology Billing Services for Faster, Smoother Reimbursement Process
Every radiologist looks tired, stressed, and even exhausted. Why? It’s not because they handle more patients, but because of the unpaid services. Even though they provide the utmost care to patients, they often have to wait weeks or months for payment. In some cases, they received denials, which is the most hurtful for providers.
Don’t worry, it doesn’t go the same anymore! Because eClaim Solution offers advanced radiology billing services at transparent pricing across the USA. From patient registration to payment posting, our certified medical coders and billers handle everything for you. Turn your denied claims into revenue now!
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Why Radiologists Need to Hire Medical Billers?
In the last couple of years, radiology billing has had high denial rates of 12-15%, compared to other specialties in the healthcare industry. The reasons for increasing claim denials include medical coding complexity, which requires accuracy across three components: technical, professional, and global. A medical biller must know who to bill and which modifier to use so that the payer won’t reject submitted claims. A general biller might have made unbundling or upcoding errors, or used inaccurate codes for imaging, X-rays, and MRI, which increase the chances of refusals.
Here’s why radiology practices need to outsource radiology billing services.
- Minor errors in using modifiers based on technical and professional components, such as (-26 for professional & -TC for technical), can lead to high audit risks and even denials. Expert radiology billers know exactly where to use these modifiers because they have done it thousands of times, ensuring you always get paid and achieve a clean claim ratio.
- A professional radiology billing company like eClaim Solution maintains compliance standards to help you avoid penalties and data breaches.
- Outsourcing cuts your manual paperwork, while helping you focus on what matters the most: your patients’ health.
- Radiology billing specialists know exactly how to use imaging billing codes for MRI, CT, PET scans, sonography, and ultrasound, ensuring compliance with specific payer coding guidelines to maximize reimbursement.
How eClaim Solution Handles Uniquely Complex Radiology Medical Billing
With years of experience and specialization across multiple medical billing specialties, our RCM specialists have a strong understanding of how to bill for radiology practices. By staying updated with every change from payers in coding or compliance, our professionals submit claims accordingly. From independent diagnostic imaging centers and hospital radiology groups to radiology oncology centers and mobile imaging providers, we have covered every aspect that improves your financial growth, lowers the denial ratio, and helps recover lost revenue. Here’s what you will gain by choosing our radiology medical billing services;
Our Radiology Billing & Coding Expertise to Maximize Revenue
Losing revenue due to billing errors, coding mismatches, and wrong modifiers? Not anymore! Because our experts provide radiology billing and coding services that ensure accuracy in every assigned code, maximizing reimbursement. With extensive knowledge of radiology coding, our specialized coders use valid CPT and ICD-10 codes, along with modifiers, to avoid delays and claim rejections.
Our AAPC-certified medical coders know exactly how to use CPT codes. From X-rays, mammography, CTI, and MRIs (70010–76499) to pelvic or abdominal ultrasounds (76506–76999), our specialists use valid codes with or without contrast to ensure a fast billing process.
Without ICD-10-CM codes, you can’t get payments for services. We know the difference between R and Z codes and when to assign them for faster payments. From R07.9, R10.9, R91.8, to Z79.899, Z12.31, we ensure accuracy and maintain medical necessity to avoid payment delays.
With us, you’ll never lose your payments! Our certified coders understand the exact use of modifiers (-59, -26, -TC, -RT, -LT), avoid outdated modifiers, and stay up to date with coding changes to ensure you receive quick payments.
Our team of medical billing experts ensures accurate coding for diagnoses and interventional procedures, including biopsies, angioplasty, and stent placement, and clearly explains what is treated in patients’ care to meet payers’ coding standards.
AI-Driven Radiology Billing Solutions to Reduce Denials
No more revenue leakage! eClaim Solution reduces denials by implementing AI-driven radiology billing solutions. Our team of experts use advanced AI billing tools that translate clinical notes into standardized medical codes, ensuring accuracy in every claim submission. It not only helps assign codes but also detects inaccurate codes, missing patient demographics, and outdated modifier use before claim submission, ensuring a first-time claim acceptance rate, lower denials, and maximizing revenue.
Predict Prior Authorization Needs
Billers often overlook prior authorization checks due to workload constraints, leading to higher denial rates. Implementing AI tools in billing software predicts pre-approvals based on the CPT codes before a claim is sent to the payer, preventing claim rejections.
Real-Time Verification
By implementing AI tools, we detect eligibility and benefits errors, including copays, deductibles, and insurance plans, before claim submission, improving the revenue cycle.
Our HIPAA-Compliant Revenue Cycle Management For Radiology Practices
To support your radiology practice’s growth, our billing professionals strictly follow HIPAA policies, specialty-specific rules, and CMS coding guidelines to prevent costly penalties and improve the overall revenue cycle.
Data Protection
Avoid Frauds
Minimize Revenue Leakage
Why eClaim Solution is Your Trusted Radiology Billing Partner
When choosing your radiology billing partner, do so wisely, because it means either you earn dollars or drain revenue! With years of experience in the healthcare industry, we stand out as the best RCM company among others due to our exceptional radiology billing services, which deliver measurable results for every practice. Over millions of claims we have processed so far, with an 85% pass-clean claim ratio. Here’s why you should choose us as your radiology billing partner:
98% Clean Claim Ratio
By using advanced technology, we detect minor coding errors and missing authorization checks before submitting claims, resulting in a 98% clean-claim ratio.
End-to-End RCM Services
We provide comprehensive revenue cycle management services to ensure you receive your payments on time, without stress, while maintaining a focus on patient care.
Lower A/R Days
Our team of healthcare billing experts always submits claims within the required 90-day period, keeping accounts receivable (A/R) days under 30, so you don’t have to wait long for payment.
24/7 Billing Support
Whether you need help with claim denials or want an update on payments, our team of billing professionals is available 24/7 to support your radiology practice.
Certified Medical Coders
With us, you’ll get access to AAPC and AHIMA-certified medical coders who ensure accuracy in every assigned code for a faster, cleaner claim submission.
Smooth EHR Integration
Our specialized radiology billing team efficiently integrates with your existing EHR software, ensuring your data flows smoothly.
Look What You’ll Get By Partnering With Us
Revenue Growth
Accurate IR Coding
Transparent Pricing
Decrease in Denials
Fast Claim Submission
More Specialties We Cover Under Medical Billing Services
We provide medical billing services to help every specialty receive payment for the services they render. Regardless of niche complexity, we deliver high-quality medical billing services that boost cash flow, reduce administrative workload, and minimize payment delays. Here’s what specialties we cover;
Dental Billing
Pediatric Billing
Cardiology Billing
Dermatology Billing
Our Nationwide Presence
Boost your radiology practice’s growth with us! No matter where you are. Whether in Texas, Pennsylvania, Michigan, New York, Illinois, California, or anywhere else across the USA, our experts are always available to serve you with the best radiology billing services at transparent prices.
Frequently Asked Questions
Radiology billing services aim to help radiologists get payment for rendered services on time and accurately. It is a whole process that includes claim submission through medical coding, charge capture, eligibility checks, payment posting, and, if denials occur, an appeal to resubmit it until the radiologist receives payment.
Our team of experts handles almost every EHR software integration efficiently and smoothly, ensuring your data flows are never disrupted. Some of them include eClinicalWorks, Therapy Notes, Office Ally, Tebra, and WebPT.
Yes, we handle prior authorization checks under our medical billing services to ensure smooth, fast, and accurate payments.
Yes, absolutely. Our experts stay up to date with CMS and payer guidelines for radiology billing, whether it’s adding new codes or deleting old ones. We strictly follow all policies to ensure compliance, protect patients’ data, and avoid penalties.
