The Radiation Oncology Billing Partner That Gets You Paid in Full

Radiology Billing Solutions (RBS) is a revenue cycle management company built exclusively for radiology departments, imaging centers, and teleradiology practices nationwide. As a dedicated radiation oncology billing partner, we handle prior authorizations, treatment planning and delivery coding, credentialing, and denials — so your team can focus on treatment instead of chasing payers.

imaging center billing services

The 6 Billing Problems Quietly Draining Your Radiation Oncology Center's Revenue

Across the industry, radiation oncology claims see higher denial rates than diagnostic imaging, driven by multi-week treatment courses, complex technique authorizations, and weekly management coding. Every one of those denials is money your center already earned. These are the six issues behind most of it, and the ones our workflow exists to close before they cost you.

Prior Authorizations Stall an Entire Treatment Course

IMRT, SBRT, and proton therapy almost always require prior authorization, and each payer runs its own criteria for treatment technique and total fraction count. A missed authorization stalls an entire treatment course, not just one visit.

Weekly Treatment Management Gets Billed Wrong

A radiation oncology course spans simulation, planning, weekly treatment management, and delivery — each billed separately across weeks of care. Billing weekly management without the required visit count gets the claim denied or underpaid.

Bundling and Modifier Errors Trigger NCCI Edits

A missing treatment-delivery modifier, an incorrect fraction count on a planning code, or billing image guidance separately from a technique it’s already bundled into are coding slips that trip payer edits — and they’re almost always preventable.

Medical Necessity Denials From Diagnosis-Code Mismatches

When the diagnosis and staging don’t clearly support the treatment technique billed, payers deny for medical necessity — even when the treatment itself was completely appropriate care. It’s a documentation gap, not a clinical one.

Days in A/R Creep Past 40 and Keep Climbing

High-performing radiation oncology billing keeps claims moving through the cycle in 30–40 days. Without dedicated follow-up, unpaid and underpaid claims sit longer, and revenue your center already earned stays parked on the books instead of in it.

Weekly Management Gaps Create Real Audit Exposure

Missing weekly treatment management notes, incomplete dosimetry documentation, or thin physics consultation records aren’t just denial risks — they’re exactly the patterns payer and Medicare auditors are trained to flag first.

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.

The Radiation Oncology Billing Team That Knows Every Phase

Our CIRCC- and CPC-certified coders work across the full radiation oncology code set every day, from simulation through delivery, applying the correct planning, weekly management, and technique-specific billing rules for each phase of care. Here are 8 of the codes we code and defend most often:

The Radiation Oncology Billing Team That Knows Every Phase

Independent and hospital-based radiation oncology centers choose RBS because we speak the language of treatment courses — planning, weekly management, delivery technique, and payer rules that change phase by phase. That depth is what keeps your claims clean and your cash flow predictable.

Fast, Accurate Prior Authorizations

Authorizations submitted and tracked before treatment begins, reducing delayed starts and denied treatment courses.

Treatment-Phase Coding Accuracy

CIRCC- and CPC-certified coders trained specifically on radiation therapy CPT, weekly management billing, and technique-specific modifier rules.

Oncology EMR & Planning System Compatible

We integrate with the oncology EMR and treatment planning systems your center already runs, so there's no workflow disruption.

Transparent Reporting

Real-time visibility into collections, denials, and A/R aging so you always know where your revenue stands.

Dedicated Radiation Oncology Specialists

A billing team that works exclusively with radiation oncology centers, not a generalist team treating multi-week treatment courses as an afterthought.

HIPAA-Compliant & Audit-Ready

Documentation and data handling built to withstand payer audits and regulatory review.

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

Your Radiation Oncology Center Deserves to Get Paid in Full

Denied claims. Aging A/R. Missed prior authorizations. That’s uncollected revenue sitting on your books. Most radiation oncology centers RBS reviews find meaningful leakage in their current claims and A/R aging. 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 does an imaging center billing company do differently from a general medical billing company?

A radiology billing company codes and appeals claims using treatment-course rules — planning codes, weekly management billing, and technique-specific delivery codes — that a generalist billing team typically doesn’t handle daily. Radiology Billing Solutions applies this depth to every phase of a radiation oncology course, rather than treating it as one specialty among dozens.
CIRCC (Certified Interventional Radiology Cardiovascular Coder) is an AAPC credential that certifies a coder’s expertise in interventional and diagnostic imaging CPT, HCPCS Level II, and modifier rules — an area with historically high coding error rates. Radiology Billing Solutions’ coders hold CIRCC alongside CPC certification, which is what lets us code complex imaging cases correctly the first time instead of triggering downcoding or denials.
Yes. We bill for independent radiation oncology centers, hospital-based radiation oncology departments, and freestanding treatment facilities, handling the technique-specific authorization and weekly management billing each requires.
Weekly treatment management (CPT 77427) is billed once per five fractions delivered, separate from the daily delivery codes and the upfront planning codes. Denials happen when management is billed without the required fraction count, or when planning and delivery codes are billed out of the correct sequence — errors that are specific to radiation oncology and that generalist billing teams miss more often than oncology-focused ones.
Radiology Billing Solutions serves radiation oncology centers in 40+ states, with state-specific teams trained on each state’s Medicaid rules, Medicare Administrative Contractor (MAC) jurisdiction, and facility licensure requirements rather than a single one-size-fits-all playbook.
Yes. We integrate with the oncology EMR and treatment planning platforms your center already uses, so there’s no need to migrate systems or change your existing scheduling and reporting workflow.
Yes. Radiology Billing Solutions maintains HIPAA compliance alongside ISO 27001, SOC 2 Type II, and AICPA SOC 2 certification, covering how patient imaging and billing data is handled, stored, and transmitted throughout the revenue cycle.

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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