Advanced Radiology Billing Services
Radiology Billing & RCM Services That Maximize Accuracy and Speed Reimbursement
Radiology practices face some of the most complex billing and revenue cycle challenges in healthcare, as outlined by the American College of Radiology (ACR). Our radiology billing services and RCM workflows cover every step of the revenue cycle, from eligibility checks and prior authorizations to CPT/ICD coding, PC/TC splits, and denial management. Whether you need full radiology RCM support or targeted denial recovery, Scionis RCM keeps your revenue cycle compliant and profitable.
Scionis RCM builds billing systems that match the actual workflow of your imaging practice. Our team audits every touchpoint in the revenue cycle, closes gaps, and applies the coding and compliance rigor needed to keep revenue steady. Our programs cover Diagnostic Radiology, Interventional Radiology, Nuclear Medicine, Breast Imaging, Pediatric Radiology, and Neuro/MSK Imaging, delivered end-to-end.
Common Radiology Billing & Coding Mistakes That Shrink Revenue
Even well-run practices lose money from preventable errors:
- Professional/Technical (PC/TC) splits billed incorrectly, causing duplicate denials
- Interventional radiology bundling errors (e.g., failing NCCI edits)
- Wrong or unspecified ICD-10 codes leading to “medical necessity” denials
- Eligibility verification gaps causing write-offs at the front end
- Missing prior authorization for MRI, CT, PET studies
- Nuclear medicine radiopharmaceutical charges left off claims
- Aged A/R neglected because of fragmented follow-up
Our systems are built to detect and fix these errors before they impact reimbursement.
Our Radiology Billing & Coding Solutions
Scionis RCM supports imaging centers, radiology groups, and hospitals with comprehensive radiology billing services designed for high-volume, high-denial risk specialties.
Accurate Radiology Coding & Documentation
- CPT/ICD-10 mapped to ACR guidelines and payer-specific edits
- Interventional radiology coding with bundling/unbundling logic
- Ongoing audits for accuracy and compliance
Professional & Technical (PC/TC) Component Splits
- Proper use of modifiers -26 (Professional Component) and -TC (Technical Component)
- Reduced duplicate claim denials through payer-aligned logic
Faster, Compliant Prior Authorizations
- Automated tracking for MRI, CT, PET, and interventional cases
- Turnaround under 48 hours on most imaging authorizations
Denial Management & Underpayment Recovery
- Real-time root cause tagging (ICD mismatch, missing auth, coding error)
- Aggressive follow-up for underpaid radiology CPTs (e.g., 74177, 72148)
Transparent Reporting & Insights
- Weekly dashboards showing denial trends by modality
- A/R aging reports segmented by payer and CPT category
These solutions form the backbone of our radiology RCM services, ensuring clean claims and faster cash flow.
Sub-Specialty Radiology Billing Expertise
- Diagnostic Radiology Billing Services
Covers high-volume studies (X-ray, CT, MRI, ultrasound). We validate ICD-10 necessity and prevent duplicate billing on global vs. professional claims. - Interventional Radiology Billing Services
Complex coding for vascular, oncology, and image-guided procedures. We apply modifier -59 and NCCI edits correctly, ensuring compliance and preventing bundling denials. - Nuclear Medicine & PET Billing Services
Accurate capture of radiopharmaceutical charges and HCPCS codes to prevent lost revenue. Strict compliance with CMS and payer policies. - Breast Imaging Billing Services
Specialized coding for mammography and tomosynthesis (77067, G0279). Prevents underpayments from missed add-on imaging studies. - Neuro/MSK Imaging Billing Services
High-value MRI codes (72141, 72148) are safeguarded with precise ICD-10 linkage to meet payer necessity criteria. - Pediatric Radiology Billing Services
Child-specific imaging coding with compliance for sedation and contrast usage. Prevents denials tied to incomplete documentation.
Typical Revenue Leaks and Fixes
Case Studies
Regional Radiology Group (Midwest)
Issue: High denial rate on MRI lumbar spine (72148) due to missing medical necessity documentation.
Approach: Introduced automated ICD mapping and pre-bill edit checks.
Results:
- 29% reduction in medical necessity denials in 90 days
- $320K in annual revenue recovered
Hospital Imaging Center (Southeast)
Issue: Frequent duplicate PC/TC denials.
Approach: Implemented modifier automation for -26 and -TC.
Results:
- Denials reduced by 31% in 6 months
- First-pass claim rate improved to 95%+
Pricing and Engagement Models
- Percentage of Collections – Performance-based, no hidden fees.
- Fixed Monthly Fee (Per FTE) – Predictable structure for larger practices.
Why Radiology Revenue Requires Specialists
General billing teams often miss critical radiology details:
- PC/TC split errors leading to duplicate denials
- IR bundling and modifier mistakes
- Radiopharmaceutical charges lost in nuclear medicine
- MRI/CT prior auth denials stalling care
Radiology billing requires subspecialty knowledge and precise execution. Our team applies both.
What Clients Can Expect with Scionis RCM
- 29%+ reduction in radiology claim denials within 90 days
- $300K+ recovered annually from underpaid CPTs
- Prior authorizations reduced from 5+ days to <48 hours
- Clean claim rate of 94%+ across Medicare and commercial payers
Radiology Billing & RCM FAQs
- Do you handle both Diagnostic and Interventional Radiology billing?
Yes. Our teams are segmented by subspecialty, covering diagnostic, IR, nuclear, breast, neuro/MSK, and pediatric. - How do you manage PC/TC splits?
We apply modifiers -26 and -TC per payer policy and use reconciliation checks to prevent duplicate billing. - Do you support prior authorizations for advanced imaging?
Yes. MRI, CT, and PET authorizations are tracked and processed within 48 hours. - How do you make sure nuclear medicine charges aren’t lost?
We reconcile radiopharmaceutical orders, supply logs, and HCPCS codes before submission
Optimizing Radiology Billing for Enhanced Financial Performance
Scionis RCM offers a free review of your radiology billing process. We identify overlooked revenue, preventable denials, and systemic gaps across diagnostic, IR, nuclear, breast, neuro/MSK, and pediatric radiology.
Scionis RCM | Radiology Billing & RCM Services | Built for Imaging. Focused on Results.
Want to work with us?
Partner with Us to Drive Excellence
Unlock your healthcare organization’s true financial potential with Scionis RCMs. We specialize in streamlining complex revenue processes, recovering lost revenue, and optimizing cash flow. With our expertise, you can focus on delivering exceptional patient care while we enhance your financial efficiency and growth.
Want to work with us?
Partner with Us to Drive Excellence
Unlock your healthcare organization’s true financial potential with Scionis RCMs. We specialize in streamlining complex revenue processes, recovering lost revenue, and optimizing cash flow. With our expertise, you can focus on delivering exceptional patient care while we enhance your financial efficiency and growth.
Our Expertise
