Radiology billing is a very complex procedure as it needs the usage of complex codes and modifiers. Not properly applying these codes can make or break a clinic’s revenue cycle. Some imaging services require prior approval, and if these steps are rushed, claims may get denied. Radiology billing depends on getting things right from the very beginning. However, as the healthcare staff stay busy with administrative hassles, that’s why it can be a feasible option to outsource radiology billing solutions in that matter. Different Imaging Services Mean Different Billing Paths Not all imaging is the same as an X-ray that follows different billing rules than an MRI. A CT scan is billed differently from an ultrasound, and accurate billing must reflect these differences clearly. Insurance companies do not pay just because an image was taken; they pay the clinics because the scan was medically necessary for the patient. Orders must explain why the imaging was needed, and all th...
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