Radiology Billing Solutions (RBS) is a revenue cycle management company built exclusively for radiology departments, imaging centers, and teleradiology practices nationwide. As a dedicated imaging center billing partner, we handle prior authorizations, coding, credentialing, and denials — so your techs and radiologists can focus on scans and patient care instead of chasing payers.
Across the industry, denial rates on advanced imaging like CT, MRI, and PET run higher than plain film, and radiology claims overall see denial rates in the 5–10% range — much of it driven by authorization and coding issues. Every one of those denials is money your imaging center already earned. These are the six issues behind most of it, and the ones our workflow exists to close before they cost you.
CT, MRI, and PET studies almost always require prior authorization, and the radiology benefit managers who handle it — eviCore, Carelon, and others — each run their own portal, criteria, and timeline. A missed or expired authorization is the single most costly denial category in imaging.
Deciding whether a claim goes out global, professional-only (modifier 26), or technical-only (modifier TC) is a judgment call on every single study. Get it wrong and the claim denies outright or pays at the wrong rate — quietly, one study at a time.
Image guidance billed separately from a procedure it’s already bundled into, a missing 59, LT/RT, or GG modifier, or a contrast-status code that doesn’t match the radiology report — these are the coding slips that trip Medicare’s NCCI edits, and they’re almost always preventable.
When the ordering diagnosis doesn’t clearly justify the imaging performed, payers deny for medical necessity — even when the scan itself was completely appropriate care. It’s a documentation gap, not a clinical one, but it costs the same either way.
High-performing imaging 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.
Template-only radiology reports without individualized findings, missing contrast documentation, or thin interventional procedure notes 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 imaging center code set every day, from plain film through PET/CT, applying the correct global, professional, and technical component rules for each one. Here are 8 of the codes we code and defend most often:
Independent and hospital-based imaging centers choose RBS because we speak the language of imaging — RIS/PACS workflows, modality-specific CPT bundling edits, and payer rules that change scan by scan. That depth is what keeps your claims clean and your cash flow predictable.
Authorizations submitted and tracked before the patient is scheduled, reducing same-day cancellations and denied scans.
CIRCC- and CPC-certified coders trained specifically on imaging center CPT, HCPCS, and 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 imaging centers, not a generalist team treating imaging as one specialty among many.
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.
