Radiology Billing Services

Specialized Radiology Billing Solutions That Drive Revenue, Reduce Denials, and Ensure Full Compliance

Why Choose Our Radiology Billing Solutions?

  • Deep Radiology Knowledge: Our team understands the challenges in radiology billing, including global versus professional/technical split billing, specialized CPT coding, and NCCI edits.

  • Custom In-House Technology: Our proprietary billing system integrates directly with HIS, EMRs, and hospital data feeds—matching radiology’s need for speed, accuracy, and flexibility.

  • Regulatory Compliance: We keep your practice compliant with CMS, HIPAA, and local payer requirements, reducing audit risk and safeguarding your revenue

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Consulmed’s Expertise

Accurate and Compliant Coding

  • Subspecialty Coding Expertise: Proficient in both diagnostic and interventional radiology, from X-rays and MRIs to advanced procedures and nuclear medicine.
  • Global, Technical & Professional Charges: Accurately split and bill claims based on site-of-service and contractual arrangements.
  • Modifier Management: Application of correct modifiers (e.g., 26, TC, 59, 76, 77) to reflect services, reduce denials, and maximize payments.

  • Clean Claim Submission: Ensure every claim is built with the correct CPT/HCPCS codes, documentation, and payer-specific rules.
  • Denial Analysis & Appeals: Rapid response to denials, focused on root-cause analysis, resubmission, and appeals to recapture lost revenue.
  • Payment Posting & Reconciliation: Detailed payment posting, with customized reports tracking collections, adjustments, and outstanding balances.

  • EMR and Hospital Data Transfers: Automated interfaces for imaging studies, reports, and patient demographics, minimizing manual entry and errors.
  • Customizable Workflows: Adapt quickly to your hospital or group’s processes for scheduling, reporting, and patient prep.

  • Productivity Dashboards: View volume by modality, provider productivity, and reimbursement trends in real time.
  • Revenue Cylcle Analytics: Track days in A/R, denials rates, and charge lag to proactively spot and solve issues

Benefits of Partnering with Us

    • Increased Revenue: Capture every billable code and split-billed charge, reducing missed revenue opportunities.
    • Reduced Denials: High first-pass acceptance rate thanks to expert coding and system edits.
    • Efficient Workflow: Direct integration with hospital and imaging systems speeds processing and reduces errors.
    • Regulatory Security: Stay fully compliant with changing healthcare laws and guidelines.

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Get Started

Ready to take the complexity out of radiology billing? Contact us to schedule a personalized consultation and discover how our experience, technology, and support can help your radiology practice thrive.