Radiology Billing Solutions (RBS) is a revenue cycle management company built exclusively for radiology departments, imaging centers, and teleradiology practices nationwide. As a dedicated nuclear medicine billing partner, we handle prior authorizations, radiopharmaceutical coding, credentialing, and denials — so your techs and physicians can focus on studies and patient care instead of chasing payers.
Across the industry, denial rates on nuclear medicine studies run higher than plain film, driven by prior authorization gaps, radiopharmaceutical documentation, and coding issues specific to tracer-based imaging. Every one of those denials is money your department already earned. These are the six issues behind most of it, and the ones our workflow exists to close before they cost you.
Nuclear medicine studies like myocardial perfusion and bone scans require prior authorization, and radiology benefit managers each run their own portal, criteria, and timeline. A missed authorization stalls payment before the study happens.
The radiopharmaceutical dose, billed under its own HCPCS A-code, is separate from the imaging procedure code, and payers frequently deny or underpay tracer charges when the dosage, waste, or NDC documentation doesn’t match what was billed.
A missing dosimetry or supervision-level modifier, incorrect SPECT/CT bundling, or a radiopharmaceutical code that doesn’t match the study performed are coding slips that trip Medicare’s NCCI edits — and they’re almost always preventable.
When the ordering diagnosis doesn’t clearly justify the nuclear medicine study performed, payers deny for medical necessity — even when the study itself was completely appropriate care. It’s a documentation gap, not a clinical one, but it costs the same either way.
High-performing nuclear medicine billing keeps claims moving through the cycle in 30–40 days. Without dedicated follow-up, unpaid and underpaid claims sit longer, and revenue your department already earned stays parked on the books instead of in it.
Missing physician supervision-level documentation, incomplete radiopharmaceutical waste logs, or thin interpretation 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 nuclear medicine code set every day, from SPECT through PET/CT, applying the correct procedure, radiopharmaceutical, and supervision-level rules for each study. Here are 8 of the codes we code and defend most often:
Nuclear medicine departments choose RBS because we speak the language of tracer-based imaging — RIS/PACS workflows, radiopharmaceutical billing, and payer rules that change study by study. 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 studies.
CIRCC- and CPC-certified coders trained specifically on nuclear medicine CPT, radiopharmaceutical HCPCS, and modifier rules.
We integrate with the imaging systems your department 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 nuclear medicine departments, not a generalist team treating radiopharmaceutical billing 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.
