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Radiology

Comprehensive Radiology Billing Services

  • Scalable medical billing radiology services are offered by Medsurebilling to accommodate your practice's particular requirements. Revenue cycle management (RCM), accounts receivable recovery, practice management, electronic health record/electronic medical record (EHR/EMR) technologies, and patient engagement services are all included in these all-inclusive services.
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Radiology Billing Services for Faster Reimbursements

Being a top billing business for radiology, we will assist you with:

  •  Billing for medical services rendered by doctors, irrespective of their specialty.
  •  We make sure that all claims for patients in hospitals and skilled nursing facilities (SNFs) follow the most recent guidelines.
  •  Bills based on the various cost components of radiology, such as worldwide billing, professional components (PC), and technical components (TC).
  •  For billing therapeutic, interventional, and non-interventional radiography, CPT, ICD-10, HCPCS codes, modifiers (such as modifier-26, modifier-TC), and Dx-codes must be used accurately.

  • Advanced imaging services such as CT scans, MRIs, ultrasounds, and X-rays are billed technically.

  • Detailed reports using the EOB that list charges, permitted amounts, deductibles, co-payments, and co-insurance for every patient.

  • Gather insurance companies’ EOBs to look for any disputes or unreported services. If problems occur, we resolve them and start the appeals procedure.

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Radiology Billing Company that Understands Your Unique Challenges

  • After reviewing patient records, our medical billing specialists in radiology assign the proper diagnosis codes, even for claims that simply include a rule-out diagnosis. This guarantees prompt payment for your practice.
  • Payer Compliance and Medsurebilling (MPPR and NCCI Edits)

For correct reimbursement, it is essential to comprehend the payer policies, particularly Medicare’s NCCI edits and MPPR regulations. Claims may be denied or payments may be reduced if certain guidelines are broken.

Medsurebilling takes the time to carefully check claims before submitting them to make sure all codes are correct and compliant with NCCI changes. Our software for radiology billing services can spot possible problems, which lowers errors and expedites the billing procedure. Better, quicker, and larger reimbursements were the outcomes.

  • Authorization and Pre-certification Requirements

Advanced imaging tests like MRIs, CT scans, and PET scans require prior authorization, which can be time-consuming and cause delays in patient care. Revenue loss and a higher administrative cost result from denials brought on by a lack of pre-authorization. In order to be proactive, Medsurebilling:

  •  Establishing effective procedures for handling prior authorization requests in order to minimize patient care delays.
  •  To speed up approvals, keep an eye on authorization requests and follow up with payers frequently.
  • Medical Necessity Denials

Payers frequently refuse radiology treatments because they don’t meet the “medical necessity” requirements. Radiologists must prevent this by providing adequate clinical reasoning in their reports, particularly in complex specialties such as urology, gastroenterology, thoracic surgery, and pathology. The radiology billing services offered by Medsurebilling are meant to address these issues by:

  •  keeping abreast of prior permission regulations set forth by insurance companies.
  •  Gathering crucial clinical information to support each request, such as imaging indications, diagnostic codes, and medical history.
  •  Direct communication with payers is necessary to elucidate requirements and promptly settle any disputes.
  •  Addressing appeals of requests that have been denied, including writing thorough appeal letters and providing supporting documentation.

Why Outsource Your Radiology Billing Services to Us?

  • In contrast to many other radiology billing businesses, Medsurebilling places a high value on openness and provides individualized care to increase customer satisfaction and confidence.
  • Clean Claims, Fewer Denials, & Streamline Operations
  •  90%+ Collection Ratios: Using clean claim filings to maximize your income.
  •  24/7 Billing Services for Radiology: Round-the-clock assistance to ensure continuous operations.
  •  50% Lower Overhead: Hiring professionals might result in significant cost reductions.
  •  Serving procedures in each of the 50 states provides nationwide coverage.
  •  Over 75,000 claims are processed every day, offering unparalleled efficiency and high volume capacity.
  •  Complete compliance with MIPS reporting requirements for the Qualified Clinical Data Registry (QCDR).
  •  Regulatory Compliance: Completely compliant with AMA, ACR, CMS, HIPAA, OIG, ACA, and the No Surprise Act.
  •  Strong Reporting: both standard and customized reports (such as Net Revenue, Collection Rates, and Days in A/R).
  •  More than 800 Certified Professionals a group of billing and coding professionals with CPB and CPC certifications.
  • User-friendly Radiology EHR/EMR/PMS Software
  •  PACS Integration: Effective storage and retrieval of medical pictures through a smooth integration with Picture Archiving and Communication Systems.
  •  Patient Appointment Scheduling: streamlined scheduling to lessen administrative load and enhance workflow.
  •  Automated Billing Procedures: Automation can speed up reimbursement and cut down on human error.
  •  Secure Patient Access: Patients can securely contact with clinicians and examine imaging results and medical records.
  •  For coordinated care, interoperability allows data to be shared easily with other healthcare systems and providers.
  •  A built-in RIS for efficient reporting and end-to-end imaging process is called an Integrated Radiology Information System (RIS).

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