Mississippi

Radiology Billing Services in Mississippi

Built for Novitas Solutions’ Jurisdiction H rules and a state where more than half of rural hospitals are at financial risk, we keep Mississippi radiology groups paid accurately and on time.

Radiology Billing Built Around Mississippi's Realities

From the Delta to the Gulf Coast, Mississippi radiology groups bill against a Medicare jurisdiction, a Medicaid program, and a hospital landscape unlike any neighboring state.

Jurisdiction H Medicare rules shared with six other states, not just Mississippi

A Medicaid CCO lineup that just changed after a two-year contracting fight

Rural hospital partners operating on thin, uncompensated-care-heavy margins

Credentialing timelines without an interstate licensure shortcut for radiologists

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 %

What Shapes Mississippi Radiology Claims

Four forces define how radiology claims get paid in Mississippi: the Medicare jurisdiction, the Medicaid lineup, licensure rules, and state prompt-pay law.

Jurisdiction H Medicare Rules

Novitas Solutions administers Medicare Part A and B claims for Jurisdiction H, a seven-state footprint covering Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas. Coverage determinations and appeals timelines are set jurisdiction-wide, so a denial pattern from Texas can surface in Jackson too. We track Jurisdiction H’s bulletins so Mississippi claims match the standard Novitas enforces.

Mississippi's Medicaid Shakeup

After a two-year bid-protest fight from UnitedHealth and Elevance, Mississippi’s Medicaid program signed new four-year coordinated care contracts worth roughly $3.8 billion with Magnolia Health, Molina Healthcare, and TrueCare, effective July 1, 2025. UnitedHealth, which held an emergency extension through the litigation, is no longer a state CCO, so eligibility files need rebuilding around the current lineup.

No Interstate Licensure Shortcut

Mississippi has not joined the Interstate Medical Licensure Compact. A teleradiologist reading Mississippi studies from out of state can’t rely on an expedited compact license; they need a full, separately issued license from the Mississippi State Board of Medical Licensure, which changes the credentialing timeline whenever a group adds an out-of-state radiologist to its coverage pool.

25-Day Clean Claim Law

Miss. Code Ann. § 83-9-5 requires insurers to pay or deny a clean claim within 25 days electronically, or 35 days on paper. Claims that drag past those windows without a documented reason are prompt-pay violations an insurer has to answer for. We build Mississippi claims to clear review on the first pass and flag any file sitting past its statutory deadline.

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.

Where Mississippi Radiology Billing Breaks Down

Rural hospital partnerships, a shifting Medicaid lineup, and a dominant commercial payer all add friction most billing teams aren’t built to absorb.

Before RBS

Claims stuck behind a Medicaid plan that no longer holds the contract

Jurisdiction H denials reworked from scratch every single time

Out-of-state radiologist enrollment stalling new coverage for weeks

Rural hospital partners absorbing avoidable write-offs and denials

Clean claims quietly sitting past their 25-day statutory deadline

After RBS

Eligibility and authorizations rebuilt around Magnolia, Molina, and TrueCare

Jurisdiction H appeals built on tracked Novitas coverage patterns

Credentialing and payer enrollment managed before the first study is read

Rural partners billing on margins that can actually support the work

Every clean claim timestamped and chased before its deadline passes

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

Serving Radiology Practices Across Mississippi

From the Jackson metro to the Delta, the Gulf Coast, and the Golden Triangle, we bill for radiology groups and their hospital partners across the state.

Jackson Metro

Cities
  • Jackson
  • Madison
  • Clinton
Counties
  • Hinds County
  • Madison County
  • Rankin County

Gulf Coast

Cities
  • Gulfport
  • Biloxi
  • Pascagoula
Counties
  • Harrison County
  • Jackson County

Mississippi Delta

Cities
  • Greenville
  • Clarksdale
  • Cleveland
Counties
  • Washington County
  • Coahoma County

Golden Triangle

Cities
  • Columbus
  • Starkville
  • West Point
Counties
  • Lowndes County
  • Oktibbeha County

Pine Belt

Cities
  • Hattiesburg
  • Laurel
  • Picayune
Counties
  • Forrest County
  • Jones County

North Mississippi

Cities
  • Tupelo
  • Oxford
  • Southaven
Counties
  • Lee County
  • DeSoto 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.

Built to Handle Mississippi's Toughest Payer

Blue Cross & Blue Shield of Mississippi controls roughly 55% of the state’s private insurance market, more than three times its nearest competitor. A practice that can’t bill cleanly against BCBS Mississippi’s rules is exposed on the majority of its commercial volume. We build every claim to clear that payer’s requirements the first time, not after a denial forces a rewrite.
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Frequently Asked Questions

What Medicare Administrative Contractor handles Mississippi radiology claims?

Novitas Solutions administers Medicare Part A and B claims for Jurisdiction H, which covers Mississippi along with Arkansas, Colorado, Louisiana, New Mexico, Oklahoma, and Texas. Coverage determinations and documentation rules are set jurisdiction-wide, so we track Novitas’s specific billing bulletins rather than generic national Medicare guidance.
Magnolia Health, Molina Healthcare, and TrueCare hold Mississippi’s current four-year coordinated care contracts, effective July 1, 2025. UnitedHealth, which previously held an emergency extension during a two-year bid-protest fight, is no longer one of the state’s three Medicaid CCOs.
No. Mississippi has not joined the Interstate Medical Licensure Compact, so a teleradiologist needs a full, separately issued license from the Mississippi State Board of Medical Licensure before claims can be billed under their NPI.
More than half of Mississippi’s rural hospitals have been flagged as being at risk of closing, according to the state health officer. That financial pressure means hospital-based radiology billing has very little room for denials, underpayments, or slow appeals to go unchallenged.
Yes. BCBS Mississippi covers roughly 55% of the state’s private insurance market, so most of our Mississippi clients’ commercial claims run through it. We build claims to its specific requirements rather than treating it as a generic commercial payer.

Get Mississippi Radiology Billing That Keeps Up

From Jurisdiction H appeals to the state’s new Medicaid CCO lineup, let’s talk about what’s actually slowing down your reimbursements.

Jurisdiction H and Novitas-specific claim review

Medicaid CCO eligibility rebuilt for Magnolia, Molina, and TrueCare

Credentialing support for out-of-state radiologists

Clean-claim tracking against the 25-day statutory deadline

Hospital-partner billing built for thin rural margins

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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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