Clear Visibility into Your
Radiology Revenue
Radiology billing requires high-volume accuracy. We expertly manage PC/TC splits, complex MPPR rules, and strict prior authorizations for MRIs, CTs, and PET scans, ensuring no revenue is left unseen.
Modifier 26 & TC Mastery
Whether you are an independent imaging center or a teleradiology group, we flawlessly apply PC and TC modifiers based on your specific Place of Service (POS).
Why Radiology Needs Specialized Billers
Radiology deals with immense daily volumes and complex payer rules. Failing to sequence multiple scans correctly under the Multiple Procedure Payment Reduction (MPPR) rule, or incorrectly billing an MRI *without* contrast when contrast was actually used, leads directly to lost revenue and audit risks. We automate and perfect this process.
PC & TC Split Billing
Whether you own the equipment (Global/TC) or operate as a remote reading teleradiologist (Modifier 26), we ensure claims are built accurately based on the exact Place of Service.
Contrast vs. Non-Contrast
Imaging relies heavily on accurate CPT selection for studies done with contrast, without contrast, or both. We audit tech notes to bill the highest valid code and capture J-codes for the dye.
MPPR Rule Navigation
When multiple procedures (like CTs or Ultrasounds) are performed in the same session, payers discount secondary codes. We sequence codes to ensure the highest RVU procedure is paid at 100%.
Securing Revenue from
Order to Interpretation
We seamlessly integrate with your RIS and PACS systems to capture exact exam details, ensuring every component of the study is billed flawlessly.
Strict Prior Authorizations
High-cost imaging like MRIs and PET scans require stringent prior authorizations. We manage the pre-auth process proactively to prevent massive back-end denials.
RIS/PACS Integration
We interface directly with your Radiology Information System (RIS) to capture referring provider NPIs, precise anatomical sites, and final dictated reports seamlessly.
MUE & Modifier Scrubbing
Claims pass through Medically Unlikely Edits (MUE) scrubbers to apply appropriate modifiers (LT, RT, 50) and prevent automated NCCI bundling rejections.
High-Volume Denial Mgmt
Radiology involves high daily claim volumes. We utilize automated logic and skilled appeals teams to rapidly recover funds denied for "lack of medical necessity" or "inclusive" services.
Stop Losing Revenue to
Bundling and MPPR Errors
Partner with certified radiology billers who understand RIS integration, PC/TC splits, and high-volume claim scrubbing. Contact Valeria Healthcare Solutions today.