Radiology Billing Solutions (RBS) is a revenue cycle management company built exclusively for radiology departments, imaging centers, and teleradiology practices nationwide. As a dedicated mammography billing partner, we handle prior authorizations, screening/diagnostic coding, credentialing, and denials — so your techs and radiologists can focus on scans and patient care instead of chasing payers.
Across the industry, mammography denial rates run higher than expected for a well-established modality — driven by screening-versus-diagnostic mix-ups, tomosynthesis coding, and MQSA documentation gaps. 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.
Diagnostic mammograms and breast MRI often require prior authorization, while screening mammograms don’t — mixing the two up is a common cause of denied claims. A missed authorization on a diagnostic follow-up stalls payment before the exam happens.
Screening and diagnostic mammography are billed under different CPT codes with different coverage rules, and converting a screening exam to diagnostic mid-visit requires specific documentation. Get the distinction wrong and the claim denies or underpays.
A missing tomosynthesis add-on code, an incorrect CAD modifier, or billing bilateral views as two unilateral exams are coding slips that trip Medicare’s NCCI edits — and they’re almost always preventable.
When the ordering diagnosis doesn’t clearly support a diagnostic (versus screening) mammogram, payers deny for medical necessity — even when the exam itself was completely appropriate. It’s a documentation gap, not a clinical one.
High-performing mammography 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 BI-RADS assessment categories, incomplete breast density notification documentation, or thin technologist notes aren’t just denial risks — they’re exactly the patterns payer and MQSA 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 mammography code set every day, applying the correct screening, diagnostic, tomosynthesis, and CAD billing rules for each exam. Here are 8 of the codes we code and defend most often:
Independent and hospital-based mammography centers choose RBS because we speak the language of breast imaging — screening-versus-diagnostic rules, tomosynthesis coding, and MQSA documentation standards. That depth is what keeps your claims clean and your cash flow predictable.
Authorizations submitted and tracked before diagnostic follow-ups are scheduled, reducing same-day cancellations and denied claims.
CIRCC- and CPC-certified coders trained specifically on mammography CPT, tomosynthesis add-ons, and CAD 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 mammography and breast imaging centers, not a generalist team treating screening-versus-diagnostic 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.
