Radiology billing & credentialing
Professional and technical components, prior auths and razor-thin per-study margins: radiology only works at volume when every claim is clean. We keep them clean.
- Focus
- 26/TC split, IR, imaging
- Prior auth
- MRI/CT/PET managed
- Clean claims
- 95%+ first pass
- Built for
- High throughput
Why radiology is different
Radiology is high-volume and low-dollar-per-study, so a small clean-claim gap scales into serious lost revenue, and advanced imaging denies fast without prior authorization.
We split professional and technical components correctly with modifiers 26 and TC, secure prior authorizations for MRI, CT and PET, code interventional procedures, and appeal medical-necessity and LCD denials that pile up at scale.
What our radiology billing covers
- Professional / technical component split with modifier 26 and TC
- Prior authorization for MRI, CT, PET and other advanced imaging
- Interventional radiology procedures coded and bundled correctly
- Contrast and supply codes captured with each study
- Medical-necessity / LCD denials appealed at volume
- Global vs split-billing set up to match each facility arrangement
Credentialing for radiology
Radiology credentialing means reading credentials and facility enrollments as well as payer panels. We handle the whole stack.
- Medicare (PECOS) & Medicaid enrollment for every provider
- Commercial payer paneling matched to your patient mix
- CAQH build, attestation & ongoing maintenance
- Revalidations and re-credentialing tracked before they lapse
- Facility and imaging-center enrollments alongside individual paneling
- Teleradiology and multi-state licensure enrollment for remote reads
Want radiology claims that actually pay the first time?
Send us a sample of your denials.
We’ll show you exactly where the money is leaking, free.