Radiology Billing Services
Medyra Tech offers efficient radiology billing, ensuring accurate coding, quick submissions, and faster reimbursements while minimizing denials and maximizing revenue.
Radiology Billing Solutions for Quicker Reimbursements
As a top radiology billing company, we provide assistance with:
- Billing for professional services rendered by physicians across various specialties.
- Ensuring all claims for hospital and skilled nursing facility (SNF) patients meet the latest standards.
- Managing billing for different radiology cost components, including technical components (TC), professional components (PC), and global billing.
- Accurate application of CPT, ICD-10, HCPCS codes, modifiers (e.g., modifier-26, modifier-TC), and Dx-codes for therapeutic, interventional, and non-interventional radiology billing.
- Handling technical billing for advanced imaging services like X-rays, MRIs, CT scans, and ultrasounds.
- Providing clear reports for each patient, detailing charges, allowed amounts, deductibles, co-payments, and co-insurance through the EOB.
A Radiology Billing Company
That Recognizes Your Unique Challenges
Our radiology billing experts carefully review patient records and assign the correct diagnosis codes,
including claims with rule-out diagnoses, ensuring prompt and timely reimbursement for you.
Medicare and Payer Compliance (NCCI Modifications and MPPR)
Understanding payer policies, particularly Medicare's NCCI edits and MPPR guidelines, is essential for proper reimbursement. Failure to adhere to these rules can lead to claim rejections or reduced payments.
Before submitting claims, we meticulously review them to ensure all codes are accurate and compliant with NCCI edits. Our radiology billing software helps identify potential issues, minimizing errors and optimizing the billing process. The outcome? Faster, more efficient billing and improved reimbursements.
Authorization and Pre-certification Requirements
Securing prior authorization for advanced imaging procedures such as MRI, CT, and PET scans can be time-consuming and may delay patient care. Denials due to lack of pre-authorization lead to revenue loss and increased administrative workload. We take a proactive approach by:
Streamlining workflows for prior authorization requests to accelerate processing and minimize delays in patient care.
Tracking authorization requests and actively following up with payers to expedite approvals.
Denials Due to Medical Necessity
Radiology Billing Services are often denied by payers for being considered “medically unnecessary.” To overcome this, radiologists must provide adequate evidence in their reports to justify the medical necessity of advanced imaging, particularly for specialties like Pathology, Thoracic Surgery, Gastroenterology, and Urology. Here’s how our radiology billing services address these challenges:
In-depth understanding of insurance carrier policies related to prior authorizations.
Collecting crucial clinical information, such as medical history, imaging indications, and diagnostic codes, to strengthen the request.
Collaborating with insurance companies to clarify requirements and resolve discrepancies.
Handling appeals for denied requests by preparing comprehensive appeal letters and supporting documentation.
Why Choose Us for Your Radiology Billing Services?
- Over 90% collection ratios
- 24/7 radiology billing support
- 50% reduction in overhead costs
- Serving clients across all 50 states
- Processing over 75,000 claims daily
- Qualified Clinical Data Registry (QCDR) for MIPS reporting
- Fully compliant with the No Surprise Act, ACR, CMS, HIPAA, OIG, ACA, and AMA guidelines
- Seamless integration with PACS (Picture Archiving and Communication System) for storing and retrieving medical images.
- Patient appointment scheduling functionality.
- Automated billing processes for efficiency.
- Secure patient access to view records, results, and communicate with healthcare providers.
- Capability to share data with other healthcare systems and providers.
- EHR software includes a fully integrated Radiology Information System (RIS) for streamlined imaging management.
