Physician Billing
Charge entry through payment posting for independent physicians and group practices.
About Physician BillingRadiology billing and coding
Radiology depends on information from others: the ordering provider, the facility and the scheduler. We catch mismatches between what was ordered, approved and read before they become denials.
Billing challenges in radiology
Order and authorization mismatch
If a study is done with contrast but authorized without, or on a different body part, the claim may deny.
Professional and technical splits
Modifiers 26 and TC must reflect who did the read and who owns the equipment.
Diagnosis from the ordering provider
Coding depends on the indication provided and the final report, so missing history can leave a study hard to support.
Multi-state and multi-site reads
Teleradiology and multiple locations can multiply the enrollment and licensing to keep current.
Codes we commonly review
These are examples, not a full list. Coverage and coding rules vary by payer, so each claim is checked against the current rules and your documentation.
- 70450–70470 CT head/brain
- 71045–71048 chest X-ray
- 72141–72158 spine MRI
- 77065–77067 mammography
- Modifiers 26, TC, LT and RT
Services that often help
Credentialing
Payer enrollment, CAQH upkeep and recredentialing dates tracked for every provider.
About CredentialingHealthcare RCM
The full revenue cycle under one team, from scheduling checks to the final payment.
About Healthcare RCMGet a second look at your radiology billing
Share a few details about your practice. We will review them and call you within one business day.