Specialty Focus: Radiology & Imaging

Radiology Billing,
Engineered for Precision.

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MRI & CT Scans

Scanning Zone...
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MRI & CT
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X-Ray & US
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Nuclear & PET
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Interventional

Select an imaging focus area on the scanner or list below to reveal the specific CPTs, contrast bundling rules, and modifier guidelines our certified radiology coders master to secure your revenue.

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MRI & CT Scans

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Precision billing for cross-sectional imaging. We flawlessly navigate the CPT variations for "without contrast," "with contrast," and "without followed by with contrast," while correctly capturing 3D rendering (76376/76377) when legally unbundled.

Contrast Material (J-Codes) 3D Rendering Edits Anatomical Specification
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X-Ray & Ultrasound

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Managing high-volume diagnostic imaging. We strictly apply RT/LT or Modifier 50 for bilateral x-rays and ensure clinical reports legally support "complete" ultrasounds versus "limited" or "follow-up" exams to survive RAC audits.

Views & Laterality Complete vs Limited US Modifier 50/RT/LT
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Nuclear Medicine & PET

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Accurate coding for diagnostic and therapeutic radiopharmaceuticals. We meticulously map the specific A-codes for tracers alongside the PET or SPECT procedure codes, managing the strict Medicare dual-modality PET/CT rules.

Radiopharmaceuticals (A-Codes) PET/CT Bundling Tracer Modifiers
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Interventional Radiology

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The most complex area of imaging. We guarantee precise capture of both the surgical component (e.g., catheter placement, biopsies) and the radiological Supervision & Interpretation (S&I) component, tracking vessel branching perfectly.

Surgical & S&I Components Vessel Branching Logic Guidance Codes

Radiology Billing is Complex.
We Make It Profitable.

Diagnostic and interventional imaging faces relentless scrutiny regarding contrast bundling, technical component splits, and complex surgical cross-coding. Hover over the challenges below to see how HBS secures your revenue.

Global vs Component Billing

Billing a global CPT code when your practice only provided the professional interpretation (read) but didn’t own the imaging equipment triggers massive recoupments from payers.
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The HBS Solution

Our automated logic maps your facility setup perfectly. We split global codes effortlessly into Professional (Modifier 26) and Technical (Modifier TC) components, ensuring zero compliance overlap.

Contrast Bundling Errors

Billing an MRI “without contrast” but appending a high-cost contrast supply J-Code causes immediate NCCI rejections, delaying significant facility revenue.
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The HBS Solution

We scrub every imaging report. We verify the exact contrast methodology used and automatically align the CPTs (e.g., 70553 vs 70551) with the correct J-codes and exact dosage units prior to submission.

IR Component Mismatches

In Interventional Radiology (IR), failing to perfectly pair the surgical CPT (catheter placement) with its corresponding radiological Supervision & Interpretation (S&I) CPT leads to denied claims.
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The HBS Solution

Our certified IR coders abstract complex operative notes, mapping multi-order vessel catheterizations with their exact imaging guidance counterparts, ensuring zero revenue is left behind.

The HBS Radiology Advantage

We don’t just process claims; we act as the financial safeguard for your imaging centers. From eliminating modifier mismatch denials to optimizing RIS integration, we maximize your diagnostic revenue.

99%+ Clean Claim Rate

Our proprietary scrubbing engine catches Component (26/TC) errors, invalid diagnosis linkages, and contrast discrepancies before the claim ever leaves our system.

Seamless RIS/PACS Integration

We integrate directly with your Radiology Information Systems (RIS) to extract HL7 data streams, automating charge entry to handle massive daily imaging volumes effortlessly.

Audit-Ready Compliance

We maintain impeccable trails for referring physician NPIs, signed imaging orders, and medical necessity criteria, shielding your facility from federal recoupment audits.

Average Lab Revenue Lift (First 6 Months)

M1
M2
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+18% Lift
M6
Calculate Your Specific ROI

Stop Imaging Denials Today.

Let our specialized radiology billing team audit your current processes. Discover exactly where your revenue is leaking on contrast bundling and component splits.

Request Your Consultation

Optimize Your Revenue Cycle with HBS

Partner with experienced RCM specialists to streamline billing, reduce denials, and improve cashflow.

+1 (818)-853-8889

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