Jurisdiction K Medicare rules shared with six other states
New $3 billion Medicaid managed care contract started July 2025
Zero critical access hospitals in the country's smallest state
12 percent annual interest penalty on claims paid late
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.
Medicaid claims denied for rules tied to the dropped plan
Jurisdiction K denials reworked from scratch every single time
Compact licensing mistaken for payer enrollment
Imaging claims slipping past the 30-day electronic deadline
Appeals filed too late to beat the state's interest clock
Medicaid eligibility and prior auth verified under the new contract
Jurisdiction K appeals built on tracked NGS coverage patterns
Compact licensing and payer enrollment tracked as two separate steps
Every electronic claim timestamped against the 30-day deadline
Appeals filed early enough to protect the practice's margin
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.
Jurisdiction K and NGS-specific claim review
Medicaid eligibility verified under the new managed care contract
Compact licensing and payer enrollment tracked end to end
Clean-claim tracking against the 30/40-day statutory deadline
Commercial billing built for BCBSRI's specific requirements
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.
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.
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.
