Radiology Billing Solutions (RBS) is a revenue cycle management company built exclusively for radiology departments, imaging centers, and teleradiology practices nationwide. As a dedicated teleradiology billing partner, we handle multi-state credentialing, coding, enrollment, and denials — so your radiologists can focus on reads instead of chasing payers.
Across the industry, teleradiology claims see higher denial rates than in-person reads, driven almost entirely by state-by-state licensure gaps, credentialing lag, and professional-only billing errors. Every one of those denials is money your group already earned. These are the six issues behind most of it, and the ones our workflow exists to close before they cost you.
Teleradiology contracts move fast, but a radiologist reading across state lines is only billable once state licensure, payer enrollment, and CAQH credentialing are all active in that state. A gap in any one holds up every claim from that jurisdiction.
Every read is billed professional-only under modifier 26, and the claim has to reflect the correct rendering-provider NPI, licensure state, and the ordering facility’s own billing arrangement — details a generalist team routinely gets wrong.
A missing modifier 26, a claim billed under the wrong state’s payer contract, or a mismatch between the reading radiologist and the facility’s enrollment are coding slips that trip payer edits — and they’re almost always preventable.
When the ordering diagnosis doesn’t clearly justify the study read, payers deny for medical necessity — even when the interpretation itself was completely appropriate. It’s a documentation gap, not a clinical one, but it costs the same either way.
High-performing teleradiology billing keeps claims moving through the cycle in 30–40 days. Without dedicated follow-up, unpaid and underpaid claims sit longer, and revenue your group already earned stays parked on the books instead of in it.
Lapsed state licensure, an expired CAQH revalidation, or a radiologist reading for a facility before enrollment finalizes 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 teleradiology read set every day, from plain film through PET/CT, applying professional-only modifier 26 rules correctly for every state your radiologists read in. Here are 8 of the codes we code and defend most often:
Teleradiology groups choose RBS because we speak the language of multi-state practice — licensure tracking, CAQH credentialing, and payer rules that change state by state. That depth is what keeps your claims clean and your cash flow predictable.
State licensure and payer enrollment tracked and renewed proactively, so a radiologist reading in a new state is never billing before they're actually eligible to.
CIRCC- and CPC-certified coders trained specifically on modifier 26 rules and state-by-state payer contract requirements.
We integrate with the PACS and worklist systems your group 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 teleradiology groups, not a generalist team treating multi-state licensure as an afterthought.
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.
