Radiology Billing Solutions (RBS) is a revenue cycle management company built exclusively for radiology departments, imaging centers, and teleradiology practices nationwide. As a dedicated hospital radiology billing partner, we handle professional-component coding, credentialing, and denials — so your radiologists can focus on reads instead of chasing payers.
Across the industry, hospital radiology claims see higher denial rates than freestanding imaging, driven largely by charge reconciliation gaps between hospital and group billing systems, plus credentialing lag. 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.
ED and inpatient stat reads move fast, but the professional-component claim still depends on the radiologist being actively enrolled and credentialed at that specific hospital. A credentialing gap holds up every claim from that facility.
The hospital bills the technical component under its own OPPS rates while the radiology group bills the professional component separately, and reconciling charges between two billing systems is where claims fall through the cracks.
A missing modifier 26, an unreconciled charge between the hospital and group’s billing systems, or a stat read billed without required urgency documentation 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 hospital radiology 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.
Missing turnaround-time documentation for stat reads, an unreconciled hospital-group charge, 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 hospital radiology code set every day, from plain film through PET/CT, applying professional-component billing rules correctly against every hospital contract your group covers. Here are 8 of the codes we code and defend most often:
Hospital-based radiology groups choose RBS because we speak the language of facility contracts — professional-component billing, charge reconciliation, and payer rules that change hospital by hospital. That depth is what keeps your claims clean and your cash flow predictable.
Hospital enrollment and credentialing tracked and renewed proactively, so a radiologist covering a new facility is never billing before they're actually eligible to.
CIRCC- and CPC-certified coders trained specifically on modifier 26 rules and hospital-contract billing requirements.
We integrate with the PACS and EHR systems your hospital partners already run, 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 hospital-based radiology groups, not a generalist team treating charge reconciliation 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.
