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The Best Imaging Center Billing Services in the USA​

Radiologists primarily depend on two main coding systems: the Current Procedural Terminology (CPT) and the International Classification of Diseases, Tenth Revision (ICD-10). The ICD-10 is divided into two subsets: the ICD-10-PCS, which is used for inpatient procedures, and the ICD-10-CM, designated for outpatient services. Both subsets are essential to getting full reimbursements from the insurance payors. 

When you outsource radiology billing services to Pulse Medix, you get a team of 500+ certified billers and coders who will submit denial-free claims for your practice. Our goal is to minimize denial rates and enhance collections through precise and transparent claim submissions.
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We serve a wide spectrum of radiology practices, including

Diagnostic Radiology

Therapeutic Radiology

Nuclear Medicine

From large hospital radiology departments to independent diagnostic testing facilities (IDTFs), we serve practices of all sizes. To discuss the unique needs of your practice, please request a callback. 

A Walkthrough of Our Radiology Billing Process

Our radiology billing process is subject to a variety of laws and regulations to ensuring accurate billing and  protecting patient privacy. Here are some of the key laws and acts that we follow:

Health Insurance Portability and Accountability Act (HIPAA)

Medicare and Medicaid Regulations

Clinical Laboratory Improvement Amendments (CLIA)

Emergency Medical Treatment and Labor Act (EMTALA)

Patient Protection and Affordable Care Act (ACA)

Our imaging center billing services USA include

Pre-Authorization and Insurance Eligibility Verification

We confirm a patient's insurance coverage and secure necessary pre-authorizations for radiological procedures, such as MRI, CT scans, or ultrasound. This step is critical to avoiding claim denials due to a lack of authorization.

Rendering Services and Capturing Charges

Our expert team diligently documents and codes all radiology services performed. Accurate coding (CPT & ICD-10) and appropriate use of modifiers ensure that the radiology services are billed correctly. The results? Faster & maximized reimbursements!

Claims Submission

We submit comprehensive details about the procedures performed alongside the insurance claim. This includes specifying the types of imaging techniques used, the body part that was imaged, and any contrast agents administered.

Denial Management

Pulse Medix resolves denied or rejected radiology claims by analyzing the reasons for denials, which may include coding errors, lack of pre-authorization, or insufficient documentation. We also track and analyze patterns to prevent future denials.

Payment Posting

We make sure payments are correctly matched with the billed services and reconcile received amounts with billed amounts. When an insurance plan doesn't cover the full cost of a procedure, we send patients invoices for the remaining balance.

Medical Billing Software

We utilize specialized radiology billing software to manage the entire billing process. This software aids in scheduling, coding, submitting claims, tracking payments, and generating reports. It includes features for compliance checks, patient record management, and integration with radiology information systems (RIS).

See What Our Clients Are Saying

Outsource Radiology Billing Services To Pulse Medix For:

Increased Efficiency

Streamlined billing processes lead to faster claim submissions and reduced administrative workload.

Focus on Patient Care

Free up your staff to concentrate on patient care and clinical responsibilities.

Cost Savings

Reduce overhead costs associated with in-house billing operations.

Compliance Assurance

Stay up-to-date with changing regulations and maintain compliance with industry standards.

Detailed Reporting

Gain insights through comprehensive financial and operational reports.

Customer Support

Access to dedicated support for any billing-related queries or issues.

Ready to Optimize Your Radiology Billing Process?

Contact Pulse Medix today to streamline your billing operations, maximize reimbursements, and focus more on patient care. Let us handle the complexities of radiology billing so you can concentrate on what matters most.