Jurisdiction 8 Medicare rules shared only with Indiana, read for Michigan claims specifically.
MI Health Link is becoming MI Coordinated Health, with nine health plans newly awarded for dual-eligible members.
Michigan has belonged to the Interstate Medical Licensure Compact since 2018, a well-tested path for out-of-state reads.
Blue Cross Blue Shield of Michigan holds roughly 67% of the statewide market, running its own claims rules alongside a 45-day prompt-pay law.
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.
Jurisdiction 8's two-state rules applied without a Michigan-specific read
Dual-eligible claims billed against MI Health Link plans that no longer exist
Compact license status assumed instead of verified against Michigan's board
MCL 500.2006's 45-day clock and 12% interest tracked loosely, if at all
Blue Cross Blue Shield of Michigan's claims rules treated like any other payer's
Jurisdiction 8 guidance applied the way it actually governs Michigan claims
Every dual-eligible claim checked against the member's current MICH plan
Every reading radiologist's compact license verified before the claim goes out
MCL 500.2006's 45-day clock and 12% interest tracked on every claim
Blue Cross Blue Shield of Michigan's own claims rules handled on their own terms
Generic billing is the fastest way to a denied radiology claim. RBS delivers specialty-specific revenue integrity built for imaging’s TC/PC splits and modifier rules, so you capture every dollar you’re owed.
Jurisdiction 8 Medicare expertise, read for Michigan
Current MI Coordinated Health plan verification on every claim
Compact license verification, not an assumption
MCL 500.2006's 45-day clock and 12% interest tracked on every claim
Blue Cross Blue Shield of Michigan claims rules, handled directly
Radiology Practice Manager
Since partnering with your radiology billing team, our billing workflow has become much smoother. They understand imaging procedures, payer requirements, coding, and claim follow-ups. Their team is responsive, professional, and always stays on top of outstanding claims.
Medical Director, Diagnostic Imaging Center
Your team truly understands the challenges of radiology billing. They handle claims accurately, follow up on unpaid accounts, and help resolve billing issues efficiently. Their expertise and communication have made our revenue cycle more organized and reliable.
Radiologist & Imaging Center Owner
Our team has been an excellent partner for our imaging center. They understand radiology billing, coding, claim submission, denials, and follow-ups. Their attention to detail and consistent communication have helped streamline our billing process and improve our revenue cycle.
