Medical billing is a necessary part of any medical business, and radiology offices are no exception. However, billing for radiology can be particularly complex, due to the many different types of tests and procedures that can be performed. That’s why it’s often a good idea to outsource your radiology medical billing to a specialist company that can handle all of the complexities involved in getting you paid for your services.
With something as important as your revenue, it is worthwhile to consider all the options. The many benefits of working with an experienced radiology billing company make outsourcing very attractive. This article covers only some of the advantages that have been experienced by radiology offices when their billing has been outsourced.
Top Radiology Billing Companies Understand Billing Complexities
Experienced radiology billing professionals have a deep understanding of the complexities of medical billing and can ensure that claims are filed correctly and on time. Radiology involves many procedures and types of equipment that are unique to the field, so just having a background in medical billing isn’t enough to give coders and billers the expertise necessary to handle radiology billing.
Unless coders and billers are experienced with medical billing specifically for radiology, they are likely to make mistakes. Even in-house billers who specialize in radiology are unlikely to process the volume of claims it would take to give them experience with all the details that need to be considered.
CPT code modifiers are a great example. Some of these sub-codes may not be used often, but where they are needed, their absence will result in a denial.
Some required modifiers indicate whether the procedure was performed as an outpatient or an inpatient, or which side of the body was involved. A coder may use the correct code for the procedure, but if they don’t remember to include these additional bits of information when they are needed, the claim will not be paid.
Radiology billing modifiers are important to know for medical billers. One such modifier, 59, is used to indicate that a procedure or service is not normally covered by the payer. This modifier should be used when the service or procedure is not considered medically necessary. A different modifier is used to indicate that the service was performed during the same encounter as another service. These are just a few of the modifiers billers need to be aware of when filing radiology claims.In addition to all the relevant CPT codes, billers also need to know which Healthcare Common Procedure Coding System (HCPCS) codes should be used to bill for radiology supplies and services.
Radiology Medical Billing Specialists Are Efficient
There are a lot of details that must be addressed in filing medical claims. The top medical billing companies have experienced billers and a proven system for tracking and processing claims.
The amount of revenue lost to poorly managed claims every year is in the billions. Some of it is due to claims just not getting filed, or only being submitted after the allowed time has expired. Far more is due to denied claims not being processed.
In-house billers often don’t have enough experience with handling denials to be able to do it in a timely manner. Processing denied claims can be confusing for inexperienced staff, and the amount of time it takes can incur more labor costs than the claim is worth.
It is critical to the success of a billing system to keep track of every claim so that when a denial is received, the claim is immediately reviewed and any necessary corrections or additions are made. Making sure each claim is tracked and processed breaks the cycle of loss from denied claims.
RCM Services for Radiology
Radiology revenue cycle management (RCM) experts should provide personalized service to ensure that all aspects of your medical business are functioning like they should. You should be able to ask your medical billing expert for assistance in all areas of your business.
By working with a top radiology billing company, you can maximize your profits and improve your bottom line. RCM services include important processing steps such as verifying insurance coverage and obtaining preapprovals. You may also be able to get help with credentialing, which will increase the size of your network and bring you more patients.
A good radiology RCM company will have extensive experience in dealing with insurance companies and government payers, as well as with the specific coding and documentation requirements for radiology procedures. They will also have up-to-date knowledge of current reimbursement rates and payment policies. This expertise can be invaluable in ensuring that your office receives timely and accurate payments for the services you provide.
Radiology Medical Billing Is Affordable
For all the benefits of hiring a radiology medical billing company, the service is surprisingly affordable. In fact, our clients have had so much increase in their revenue that the small percentage we get paid is more than covered.
Because our team processes radiology billing claims all day long, they are familiar with the detailed coding and modifiers that are required. Over a decade in the field has let us develop a system for making sure claims are accurate and properly submitted within just a few days of the service being delivered. Each claim is tracked and a manager makes sure all possible revenue is received.
Medical billing is not a favorite aspect of the practice for any practitioner we have heard of. There is just too much to do when you also have to take care of patients, manage staff, and plan for growth. Outsourcing the billing and other RCM tasks relieves a lot of stress and allows medical personnel to focus on patient care.
Medcare MSO’s team of billing experts has years of experience in managing the radiology revenue cycle, and we can help you get the most out of your business. We understand the complexities of billing for radiology services, and we are committed to providing our clients with the highest level of customer service. Contact us today at 800-640-6409 to learn more about our services and find out how we can make your revenue cycle more efficient.