As a premier radiology billing company, we provide the following services:
– Billing for professional services rendered by physicians across various specialties.
– Ensuring that all claims for hospital and skilled nursing facility (SNF) patients comply with the latest standards.
– Managing bills according to diverse radiology cost components, including technical components (TC), professional components (PC), and global billing.
– Accurate application of CPT, ICD-10, HCPCS codes, and modifiers (such as modifier-26 and modifier-TC) for billing therapeutic, interventional, and non-interventional radiology services.
– Technical billing for advanced imaging services, including X-rays, MRIs, CT scans, and ultrasounds.
– Providing clear reports for each patient that detail charges, allowed amounts, deductibles, co-payments, and co-insurance, utilizing the Explanation of Benefits (EOB).
– Collecting EOBs from insurance providers to identify any uncovered services or disputes. If issues arise, we address them promptly and initiate the appeals process.
Grasping the payer policies, particularly Medi Billing’s NCCI edits and MPPR regulations, is vital for securing proper reimbursement. Failing to adhere to these guidelines can lead to claim denials or diminished payments.
Prior to submitting claims, we diligently review them to confirm that all codes are correct and compliant with NCCI edits. Our radiology billing services software is designed to pinpoint potential issues, which aids in minimizing errors and enhancing the billing process. The outcome? Improved, quicker, and greater reimbursements.
Our radiology medical billing experts carefully review patient records and assign the correct diagnosis codes, even for claims with only a rule-out diagnosis. This ensures fast and timely reimbursements for you.
Getting prior authorization for advanced imaging procedures like MRI, CT, and PET scans can be a hassle, often causing delays in patient care.ials due to missing pre-authorization lead to revenue losses and add extra administrative work. Our proactive approach includes:
Streamlining workflows to handle prior authorization requests more efficiently, minimizing delays in patient care.
Keeping a close eye on authorization requests and following up with payers to accelerate approvals.
Radiology services are often denied by payers for not being considered "medically necessary." To address this, radiologists must ensure their reports provide sufficient evidence to justify advanced imaging studies, particularly in specialties like Pathology, Thoracic Surgery, Gastroenterology, and Urology. Our medical billing radiology services help overcome these challenges by:
- Understanding insurance carrier policies on prior authorizations.
- Collecting vital clinical details, such as medical history, imaging indications, and diagnostic codes, to support requests.
- Working with insurance companies to clarify requirements and resolve issues.
- Managing appeals for denied requests with detailed appeal letters and documentation.
Mon – Fri
09 AM – 05 PM
Sat – Sun
Closed
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8655 Bay Parkway, Brooklyn NY 11214
Mon Friday
9:00 am to 5: 00 pm
Contact us : 332-699-4299
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