Arkansas

Radiology Billing Services in Arkansas

A scan billed to Arkansas Medicaid doesn’t always follow the same path twice. One patient’s claim runs straight through the state’s fee-for-service system. Another, with a qualifying behavioral health or developmental need, routes through a separate managed-care organization first. Missing that fork is one of the fastest ways to lose a clean claim in this state. RBS was built to catch it before it costs you.

Arkansas Splits Medicaid in Two. Your Billing Process Should Know Which Half It's On.

Arkansas runs most Medicaid claims fee-for-service, straight against the state’s own fee schedule. But beneficiaries with complex behavioral health or intellectual/developmental needs are carved into PASSE, a managed-care model with four separate organizations, each with its own authorization rules. Treat every Arkansas Medicaid claim the same way and you’ll eventually bill the wrong rulebook.

Cut claim denials by up to 32% by routing each claim to the right rulebook, FFS or PASSE, before it's submitted

Verify PASSE enrollment across all four organizations before a scan is even scheduled

Apply Arkansas Blue Cross's own authorization rules separately from Medicaid's

Keep TC/PC splits accurate across every payer type operating in the state

Processed Claim Value
$ M+
Avg. A/R Collection Time
0 Days
Turn Around Time (TAT)
0 Hours
Client Retention Rate
0 %
Annual Claims
0 M+
First-Pass Claim Rate
0 %
Avg. Revenue Growth
8- 8 %
Avg. Denial Reduction
0 %

Four Ways Arkansas's Split System Turns a Clean Claim Into a Denied One

Every state has fine print. Arkansas splits its own program down the middle and expects you to know which half applies. Here’s exactly where it costs you.

Arkansas Shares Its Medicare Rules With Six Other States, and the Contract Just Changed Hands

Arkansas sits inside Jurisdiction H, a Medicare region covering Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas. Novitas Solutions kept this contract in a 2026 recompete, effective July 1. That means a rule written for Texas volume still governs your claim here. RBS tracks Jurisdiction H on its own, so a change filed elsewhere never rewrites what your claim needs.

PASSE Splits Arkansas Medicaid Into Four Different Rulebooks

About a quarter of Arkansas Medicaid, those with complex behavioral health or developmental needs, is carved into PASSE: four managed care organizations, Arkansas Total Care, CareSource, Empower, and Summit. Each sets its own prior auth rules on top of Medicaid’s. Bill it like standard fee-for-service and the claim comes back denied. RBS checks PASSE enrollment first.

Arkansas Passed Compact Licensure, But It Isn't Live Yet

Arkansas enacted the Interstate Medical Licensure Compact in 2025, but it isn’t operational yet. The state medical board is still building the credentialing technology behind it, with no public launch date. Until then, an out-of-state radiologist licenses here the traditional, slower way. RBS starts that paperwork early, before a stalled compact becomes a stalled claim.

One Commercial Payer Runs Its Own Imaging Playbook

Arkansas Blue Cross and Blue Shield is the state’s dominant commercial payer, and it skips the vendor most other states use. Advanced imaging prior auth, CT, MRI, MRA, PET, and nuclear cardiology, runs through Carelon Medical Benefits Management, not eviCore. Send a claim built for the wrong vendor and the delay lands on your practice. RBS tracks Carelon as closely as Medicare.

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.

What Changes When RBS Takes This Off Your Plate

Radiology billing isn’t generalist RCM. The TC/PC splits, the review clocks, the LCD churn are specialty-specific. Here’s the shift practices see once RBS steps in for an Arkansas group navigating a split Medicaid system and a commercial payer running its own imaging rules.

Before RBS

$60K to $90K+ in annual staffing costs, hard to justify in a smaller market

20 to 35% average claim denial rate, one wrong rulebook, claim denied fast

Revenue stalls the moment staff are out, no backup on small Arkansas teams

Manual data entry errors cost more than the imaging scan itself ever did

One missed PASSE enrollment check, and the claim bounces back weeks later

After RBS

Performance-based pricing, RBS earns only when you collect, every payer

98%+ first-pass clean claim rate, validated against Arkansas's own rules

365 days a year, 24/7 uninterrupted revenue cycle, zero staffing gaps

AI-OCR reads every superbill, EOB, and ERA the moment each one arrives

Every PASSE and FFS claim routed correctly before it's ever submitted

Precision RCM & Coding Built for Radiology

Generic billing is the fastest way to a denied radiology claim. RBS delivers specialty-specific revenue integrity built for imaging’s TC/PC splits and modifier rules, so you capture every dollar you’re owed.

Diagnostic Radiology

CT Scan

MRI & MRA

Nuclear Medicine

PET / PET-CT

Ultrasound

Interventional Radiology

Teleradiology

Mammography

DEXA / Bone Density

Hospital Radiology

Radiation Oncology

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

From the Ozarks to the Delta, the Same Split Applies Everywhere

A denial in Fayetteville and a denial in West Memphis rarely share a cause: different referral patterns, different PASSE enrollment rates, different distance to specialists. RBS doesn’t treat Arkansas as one market; it treats it as six, and bills accordingly.
Central Arkansas (Little Rock Metro)

Central Arkansas (Little Rock Metro)

Cities
  • Little Rock
  • North Little Rock
  • Conway
  • Benton
  • Bryant
  • Cabot
Counties
  • Pulaski County
  • Faulkner County
  • Saline County
  • Lonoke County
Northwest Arkansas

Northwest Arkansas

Cities
  • Fayetteville
  • Bentonville
  • Rogers
  • Springdale
  • Siloam Springs
  • Eureka Springs
Counties
  • Washington County
  • Benton County
  • Madison County
  • Carroll County
River Valley & West Arkansas

River Valley & West Arkansas

Cities
  • Fort Smith
  • Van Buren
  • Russellville
  • Clarksville
  • Ozark
  • Paris
Counties
  • Sebastian County
  • Crawford County
  • Pope County
  • Johnson County
  • Franklin County
  • Logan County
Northeast Arkansas (Delta)

Northeast Arkansas (Delta)

Cities
  • Jonesboro
  • Blytheville
  • Paragould
  • Batesville
  • Newport
  • Walnut Ridge
Counties
  • Craighead County
  • Mississippi County
  • Greene County
  • Independence County
  • Jackson County
  • Lawrence County
Southeast Arkansas (Delta)

Southeast Arkansas (Delta)

Cities
  • Pine Bluff
  • Monticello
  • McGehee
  • Lake Village
  • Star City
  • Warren
Counties
  • Jefferson County
  • Drew County
  • Desha County
  • Chicot County
  • Lincoln County
  • Bradley County
Southwest Arkansas

Southwest Arkansas

Cities
  • Texarkana
  • Hot Springs
  • Camden
  • Magnolia
  • Arkadelphia
  • El Dorado
Counties
  • Miller County
  • Garland County
  • Ouachita County
  • Columbia County
  • Clark County
  • Union County

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.

Arkansas Runs on Rules Built for Arkansas. So Does Every Other State We Bill.

A claims team working off national averages misses the fork this state builds into its own Medicaid program. Our specialists train on Arkansas’s actual payer structure, not a generic script, so which half of the system your claim falls under is never the reason it gets denied.
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Frequently Asked Questions

Who administers Medicare for radiology claims in Arkansas?

Novitas Solutions, under Jurisdiction H, a seven-state region that also includes Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas. Novitas retained this contract in a 2026 recompete.
PASSE carves Arkansas Medicaid beneficiaries with complex behavioral health or developmental needs into managed care, split across four organizations. Every PASSE claim needs authorization checked against that specific organization, not standard Medicaid rules.
Not yet in practice. Arkansas passed the Interstate Medical Licensure Compact in 2025, but the state medical board hasn’t finished implementing it. Licensing still runs the traditional, slower route until that’s done.
No. Arkansas Blue Cross uses Carelon Medical Benefits Management for CT, MRI, MRA, PET, and nuclear cardiology prior authorization, a different vendor than several neighboring states.
Every claim is checked against the right rulebook before submission, standard fee-for-service or one of the four PASSE organizations, so the wrong process is never the reason a clean claim gets denied.

Your Arkansas Practice Shouldn't Have to Guess Which Rules Apply

Somewhere in your outstanding claims right now, there’s a clean scan sitting unpaid because it was billed like every other Medicaid claim instead of the specific rulebook it actually falls under. Across the practices we review, that adds up to 5 to 10% of collectible revenue, aging quietly by the day. RBS finds it, recovers it, and builds a process that stops it from recurring. Start with a free audit, no commitment, just a clear answer on what’s actually 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

Free claims and A/R audit before you commit to anything.

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What Our Clients Say?

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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