- Radiology & Imaging RCM Experts
- TC / PC Split & Modifier Accuracy
- High-Volume Claim Processing
Streamlined RCM for Imaging Practices & Diagnostic Centers
Whether your facility performs X-rays, CT, MRI, ultrasound, nuclear medicine or interventional radiology — we handle the entire revenue cycle: from accurate coding, split billing, claim submission, to denials and AR management. Focus on patient care — we take care of the rest.
Our Radiology Services Package
Eligibility & Verification
Confirm insurance, benefit coverage, pre-authorization requirements to avoid rejected imaging claims.
Modality & Procedure Coding
Accurate CPT / HCPCS / ICD-10 coding for diagnostic imaging, interventional procedures, nuclear medicine, ultrasound, mammography and more.
Technical & Professional Component Handling
Proper billing split for imaging equipment use (technical component) and radiologist interpretation (professional component), with correct modifiers to minimize denials.
Charge Capture & Claim Submission
Accurate charge capture, claim build, electronic submission and tracking across modalities and payers.
Payment Posting & AR Management
Post remittances, reconcile ERAs, manage patient balances, track collections and clean-up aged accounts receivable.
Denial Management & Appeals
Analyze denial root causes — incorrect modifiers, missing components, payer edits — resubmit or appeal claims to recover lost revenue.
Reporting & Analytics
Detailed dashboards on modality mix, payer performance, claim turnaround, denial trends and revenue metrics for informed decision-making.
Compliance & Audit Support
Regular audits to ensure documentation, coding, modifier use and payer rules compliance — reducing risk of recoupments and audits.
Integration & Workflow Optimization
Seamless integration with RIS/PACS/HIS systems, streamlined data flow from imaging to billing, reducing manual errors and improving efficiency.
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Radiology Billing Workflow
Our workflow is tailored for imaging practices — combining modality-specific charge capture, split billing logic, compliance checks, and proactive denial recovery. This ensures imaging orders are billed correctly, payments processed timely, and revenue leakages minimized.
Patient Registration & Eligibility Check
Confirm payer, benefits, prior-auth requirements before scheduling imaging.
Procedure & Modality Capture
Record imaging modality, number of views, study details, ordering physician, and clinical indication.
Coding & Charge Entry
Assign correct CPT/HCPCS/ICD-10 codes, apply modifiers, split TC/PC components correctly.
Claim Submission
Compile and submit claims electronically or via required payer format, including attachments as needed.
Payment Posting & Reconciliation
Process ERA/EOB, apply payments, adjust for co-pays or deductibles, post patient balances.
Denial Triage & Appeals
Review denials, correct documentation or coding errors, resubmit or appeal promptly.
Revenue Analytics & Reporting
Provide dashboards on modality utilization, denial rates, payer performance, and revenue metrics.
Continuous Quality & Compliance Audit
Ongoing audits to ensure documentation integrity, coding accuracy and payer compliance.
Speak With an Expert
Improve Your Operational Outcomes. Connect with us today for a no-charge in-depth Consultation before we begin optimizing your operations.
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