Prime Doc Billing provides end-to-end radiology billing services tailored for imaging centers, independent radiologists, and teleradiology providers. We ensure accuracy in coding, compliant claim submission and strict documentation requirements for the consistent cash flow of radiology practices.
Our radiology billing experts proactively follow up on the claims to maximize reimbursement and avoid the risk for compliance.
Prime Doc Billing offers the following radiology billing services:
Our radiology credentialing specialists ensure that the radiologists and radiology-related facilities are enrolled with Medicaid, Medicare, and numerous commercial payers. We handle CAQH applications, payer contracts and re-validations. Prime Doc Billing ensures accurate radiologist credentials to avoid claim denials and payment delays.
Prime Doc Billing ensures accurate CPT coding for MRI, CT scan, fluoroscopy and ultrasound to reduce claim denials. We strictly adhere to National Correct Coding Initiative (NCCI) edits and payer-specific radiology rules to improve audit readiness of your radiology practice.
Our radiology billing experts submit claims electronically and verify claim integrity beforehand to avoid rejections and denials. We proactively follow up on the underpaid and unpaid radiology claims and monitor aging reports to increase reimbursement.
Prime Doc Billing addresses denied claims instantly to avoid the reduction in cash flow of your radiology practice. We track denials and perform root cause analysis to identify radiology denial patterns. Our radiology denial management specialists timely appeals for denied claims with supporting documentation to maximize reimbursement.
Prime Doc Billing performs efficient radiology practice management operations from front desk workflow to monthly financial reporting. We conduct insurance verification for radiology procedures and benefits estimation beforehand to increase the financial health of your radiology practice.
Our RCM analysts cover the entire financial cycle of radiology imaging services from prior authorization to patient billing. We focus on reduced AR delays and improving first-pass claim acceptance rates to ensure compliance with the payer-specific radiology guidelines.
Prime Doc Billing’s radiology-focused billing team ensures accuracy, compliance and optimized reimbursement for radiology practices:
The process of our radiology billing services include:
We verify patient, provider demographics and coverage limitations of imaging procedures before the services are provided to the radiology patients.
Prime Doc Billing ensures accurate charge capture of all the radiology procedures and imaging services for maximum reimbursement.
Our radiology coders assign accurate CPT, ICD-10, and HCPCS codes to radiology-related tests and imaging while complying with the payer-specific requirements.
We secure prior authorizations for imaging procedures to prevent claim denials for costly procedures like CT scans and MRI.
We review documentation including radiology reports and clinical indication to ensure medical necessity of the procedures and compliance
We post payments timely and accurately to generate radiology patient statements for balances. Our radiology billing team identifies underpayments and works on them to recover lost revenue for radiology practices.
Our denial management specialists analyze denied claims and resubmit them after necessary corrections. We timely appeal for radiology claims to prevent revenue leakage.
Outsourcing radiology billing services to Prime Doc Billing allows the radiology and imaging practices to focus on patient care with reduced administrative overhead. We focus on improving reimbursement accuracy to lower denial rates for your radiology practice. Prime Doc Billing maintains regulatory compliance and acts as a strategic radiology billing partner to ensure operational efficiency and financial growth for radiology practices.
With specialized rcm and medical billing services, Prime Doc Billing turns your radiology practice into a strategic revenue engine.
Frequently Asked Questions
Radiology medical billing is the process of managing and submitting radiology claims for imaging services that includes CT Scan, MRI, Nuclear medicine and ultrasounds.
Radiology billing works through a series of steps including patient verification, prior authorization, CPT and ICD-10 coding, claim submission, denial management and payment posting.
Radiology billing is complex because of the frequent NCCI bundling edits, high audit frequency, varied imaging modalities (X-ray, CT Scan, MRI, Ultrasound), strict documentation requirements and modifiers for bi-lateral procedures.
Radiology billing guidelines include:
Some of the most common radiology billing codes are:
Radiology billing differs significantly from endocrinology billing in terms of reimbursement models, documentation standards, coding requirements, denial risk, and service structure.
Radiology billing is comparatively complex because of the split billing and imaging modifiers while endocrinology billing requires in-depth knowledge of E/M coding.
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(347) 650-2656
(347) 650-2656
info@primedocbilling.com
