The Billing Partner That Gets Every MRI and MRA Study Paid Right

Radiology Billing Solutions (RBS) runs revenue cycle management built specifically for MRI and MRA-heavy practices — imaging centers, hospital-based radiology departments, and teleradiology groups alike. From the moment a study is ordered through final payment, we manage the authorization chase, sequence-level coding, and safety documentation that MRI billing demands, so your scanners stay booked and your radiologists stay focused on reads.
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The 6 Billing Problems Quietly Draining Your MRI & MRA Revenue

MRI and MRA sit at the top of the prior-authorization food chain — radiology benefit managers scrutinize these studies harder than any other modality, and that scrutiny shows up directly in denial rates. Every stalled authorization or miscoded sequence is revenue your practice already earned and is now waiting on. These are the six issues behind most of it.

Prior Authorization Is Its Own Full-Time Job

MRI and MRA face the strictest utilization review of any imaging modality — eviCore, Carelon, and other RBMs each run their own criteria and timeline. A study performed without a valid, current authorization on file is close to guaranteed to deny.

Sequence and Contrast Coding Gets Miscounted

An MRI protocol built from multiple sequences has to be coded as the single correct combination code, not billed as separate components or the wrong contrast status. One mismatch with what’s documented in the report is enough to trigger a denial.

MRA Studies Get Coded as Routine MRI

Magnetic resonance angiography uses its own code set and justification standard, distinct from standard MRI. When an MRA of the head, neck, or extremities gets coded as if it were routine MRI, the claim denies for a code/diagnosis mismatch or underpays.

Safety Screening Gaps Create Denial and Liability Risk

Every MRI requires a documented safety and implant screening before the patient goes near the magnet, and payers increasingly expect that record to support the claim, not just protect the patient. Incomplete screening documentation is a growing denial source.

Arthrogram Billing Gets Unbundled Incorrectly

An MRI arthrogram bundles a contrast injection procedure with the imaging that follows it. Billing the injection and scan as separate, unrelated services, or missing the correct modifier, trips NCCI edits and delays payment on studies performed correctly.

Long Scan Times Turn Into Long A/R

MRI and MRA studies run longer than almost any other imaging exam, and reschedules from claustrophobia, sedation, or incompatible implants disrupt billing cadence. Without dedicated follow-up, claims sit well past the 30-40 day healthy A/R benchmark.

Complete Radiology Revenue Cycle Management

Certified CIRCC and CPC coders handle every CPT code, modifier, and global billing rule specific to diagnostic and interventional radiology — maximizing reimbursement on every encounter across all modalities and payer types.

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Wired Into Every System You Already Run

Your EHR, RIS, and PACS stay exactly as they are. We plug our coding workflow directly into what you already use — no migration, no new login for your radiologists, no disruption to how your team already works.

Coders Who Treat Every Sequence as Its Own Decision

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Our CIRCC- and CPC-certified coders code MRI and MRA studies the way they’re actually built — sequence by sequence, contrast status by contrast status — rather than defaulting to the nearest generic code. Here are 8 of the codes we code and defend most often:

Billing Built Around the Modality With the Least Room for Error

MRI and MRA don’t forgive shortcuts a missed authorization or a mis-sequenced code costs more here than almost anywhere else in imaging. RBS built its MRI/MRA workflow around that reality instead of adapting a generic imaging process to fit it.

Authorization Handling Built for the Toughest Modality

We track and pursue MRI and MRA authorizations through eviCore, Carelon, and every other RBM your payers use, submitted early enough to survive their clinical review before the patient is even scheduled.

Coders Fluent in Sequence-Level MRI/MRA Billing

CIRCC- and CPC-certified coders who code the full protocol sequences, contrast status, and MRA-specific rules — instead of applying generic imaging codes to a modality that doesn't work that way.

Safety Documentation Reviewed Before It Becomes a Denial

We flag incomplete implant and safety-screening documentation before claims go out, closing the gap between what protects your patient and what protects your reimbursement.

RIS, PACS & EHR Compatible

We work inside the scheduling and imaging systems your practice already runs, so MRI's longer scan windows and reschedules don't create extra manual work on your end.

Dedicated MRI & MRA Specialists

A billing team that handles MRI and MRA as its own discipline, not a generalist group treating high-field imaging the same as a routine X-ray.

HIPAA-Compliant & Audit-Ready

Documentation and data handling built to hold up under payer and regulatory audits, on every study, not just the ones that get flagged.

Trusted by Radiology Providers Across All 50 States

Medicare Administrative Contractor jurisdictions, state Medicaid rules, and facility licensure requirements vary meaningfully by state. As a billing partner serving radiology providers nationwide, our specialists are trained on state-specific requirements, not just national standards, so your practice’s location is never a variable in claim accuracy.
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Coverage Confirmed for Every Payer You Work With

From national carriers to regional Medicaid plans, coverage is checked against the exact payer, plan, and product type on file — never a generic match. Every result reflects current payer policy, not outdated data from months ago.
medicare
Medicaid
Molina health
Ambetter health
cigna
Elevance Health (Anthem)
United healthcare
aetna
Blue cross Blue shield
OSCAR health
Health Net
Kaiser Permanente
tricare
wellcare
Humana
medicare
Medicaid
Molina health
Ambetter health
cigna
Elevance Health (Anthem)
United healthcare
aetna
Blue cross Blue shield
OSCAR health
Health Net
Kaiser Permanente
tricare
wellcare
Humana
medicare
Medicaid
Molina health
Ambetter health
cigna
Elevance Health (Anthem)
United healthcare
aetna
Blue cross Blue shield
OSCAR health
Health Net
Kaiser Permanente
tricare
wellcare
Humana

Every MRI and MRA Study You Perform Should Get Paid in Full

Denied claims. Stalled authorizations. Aging A/R sitting on studies you already completed. Most MRI and MRA practices we review find real, recoverable leakage in their current claims and authorization workflow. Start with a free, no-obligation audit — we’ll review your claims history and denial patterns and show you exactly what’s recoverable before you decide anything.

No setup fee. No monthly minimum.

Cancel anytime.

Response within 24 hours.

Pay only a percentage of what we collect for you

HIPAA-compliant, audit-ready.

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Frequently Asked Questions

What makes MRI and MRA billing different from other imaging billing?

MRI and MRA are billed by sequence and protocol, not by a single flat code per study, and MRA carries its own code set entirely separate from standard MRI. RBS codes each study the way it was actually performed — contrast status, view combination, and modality type — rather than defaulting to the closest generic imaging code.
Radiology benefit managers apply their strictest clinical review to MRI and MRA because of their cost and the range of conditions they can be ordered for, so a routine order can face more scrutiny than an equivalent CT or X-ray. We manage that review process directly — submitting, tracking, and following up with eviCore, Carelon, and other RBMs — so a study doesn’t reach the scanner without a valid authorization already in place.
Yes. Magnetic resonance angiography has its own CPT codes and clinical-necessity standards distinct from MRI, and we code and justify MRA studies as MRA — not as a variant of a routine MRI — so the claim matches the actual exam performed.
The leading causes are authorizations that expire or don’t match the study performed, sequence/contrast coding that doesn’t line up with the radiology report, and incomplete safety-screening documentation. We prevent them upfront — verifying the authorization before the scan, coding directly from the documented protocol, and flagging missing screening records before the claim is submitted.
Yes. We code the contrast-injection procedure and the imaging that follows it as the correctly bundled or modified pair the payer expects, rather than submitting them as two unrelated services — one of the more common sources of arthrogram denials.
Yes. We integrate with the imaging and scheduling systems your practice already runs, so MRI’s longer appointment windows and reschedules don’t require any change to how your team already works.

Rebecca Lawson

★★★★★
Radiology Practice Manager

Since partnering with your radiology billing team, our billing workflow has become much smoother. They understand imaging procedures, payer requirements, coding, and claim follow-ups. Their team is responsive, professional, and always stays on top of outstanding claims.

Dr. Christopher Bennett

★★★★★
Medical Director, Diagnostic Imaging Center

Your team truly understands the challenges of radiology billing. They handle claims accurately, follow up on unpaid accounts, and help resolve billing issues efficiently. Their expertise and communication have made our revenue cycle more organized and reliable.

Dr. Andrew Whitaker

★★★★★
Radiologist & Imaging Center Owner

Our team has been an excellent partner for our imaging center. They understand radiology billing, coding, claim submission, denials, and follow-ups. Their attention to detail and consistent communication have helped streamline our billing process and improve our revenue cycle.

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