Radiology Billing Solutions (RBS) is a revenue cycle management company built for CT imaging providers — freestanding CT centers, hospital-based CT departments, and multi-modality practices running high CT volume. We handle the contrast-status coding, prior authorizations, and bundling rules unique to CT, so a scan that takes twenty minutes to perform doesn’t take twenty weeks to get paid.
CT is one of the most heavily authorized, most heavily audited studies in imaging, and it shows in the numbers — CT and other advanced imaging see denial rates well above plain film, driven almost entirely by a handful of repeat mistakes. Here’s what we see most often, and what we build our CT workflow to prevent.
Without contrast, with contrast, or without-and-with — the CPT code has to match exactly what the radiologist’s report says was administered. A protocol change mid-scan that never makes it back to the coder is one of the fastest ways to turn a clean CT claim into a denial.
When a patient gets more than one CT study on the same day, Medicare’s Multiple Procedure Payment Reduction cuts the professional component on every study after the first to 75%. Billed correctly, that’s just the rule. Billed incorrectly — wrong study sequencing, missed reductions — it’s a payer audit waiting to happen.
CT abdomen and CT pelvis performed together has its own combined code, and billing the two regions separately instead trips an NCCI bundling edit almost every time. It’s a one-line coding decision that determines whether the claim pays clean or bounces back.
CT sits squarely inside every radiology benefit manager’s advanced-imaging authorization list, and a missed, expired, or mismatched authorization on a CT angiography or contrast study is one of the most expensive denials in imaging — often several hundred dollars per scan.
Many Medicare Administrative Contractors publish Local Coverage Determinations listing exactly which diagnoses justify a given CT study. An ordering diagnosis that’s clinically reasonable but isn’t on that list gets denied for medical necessity regardless of how appropriate the scan was.
CT reports thin on protocol detail, dose reporting, or contrast timing are exactly what payer and Medicare audits are trained to flag — and a documentation gap on a high-cost study costs more than the same gap on a plain film.
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.
CT billing lives and dies on contrast status, combined-region rules, and global/professional/technical splits — get any one of the three wrong and the claim comes back. Here are 8 of the CT codes we code and defend most often:
CT isn’t billed like a routine X-ray, and treating it that way is where most denials start. We built our CT workflow around the parts of the process that are unique to this modality — contrast documentation, MPPR sequencing, and combined-region logic — so your claims go out right the first time.
We confirm the contrast status on the radiology report matches the CPT code before the claim goes out, closing the single biggest source of CT coding denials.
Same-day multi-study CT sessions get the Multiple Procedure Payment Reduction applied to the right study, in the right sequence, every time.
We know exactly when adjoining CT regions have to be billed together under a combined code instead of separately, so claims don't trip NCCI bundling edits.
Authorizations for CT and CT angiography are submitted and tracked before the scan, not chased down after a denial.
We check ordering diagnoses against Local Coverage Determinations before the claim goes out, catching medical-necessity gaps before the payer does.
Documentation and data handling built to withstand payer and Medicare audits on every high-cost CT claim.
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.
Yes. We integrate with the RIS, PACS, and EHR platforms your CT department or imaging center already uses, so there’s no need to migrate systems or change your existing scheduling and reporting workflow.
