Radiology Billing Solutions (RBS) is a revenue cycle management company built exclusively for radiology departments, imaging centers, and teleradiology practices nationwide. As a dedicated DEXA and bone density billing partner, we handle frequency limits, coding, credentialing, and denials — so your techs and radiologists can focus on scans and patient care instead of chasing payers.
Across the industry, DEXA denial rates run higher than expected for a routine, low-risk scan — driven almost entirely by frequency-limit rules, axial-versus-peripheral coding, and medical necessity documentation. 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.
Medicare covers bone density screening only once every two years for qualifying patients, and repeating a scan too soon without documented risk factors or treatment monitoring gets the claim denied outright before it’s ever reviewed.
Axial DEXA (hip and spine) and peripheral DEXA (wrist and heel) are billed under entirely different CPT codes with different coverage rules, and billing the wrong one for the anatomy actually scanned gets the claim denied or downcoded.
A missing frequency-exception modifier, an incorrect vertebral fracture assessment code, or billing two DEXA studies in the same session as separate visits are coding slips that trip payer edits — and they’re almost always preventable.
When the ordering diagnosis doesn’t clearly document an osteoporosis risk factor or a monitoring condition, payers deny for medical necessity — even when the scan itself was completely appropriate. It’s a documentation gap, not a clinical one.
High-performing DEXA 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.
Missing T-score and Z-score documentation, incomplete risk-factor notes, or thin technologist reports aren’t just denial risks — they’re exactly the patterns payer and Medicare auditors are trained to flag first.
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.
Our CIRCC- and CPC-certified coders work across the full DEXA and bone density code set every day, applying the correct axial, peripheral, and frequency-limit rules for each study. Here are 8 of the codes we code and defend most often:
Independent and hospital-based DEXA centers choose RBS because we speak the language of bone density billing — frequency-limit rules, axial-versus-peripheral coding, and payer rules that change by risk factor. That depth is what keeps your claims clean and your cash flow predictable.
Scan history checked against Medicare's two-year frequency rule before the appointment, reducing denied claims and awkward patient conversations.
CIRCC- and CPC-certified coders trained specifically on DEXA CPT, vertebral fracture assessment, and frequency-exception modifier rules.
We integrate with the imaging systems your center already runs, so there's no workflow disruption.
Real-time visibility into collections, denials, and A/R aging so you always know where your revenue stands.
A billing team that works exclusively with DEXA and bone density centers, not a generalist team treating frequency-limit rules as an afterthought.
Documentation and data handling built to withstand payer audits and regulatory review.
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.
