Let radiology billing specialists handle your radiology practice’s complex billing challenges. We deliver radiology revenue cycle management services tailored for long-term success. Our radiology billing services guarantee maximum reimbursement and eliminate claim denials. Choose Nexus io for expert billing services in various areas of radiology.
Radiology medical billing is a process that converts diagnostic and interventional imaging services such as X-rays, CT scans, MRIs, ultrasound, PET scans and fluoroscopy into timely reimbursements. This process involves precise charge capture and accurate assignment of specific radiology CPT, HCPCS, and ICD-10 codes. Additionally, it requires clean electronic claim submission and rigorous denial management to minimize revenue loss. Due to the complexity of imaging bundles, modifier usage, and payer-specific billing guidelines, radiology billing requires both technical expertise and in-depth knowledge of evolving reimbursement policies.
Nexus io’s radiology revenue cycle management services integrate certified radiology coders with automated workflow validations to reduce billing errors, lower claim rejection rates, and improve cash flow. By optimizing each stage of the radiology billing workflow, we ensure strong financial performance for your imaging center’s growth.
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Coding errors, missing documentation, and modifier misuse make radiology billing highly complex. It requires accurate management of both technical imaging charges and professional interpretation fees. Inaccurate claims lead to costly denials, but what causes these recurring issues?
Radiology medical billing requires precise coding for each imaging service, including X-rays, CT scans, MRIs, and fluoroscopy. Limited coding expertise and rapid advancements in diagnostic imaging often cause miscoding and data omissions. As a result, radiology practices face claim denial rates approaching 30%. Common billing challenges also include annual CPT code updates that add complexity, extensive documentation requirements worsened by staffing shortages, and evolving federal and state compliance regulations that impact billing accuracy.
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Reduce claim denials by identifying and eliminating the most common billing errors. Common causes of payer rejections include incorrect procedure codes, inaccurate patient information, incomplete clinical documentation, and missing CPT or HCPCS modifiers.
Improve your radiology practice’s revenue cycle efficiency by outsourcing to a trusted radiology billing partner like Nexus io. Here’s how Nexus io to help you avoid the most frequent billing and coding errors:
Radiology claim denials often result from avoidable coding mistakes. Examples include using the wrong code, like using a chest X-ray code for a brain MRI or using radiology modifiers incorrectly, such as 26 (for professional component) and TC (for the technical component).
Other common problems include missing or incomplete documentation, like not explaining why a chest CT was needed, and not giving enough details in the claim. Also, sending the same claim more than once for the same procedure often leads to automatic rejection.
Our radiology revenue cycle management services feature AAPC-certified coders specializing in radiology CPT and ICD-10 coding. We provide comprehensive radiology billing audit services and ongoing staff training on the proper use of radiology billing modifiers. Each claim undergoes meticulous review to ensure modifier accuracy.
While using radiology EHR integration and custom checklists, our pre-submission checks verify complete documentation and patient information. Our advanced claim-tracking system automatically detects and filters duplicate claims, preventing denials and maximizing reimbursements.
Our radiology CPT coding services deliver precise accuracy for complex imaging procedures, including chest X-rays (CPT 71045), non-contrast head CTs (CPT 70450), brain MRIs (CPT 70553), and abdominal CTs (CPT 74177). With regular audits and continuous training, we ensure compliance with all coding updates and regulations.
We provide 24/7 support for all radiology billing and revenue cycle services. Whether your practice offers diagnostic imaging, interventional radiology, ultrasounds, or advanced procedures like CT and MRI scans, our team ensures precise CPT and ICD-10 coding with timely and compliant claim submission.
We help reduce denials, manage global periods and split billing, and handle both technical and professional components accurately. Each service aligns with payer-specific guidelines and radiology-specific billing rules.
Our radiology billing professionals manage the complexity so you can focus on delivering accurate, high-quality imaging and reports.
Radiology documentation requirements are strict. Without clear clinical indications, detailed procedure notes, and supporting reports, payers often deny claims for lack of “Medical Necessity”. Moreover, our radiology denial management services start with a thorough pre-submission audit. We verify that each advanced imaging study, whether MRI diagnostics or interventional procedures, has complete and accurate documentation. Claims are aligned with payer-specific medical necessity criteria to reduce denials and speed up approvals while protecting your practice revenue.
Medicare’s NCCI edits and MPPR rules enforce strict bundling guidelines and payment limits on multiple radiology procedures. Radiology billing compliance requires correct use of common modifiers (TC, RT, LT, 26, 50, 59, 76, 77), distinct procedural service modifiers (XS, XE, XPXU), proper bundling logic, and accurate MPPR fee adjustments to prevent denials or recoupments.
Nexus io’s radiology billing services integrate automated NCCI edit engines and MPPR calculators into each claim workflow. Our AAPC-certified coders track annual CMS updates and accurately split professional and technical components. We apply MPPR reductions accurately and validate each claim against current Medicare compliance regulations. Partner with us today to ensure compliant billing, reduce denials, and maximize your radiology reimbursements.
Struggling with imaging code complexities, delayed reimbursements, or high denial rates? Our radiology billing experts handle everything from X-rays and MRIs to CT scans, ultrasounds, and interventional procedures ensuring accurate CPT coding, clean claims, and full compliance with payer guidelines.
Click “Get Demo” to explore how we simplify your billing process, then fill out the form and our team will contact you within 12 hours.
How does the claims submission process work?
As a full-service radiology billing company, Nexus io’s radiology billing services begin with data capture and pre-submission scrubbing against payer rules. We then transmit clean electronic claims via certified clearinghouses, track acknowledgments, and follow up on any rejections until payments post.
How does Nexus io ensure radiology coding accuracy?
Our AAPC-certified coders combine specialty training with automated edit checks to apply the correct CPT, HCPCS, and ICD-10 codes. Through continuous staff education and advanced real-time scrubbers, we catch and correct errors before claims are submitted, ensuring higher coding accuracy and faster reimbursements.
Can Nexus io reduce radiology billing denials?
With Nexus io, a specialized radiology billing company, you get proactive billing audits, pre-submission documentation validation, modifier reviews, and denial-prevention strategies that significantly decrease error rates and claim denials.
How does Nexus io verify radiology insurance eligibility?
Our team runs real-time eligibility checks across primary, secondary, and tertiary payers to verify coverage, co-payment responsibilities, and preauthorization requirements, minimizing claim denials and unexpected patient costs. Our professional radiology billing services include upfront benefit mapping to prevent surprise denials.
Do you provide internal audits to detect radiology billing errors?
Absolutely. Our routine radiology billing audit combines automated scrubbing with manual reviews to pinpoint coding, documentation, and modifier mistakes, letting us correct issues before claims go out.
Can Nexus io handle multi-specialty radiology billing?
Yes. From diagnostic imaging (X-rays, CT, MRI) to interventional and nuclear medicine, our team’s deep expertise across modalities lets us tailor radiology billing services to any specialty mix, ensuring accurate, compliant billing for every service.
Nexus io, a trustworthy radiology billing company, is always here to assist you in exploring how our revenue cycle management services can benefit your practice and administrative staff. Reach out to us by simply filling out this quick form, and one of our billing experts will contact you within 12 hours.
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