Radiology Billing Services | Boost Revenue by 15–30%
Radiology billing is not just complex, it is unforgiving. A missing modifier or wrong component code, and the claim is gone.
Radiologists and imaging centers deal with some of the most technically demanding billing in healthcare. Every study has multiple components. Every payer has different rules.
Missed modifiers, denied claims, underpaid reimbursements, this is where most radiology practices lose money.
GenMediTech provides expert radiology medical billing services to fix these gaps, recover lost revenue, and make sure you get paid fully, faster.
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What Are Nephrology Billing Services
Nephrology billing services manage the full revenue cycle for kidney care practices, dialysis coding, ESRD PPS management, high-cost drug billing, and AR follow-up. It is more complex than most specialties because it combines recurring dialysis claims, bundled ESRD payments with separately billable exceptions, and expensive drug administration with precise wastage documentation.
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Satisfied Clients
Ensuring that your needs are met with precision and attention to detail.
What Makes Radiology Billing So Difficult
Most billing companies treat radiology like any other specialty. It is not. Here is what makes it uniquely challenging:
NCCI Edits and MPPR
The National Correct Coding Initiative (NCCI) prevents unbundling of procedures. The Multiple Procedure Payment Reduction (MPPR) reduces reimbursement when multiple imaging services are performed in the same session. If your billing team does not apply the right modifiers, you either lose money or trigger a denial.
Professional vs. Technical Component
When a radiologist interprets a study at a hospital or independent facility, the professional component (modifier 26) and technical component (modifier TC) must be billed separately. Many practices bill this wrong, and get paid wrong.
Pre-Authorization Requirements
High-cost imaging studies, CT, MRI, PET scans, require prior authorization from most commercial payers. One missed auth means a denied claim, regardless of medical necessity.
Contrast Agent Billing
Imaging studies with contrast require specific codes and documentation. If contrast is not billed correctly, the entire claim can be denied or reduced.
Medical Necessity Documentation
Payers require clear clinical justification for every imaging study. Without proper ICD-10 linking to the procedure, the claim fails medical necessity review.
Modifier Complexity
Radiology relies heavily on modifiers, 26, TC, 59, 76, 77, LT, RT, and others. Wrong modifier, wrong reimbursement.
EHR and Billing Platforms We Work With
We work across all major platforms, eClinicalWorks, AdvanceMD, Athenahealth, Epic, NextGen, Tebra, DrChrono, CareCloud, and more.
Your EHR stays. Your workflow stays. We plug in and start billing.
Results Our Clients See
Metric | Result |
First-Pass Clean Claim Rate | 98% |
Average A/R Days | 24 |
Revenue Improvement | 15–30% |
Denial Rate Reduction | Measurable within 90 days |
Turnaround Time | 48 hours |
Radiology Billing Services GenMediTech Provides
Interventional Radiology Billing
Interventional radiology procedures are among the most complex to bill. Embolizations, catheter placements, biopsies, vertebroplasty, drain placements, each has specific coding rules. We ensure accurate CPT coding, correct add-on code usage, and proper documentation linkage for every procedure.
Diagnostic Imaging Billing
We handle precise billing for all standard imaging modalities, X-rays, ultrasounds, mammograms, and fluoroscopy. Every claim is submitted with the correct codes, modifiers, and supporting documentation.
Advanced Imaging Billing
CT scans, MRI studies, and PET scans require pre-authorization, correct contrast coding, and proper component billing. We manage pre-auth from start to finish and submit clean claims the first time.
Nuclear Medicine Billing
Nuclear medicine billing involves radiopharmaceuticals, injection procedures, and the imaging study itself, often billed as separate line items. We manage the full claim, including the diagnostic service and the radioactive tracer, under current payer guidelines.
Professional Component Billing
If your radiologists read studies at a hospital, outpatient facility, or remotely, we correctly apply modifier 26 to separate the professional component from the technical component. You get paid for the interpretation, every time.
Technical Component Billing
For imaging centers billing the facility and equipment costs, we apply modifier TC correctly and ensure the technical component is captured on every eligible claim.
Common Radiology CPT Codes We Bill
These are frequently used codes in radiology billing. Our coders apply the correct modifiers, component designations, and ICD-10 links for every one:
| CPT Code | Procedure |
|---|---|
71045 |
Chest X-ray, single view |
71046 |
Chest X-ray, two views |
70450 |
CT head/brain without contrast |
74177 |
CT abdomen and pelvis with contrast |
72148 |
MRI lumbar spine without contrast |
76700 |
Ultrasound abdomen, complete |
76830 |
Ultrasound transvaginal |
77067 |
Screening mammography, two-view |
73630 |
X-ray foot, complete (min. 3 views) |
77080 |
Bone density study (DEXA) |
Coding in radiology goes beyond the base code. The right modifier, the right component, and the right ICD-10 linkage determine whether you get paid, or not.
How GenMediTech Handles Your Full Revenue Cycle
Eligibility Verification and Pre-Authorization
Before every high-cost imaging study, we verify patient insurance eligibility and secure prior authorization. No surprises after the study is done.
Precision Coding
Our coders are trained in radiology-specific CPT and ICD-10 coding. We correctly navigate NCCI edits, MPPR reductions, contrast agent codes, and professional vs. technical component separation on every claim.
Clean Claim Submission
Every claim goes through a scrubbing process before it leaves our system. We catch errors before payers do. Our first-pass clean claim rate is 98%.
Denial Management and Appeals
When a claim is denied, we find out why, fix it, and resubmit, fast. For complex medical necessity or authorization denials, we prepare and file formal appeals with clinical documentation.
Accounts Receivable Follow-Up
We track every unpaid claim. Aging A/R gets worked systematically until it is resolved. We do not let money sit uncollected.
Transparent Monthly Reporting
Every month you receive a clear performance report, clean claim rate, denial breakdown by category, A/R aging, collections, and revenue trends. You always know exactly how your practice is performing financially.
How We Onboard Your Family Practice
Free Radiology Billing Audit
We review your current claims, denial patterns, A/R aging, and coding accuracy. You get a clear picture of where revenue is leaking — at no cost.
Onboarding and EHR Integration
We integrate with your existing EHR and practice management system within days. No workflow disruption for your team.
Daily Billing Operations
Charges captured, coded, scrubbed, and submitted daily. Pre-auths tracked. Denials worked. Nothing sits.
Monthly Review
We walk you through your monthly numbers, flag any trends, and continuously improve your billing performance.
Most practices are fully onboarded within 5–7 business days.
Frequently Asked Questions
It combines recurring dialysis capitation codes, ESRD bundled payments with separately billable exceptions, high-cost drug billing with precise unit math, and CKD staging that directly affects value-based reimbursement. Generalist billers miss these details constantly.
The professional component (modifier 26) covers the radiologist's interpretation and report. The technical component (modifier TC) covers the equipment, facility, and staff costs. When a radiologist reads studies at a facility they do not own, these must be billed separately. Incorrect component billing is one of the leading causes of payment errors in radiology.
NCCI edits are CMS rules that prevent unbundling, billing separately for procedures that should be billed together. In radiology, this commonly affects multiple imaging studies done in the same session. Correct modifier use (like modifier 59) can override certain edits when procedures are genuinely distinct.
Yes. We manage the entire pre-authorization process, from verifying insurance eligibility to securing payer approval before the study is performed. This prevents post-service authorization denials, which are among the hardest to appeal.
Yes. We serve both. For imaging centers, we handle high-volume multi-modality billing with full technical component capture. For independent radiologists, we manage professional component billing across all facilities where they read studies.
We provide radiology billing services nationwide, across all 50 states. Our team is familiar with state-specific Medicaid rules and regional commercial payer policies.
Most practices are fully onboarded within 5–7 business days after our initial audit and access setup.
Stop Leaving Radiology Revenue Behind
Radiology billing mistakes are silent. Underpayments do not send you a notification. Missed pre-auths do not always generate immediate denials. Wrong component billing just means you got paid less than you should have, and you may never know.
GenMediTech gives your practice a dedicated radiology billing team that catches what your current process misses. We protect your revenue so you can focus on what you do best.
