Radiology Revenue Cycle Management Services
Protect Revenue. Improve Reimbursements. Fully Compliant.
From technical and professional to global, diagnostic and interventional radiology, eClaim Solution experts know how to handle your billing to maximize revenue. Get our fully compliant and audit-ready radiology revenue cycle management services that help improve reimbursements, steady cash flow, and reduce A/R days.
Revenue Metrics that Really Count On
Clean Claim Rate
Radiology Compliant
Claim Submission
8-10%
Denials Rate
24/7
Radiology Expert Support
eClaim Solution's Billing & RCM Expertise for Radiology Practices
Conduct X-rays, CT scans, and MRIs, generate reports, and submit claims — just to receive denials from health insurance companies can exhaust any radiology practice that is already struggling to keep up with revenue. That’s where eClaim Solution comes in, bringing billing and RCM expertise to imaging centers, radiology facilities, and clinical centers. Here’s what makes us stand out among others;
Radiology CPT codes expertise, whether it’s interventional or diagnostic billing.
Support practices with designated RCM managers who develop strong strategies to reduce denials.
Stay up to date with health insurance company updates to ensure clean claim submissions.
Clean and clear claims with number of views, findings, and finalized reports.
Expertise in professional, technical, and global radiology billing, with the right CPT codes and modifiers applied based on how each service is performed and reported.
Handle radiology billing software efficiently, including ImagingSoftware, eClinicalWorks, and DrChrono, to ensure smooth reimbursements.
Billing Challenges that Cost You Revenue & How eClaim's RCM Experts Resolve Them
We have worked with thousands of radiology practices, whether it’s inpatient or outpatient billing; our experts handle it efficiently. Here’s what we have seen almost every radiology practice struggle with and how our RCM radiology experts manage them;
| Challenges Radiology Practices Struggle With | How eClaim's Radiology RCM Experts Resolve |
|---|---|
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Strict prior authorization requirements for outpatient and high-cost radiology services. |
Take prior authorizations for every high-cost radiology service, including computed tomography (CT), positron emission tomography (PET), and nuclear medicine imaging studies. |
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Bundling and unbundling modifiers and CPT code requirements that trigger NCCI & CMS audits. |
Our radiology RCM experts review claims against applicable NCCI edits and CMS billing requirements to help prevent avoidable coding errors and claim rejections. |
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Incorrectly applying modifier 26 and TC to technical and professional components. |
Our radiology billing team reviews modifiers and ensures they’re correctly applied to CPT codes. |
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Confused between diagnostic and interventional radiology rules, ending up submitting wrong claims. |
Specialized in diagnostic and interventional billing that helps us submit imaging and therapeutic actions accordingly with proper rules. |
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Continuous changes in payer-specific radiology reimbursement rules. |
Train our RCM experts on upcoming payer-specific radiology billing rules to ensure accurate payment processing. |
Radiology RCM Services for Faster & Accurate Payments
From patient scheduling to claims submission and managing denials, our radiology revenue cycle management services cover every step. Here is how our radiology experts handle your revenue cycle;
Verify Insurance Coverage & Benefits
Before patients visit, we check insurance eligibility and coverage benefits, including copays, deductibles, and coinsurance — so no payment delays occur.
01
Prior Authorization For High-Cost Services
Our prior authorization experts obtain payer approvals for high-cost radiology services, such as CT scans, MRIs, radiation therapy, and PET scans, so insurers never eat your money.
02
Assign Medical Codes & Modifiers
Our radiology CPT and ICD-10 coding experts assign codes based on the documented service, medical necessity, and payer requirements. We also review professional and technical components, modifiers, and bundling rules to help prevent coding-related denials.
03
Outstanding AR Recovery
Our AR recovery and resolution experts reduce A/R days from 90 to 30 by continuously monitoring old, unpaid, and partially paid claims and write-offs (if any) while generating a report to strengthen financial stability and recovery.
07
Scrub Claims & Submit Timely
From claim scrubbing to submission, our claims management team validates patient information, place of service, coding, modifiers, and payer-specific requirements.
04
Denials & Appeals Management
Before it’s too late and you lose what’s already yours, our denials and appeals management experts review every denial code, identify the root causes, and fix them. Then we submit clear, clean appeals to recover what your radiology practice has lost.
06
Payment Posting & Patient Billing
Once we receive payments from insurers, our payment posting expert checks them against the ERA/EOB statements and reconciled bank deposits.
05
Payment Posting & Patient Billing
Once we receive payments from insurers, our payment posting expert checks them against the ERA/EOB statements and reconciled bank deposits.
05
Denials & Appeals Management
Before it’s too late and you lose what’s already yours, our denials and appeals management experts review every denial code, identify the root causes, and fix them. Then we submit clear, clean appeals to recover what your radiology practice has lost.
06
Outstanding AR Recovery
Our AR recovery and resolution experts reduce A/R days from 90 to 30 by continuously monitoring old, unpaid, and partially paid claims and write-offs (if any) while generating a report to strengthen financial stability and recovery.
07
Why Outsourcing Radiology RCM Services Matters
Inpatient and outpatient radiology services, imaging centers, clinics, and even hospitals are unsure whether to handle radiology RCM in-house or outsource. If you’re the one, you can check your in-house vs. outsourced billing costs by using our medical billing calculator — and know which one your practice should choose for better revenue outcomes.
However, many practices now outsource radiology billing services to third-party billing partners because this approach offers various benefits. Some of them include;
Faster Payment Collections
Reduced Administrative Workload
Save Salary, Training & Software Expenses
Clean Claim Submission With 98% Rate
Less Than 60 A/R Days instead of 120 Days
Clean and Clear Revenue Reporting
RCM Strategies that Identify Denial Patterns
Radiology RCM Reporting & Analytics Services
eClaim Solution’s radiology revenue cycle management services never leave you unaware of your finances. That’s why we always track, monitor, and analyze claims to maintain accurate reports, so you can make better decisions for your practice’s financial health. Furthermore, if you’re using EHR/EMR software for radiology billing, we can work with it efficiently to keep the process smooth. Some of the radiology billing software we handle;
AthenaHealth
Tebra
OfficeAlly
Practice Fusion
NextGen
Epic Radiant
TherapyNotes
WebPt
AdvancedMD
PracticeSuite
Your Radiology RCM Partner for Better Payments
Outsource end-to-end radiology revenue cycle management services to eClaim Solution’s experts, and you never need to worry about your revenue anymore. Here’s why radiology practices choose us.
1
10 Years of Radiology Billing Expertise
We have submitted radiology medical claims for almost 10 years, achieving a 98% clean claim submission rate. Our coders, billers, and RCM managers keep your revenue cycle fully optimized, helping providers and practices receive payments on time and accurately.
2
Automation & AI in Radiology Coding
By using technology and AI in medical coding, our radiology billing experts automate the revenue cycle workflows — detecting errors before submitting claims, minimizing rejections, and improving reimbursements.
2
3
24/7 Radiology Billing Support
With 24/7 radiology billing support, our experts stay in touch with clients to ensure they get answers to each query promptly.
4
Real-Time Analytics
By using advanced radiology billing software, we offer practices real-time analytics and KPI metrics of their revenue.
4
5
Compliance & Accuracy
Our radiology revenue cycle management services are fully compliant with HIPAA, CMS, and other commercial payers, helping you avoid penalties, fines, and fraud and protect your practice’s reputation and revenue.
6
Proactive Denials Management
At eClaim Solution, our radiology denials management team always works proactively. It helps us analyze denial patterns, improve insurance recovery, and protect revenue from unnecessary write-offs or delays.
6
Frequently Asked Questions
Radiology revenue cycle management is a complete financial process that starts with the patient’s visit and ends with payment posting. It ensures that imaging centers, radiology facilities, and hospitals receive accurate, on-time payments without delays.
At eClaim Solution, our radiology RCM services include a complete package that covers eligibility verification, payment posting, denial management, AR recovery, and patient billing and reconciliation.
By outsourcing RCM services, radiology practices can save on in-house expenses, such as employee salaries, training and software costs, while getting payments on time. Moreover, outsourcing helps them focus more on patient care by reducing their administrative workload and freeing them up from billing tasks.
Radiology RCM services help reduce denials by catching common billing and coding errors before claims reach the payer. This includes checking patient and insurance information, verifying coverage, using accurate CPT and ICD-10 codes, and submitting claims with the right modifiers and documentation. Ongoing denial tracking also helps identify recurring issues so they can be fixed at the source.
Radiology revenue cycle management keeps payments moving by managing every step from eligibility verification and claim submission to payment posting and A/R follow-up. Faster, cleaner claims mean fewer delays, while timely follow-ups on unpaid or underpaid claims help practices collect more of the revenue they have already earned.
eClaim Solution monitors outstanding radiology A/R, identifies unpaid and underpaid claims, and follows up with payers to resolve payment issues. Our team also analyzes denial reasons, corrects claim issues, and manages appeals when needed. This helps radiology practices reduce aging A/R, recover missed revenue, and maintain a healthier revenue cycle.