Authorization gaps
Advanced imaging denied for missing authorization. Obtained and tracked before the study.
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Radiology medical billing services
Radiology billing is defined by component billing — technical for the facility or imaging center, professional for the interpreting radiologist — plus modality-specific rules, contrast and medical-necessity policies, and prior authorization on advanced imaging. Volume makes clean first-pass claims essential.
What makes radiology billing different
General billers treat every specialty the same. These are the rules, code families and payer habits that decide whether radiology claims pay the first time.
- Every imaging code splits into technical (TC) and professional (26) components, or is billed globally when one entity owns both.
- CT, MRI and PET require prior authorization from most commercial payers and specific diagnosis support.
- Contrast administration and the contrast agent have separate codes and payer rules.
- Multiple imaging in the same session is subject to multiple-procedure payment reductions on the technical and professional components.
Denials we see most in radiology
Every denial gets a root cause, a fix and a feedback loop, so the same denial stops coming back.
Component errors
TC and 26 billed incorrectly. Mapped per site and arrangement.
Medical necessity
Studies denied for non-covered indications. Coded from the order with policy checks.
How Core MB bills for radiology
A dedicated team that already knows your payers' rules, plus the reporting to prove it is working. Credentialing for new radiology providers runs in the same system, tracked live in your client portal.
- Component billing mapped per site.
- Prior authorization management for advanced imaging.
- Medical-necessity coding from the order and payer policy.
Everything in the service
The full revenue cycle as standard for radiology practices, priced on what we collect for you. Take all of it, or start with one piece such as AR recovery or credentialing.
- Insurance verification and eligibility checks
- Charge entry and specialty-specific coding review
- Claim scrubbing and electronic submission
- Payer follow-up on every open claim
- Denial management and appeals
- Payment posting and reconciliation
- Accounts receivable recovery
- Patient statements and balance support
- Monthly reporting you can read in five minutes
- Provider credentialing and payer enrollment
Radiology billing questions
How does component billing work in radiology?
The technical component covers the equipment and technologist; the professional component covers the interpretation. Each is billed by whoever provides it, or globally when one entity does both.
Which imaging needs prior authorization?
CT, MRI, PET and nuclear studies with nearly all commercial payers, and increasingly with Medicare Advantage. We obtain and track them.
Do you handle multiple-procedure reductions?
Yes. We sequence same-session studies so reductions apply correctly under each payer's rules.
How do we get started with Core MB for radiology billing?
Send us your specialty, provider count and monthly claim volume through the quote form and we will come back with a written proposal. Transitions run alongside your current billing so nothing is dropped, and credentialing for new radiology providers can start at the same time.
More in diagnostics
Find out what your radiology billing is leaving on the table
Send us a snapshot of your current billing and we will come back with a quote and a realistic view of recoverable revenue.