Radiology Billing Solutions (RBS) is a revenue cycle management company built exclusively for radiology departments, imaging centers, and teleradiology practices nationwide. As a dedicated ultrasound billing partner, we handle prior authorizations, coding, credentialing, and denials — so your sonographers and radiologists can focus on scans and patient care instead of chasing payers.
Across the industry, ultrasound denial rates run higher than expected for a modality with no ionizing radiation risk — driven by limited-versus-complete exam documentation, Doppler coding, and medical necessity issues. Every one of those denials is money your practice already earned. These are the six issues behind most of it, and the ones our workflow exists to close before they cost you.
Obstetric, vascular, and echocardiography studies often require prior authorization, and each payer runs its own criteria for medical necessity. A missed or expired authorization stalls payment before the exam ever happens.
Ultrasound CPT codes split into limited and complete exams based on the number of organs or structures documented. Billing a complete exam without documenting every required element gets the claim downcoded or denied outright.
A missing 26/TC split, an incorrect Doppler add-on code, or billing a follow-up exam without the required interval-change documentation are coding slips that trip Medicare’s NCCI edits — and they’re almost always preventable.
When the ordering diagnosis doesn’t clearly justify the ultrasound performed, payers deny for medical necessity — even when the exam was completely appropriate. It’s a documentation gap, not a clinical one, but it costs the same either way.
High-performing ultrasound billing keeps claims moving through the cycle in 30–40 days. Without dedicated follow-up, unpaid and underpaid claims sit longer, and revenue your practice already earned stays parked on the books instead of in it.
Missing required anatomic elements, incomplete Doppler waveform documentation, or thin interpretation notes aren’t just denial risks — they’re exactly the patterns payer and Medicare auditors are trained to flag first.
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.
We manage payer credentialing and enrollment for radiologists, imaging centers, and IR practices. CAQH management and timely revalidations keep providers in-network without delays.
We verify patient coverage and imaging benefits before every scan is scheduled. Our team flags missing prior authorizations and AUC gaps early, preventing denials and protecting your revenue upfront.
We manage your complete revenue cycle — from charge entry and claims submission to payment posting and denial resolution — improving collections and shortening days in A/R.
Our certified coders apply precise CPT and ICD-10 codes across X-ray, CT, MRI, and ultrasound claims. Correct TC/PC/Global splits ensure faster reimbursements and fewer claim rejections.
Our team handles scheduling, patient intake, insurance verification, and pre-authorization coordination so your front desk runs smoothly and imaging appointments stay on track.
We audit your billing and coding processes to uncover missed charges, compliance gaps, and revenue leakage — giving you a clear roadmap to recover lost revenue.
Our CIRCC- and CPC-certified coders work across the full ultrasound code set every day, from abdominal through obstetric and vascular studies, applying the correct limited/complete and Doppler add-on rules for each exam. Here are 8 of the codes we code and defend most often:
Independent and hospital-based ultrasound practices choose RBS because we speak the language of sonography — limited-versus-complete exam rules, Doppler coding, and payer rules that change exam by exam. That depth is what keeps your claims clean and your cash flow predictable.
Authorizations submitted and tracked before the patient is scheduled, reducing same-day cancellations and denied exams.
CIRCC- and CPC-certified coders trained specifically on ultrasound CPT, Doppler add-on codes, and modifier rules.
We integrate with the imaging systems your practice already runs, so there's no workflow disruption.
Real-time visibility into collections, denials, and A/R aging so you always know where your revenue stands.
A billing team that works exclusively with ultrasound practices, not a generalist team treating sonography as one specialty among many.
Documentation and data handling built to withstand payer audits and regulatory review.
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.
