Comprehensive Radiology Billing Services

Medcare MSO provides scalable medical billing radiology services to meet the unique needs of your practice. These comprehensive services include revenue cycle management (RCM), accounts receivable recovery, electronic health record/electronic medical record (EHR/EMR) technologies, practice management, and patient engagement services.

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The Results Will Amaze You

88%

First Pass Clean Claims Rate

15-20%

Revenue Increase

30%

Reduction in A/R

Simplified Billing. Amplified Revenue

Partner with us for streamlined radiology billing services, so you can focus on patient care with ease.

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Radiology Billing Services for Faster Reimbursements

As a leading radiology billing company, we will help you with:

Billing for professional services provided by physicians, regardless of their specialty.
For hospital and skilled nursing facility (SNF) patients, we ensure that all claims adhere to the latest standards.
Bills according to the different radiology cost components, including technical components (TC), professional components (PC), and global billing.
Accurate use of CPT, ICD-10, HCPCS codes, modifiers (e.g., modifier-26, modifier-TC), and Dx-codes for billing therapeutic, interventional, and non-interventional radiology.
Technical billing for advanced imaging services like X-rays, MRIs, CT scans, and ultrasounds.
Clear reports for each patient that outline charges, allowed amounts, deductibles, co-payments, and co-insurance using the EOB.
Collect EOBs from insurance providers to check for any uncovered services or disputes. If issues arise, we address them and begin the appeals process.

Radiology Billing Company that Understands Your Unique Challenges

Our radiology medical billing professionals review patient records and assign the appropriate diagnosis codes, including claims that contain only a rule-out diagnosis. That means quick, timely reimbursement for you.

Medicare and Payer Compliance (NCCI Edits and MPPR)

Understanding the payer policies, especially Medicare’s NCCI edits and MPPR rules, is crucial for proper reimbursement. Not following these rules can result in claim rejections or reduced payments.

Before submitting claims, we take the time to thoroughly review them to ensure that all codes are accurate and in line with NCCI edits. Our radiology billing services software can identify potential issues, which helps to reduce errors and streamline the billing process. The results? Better, faster, & higher reimbursements.

Authorization and Pre-certification Requirements

Obtaining prior authorization for advanced imaging procedures like MRI, CT, and PET scans is time-consuming and can delay patient care. Denials for lack of pre-authorization result in revenue loss and an increased administrative burden. We take a proactive approach by:

Creating efficient workflows for handling prior authorization requests to speed up processing and reduce delays in patient care.
Monitoring authorization requests and following up with payers to speed up approvals.

Medical Necessity Denials

Radiology services are frequently denied by payers because they are not deemed “medically necessary.” Radiologists must provide sufficient evidence in their reports to demonstrate the medical necessity of advanced imaging studies, especially for specialties like Pathology, Thoracic Surgery, Gastroenterology, and Urology. Here’s how our medical billing radiology services tackle these challenges for you:

Extensive knowledge of insurance carrier policies regarding prior authorizations.
Gather essential clinical information, including medical history, imaging indications, and diagnostic codes, to support the request.
Engage with insurance companies to clarify requirements and resolve discrepancies.
Manage appeals for denied requests by preparing detailed appeal letters and documentation.

What Our Clients Say About Working With Us

Great.

Our experience with MedCare MSO is great. They help us to increase our revenue with their quality medical billing and customer support services. Always recommend them to others.

JOSHUA ARANT

Chief Operating Officer, MAKO MEDICAL LABORATORIES

Efficient.

I am very thankful to MedCare MSO because they rectified all the mistakes which were done by my previous medical billing partner. They are so fast and efficient.

SHOBHA SOLOMON

Chief Executive Officer, CARE NOW CLINIC

Outstanding

MedCare MSO has been and continues to be critical to the success of Ion Diagnostics. As our medical billing company, they consistently meet our needs for compliance and dedicated, responsive client service. They excel in revenue cycle management and truly feel like a partner.

JAMES BERG

Chief Operations Officer, ION DIAGNOSTICS

Responsive .

MedCare MSO, as our medical billing company, has reduced our claim denials by up to 20% and resolved all of our billing challenges, including prior authorization and credentialing. We have regularly scheduled weekly meetings with them, and they have been very responsive and courteous during the calls

Doctor Godfred Mensah

Co-Founder, AW Care

Why Outsource Your Radiology Billing Services to Us?

Unlike other radiology billing companies, we prioritize transparency and personalized service to enhance client satisfaction.

Clean Claims, Fewer Denials, & Streamline Operations

90%+ collection ratios
24/7 radiology billing services
50% reduction in overhead costs
Client base extends over 50 states
75,000+ claims processing per day
Qualified Clinical Data Registry (QCDR) for MIPS reporting
Compliant with the No Surprise Act, ACR, CMS, HIPAA, OIG, ACA, and AMA guidelines.
Standard and Ad Hoc reporting (Days in A/R, Collection Rates, Net Revenue)
800+ certified professional biller (CPB) & certified professional coder (CPC) team

User-friendly Radiology EHR/EMR/PMS Software

Integration with PACS (Picture Archiving and Communication System) for storing and retrieving medical images.
Appointment scheduling for patients.
Automate billing processes.
Secure access for patients to view their records, results, and communicate with healthcare providers.
Ability to share data with other healthcare systems and providers
EHR software includes a fully integrated Radiology Information System (RIS) for efficient imaging management.

Outsource your radiology billing services to MedCare MSO for a revenue boost of up to 30%!

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