Radiology Billing Done Right
Radiology Billing
Experience accurate and timely radiology billing with the guidance of our dedicated team.
Alongside the vital work of radiology comes a uniquely complex and highly regulated billing process. That’s where we come in. Our automation-powered Radiology Medical Billing and Revenue Cycle Management (RCM) services are created to handle the challenges of radiology revenue cycles. By combining experienced radiology billing experts with AI-driven automation tools, we help imaging centers, hospitals, and radiology practices protect their revenue and keep their focus on clinical care.
Why Radiology Billing Is So Complex
Radiology billing involves much more than submitting CPT codes. Each imaging service requires specific coding for modality, contrast use, body part, and whether the service includes a professional, technical, or global component.
Key Challenges Include:
- Modality-specific coding for MRI, CT, X-ray, ultrasound, mammography, nuclear medicine, and interventional radiology
- Separation and billing of professional, technical, and global service components
- Prior authorization requirements for advanced imaging (CT, MRI, PET, Nuclear Medicine)
- Strict medical necessity and documentation rules
High claim volume with varied payers and benefit plans - Complex denial management for bundled services and authorization issues
- Integration of radiology information systems (RIS) with practice management software
Without the right expertise, radiology providers risk claim delays, denials, and substantial revenue loss.
How Our Automation-Powered Radiology RCM Services Work
At Med Karma, we’ve strategically integrated automation technology at every step of the radiology revenue cycle — from eligibility verification and coding to claim scrubbing, submission, and denial management — reducing manual labor, improving accuracy, and accelerating cash flow while ensuring strict compliance with payer guidelines and radiology-specific regulations.
Automated Patient Registration, Eligibility & Authorization Verification
Before a single image is taken, our system automatically captures patient demographics, insurance information, and benefit details from your scheduling or RIS system. It verifies eligibility in real time and flags services that require prior authorization, sending automated alerts and follow-ups to ensure compliance before the appointment.
Key Benefits:
- Real-time eligibility and benefits verification for all imaging services
- Automated prior authorization status checks and reminders for advanced imaging
- Integration with scheduling and RIS platforms
- Reduction in eligibility- and authorization-related claim denials
AI-Powered Radiology Coding & Charge Capture
Accurate radiology coding demands careful attention to modality-specific CPT and HCPCS codes and service components. Our certified radiology coders work alongside AI-enhanced coding tools that automatically review imaging reports and recommend appropriate codes, modifiers, and components based on current coding guidelines and payer policies.
Features Include:
- AI-driven CPT/HCPCS code suggestions based on report narratives
- Automated component selection (Professional/Technical/Global)
- NCCI edit validation and modifier management
- Real-time audits for coding accuracy and compliance
Automated Claim Scrubbing, Submission & Real-Time Status Tracking
Every claim is automatically scrubbed by our intelligent claim validation engine, which checks for coding conflicts, documentation gaps, bundling issues, and payer-specific billing rules. Clean claims are submitted electronically to government and commercial payers, with real-time tracking and instant rejection notifications.
What You’ll Gain:
- Automated claim scrubbing for radiology-specific rules and edits
- Electronic submission to Medicare, Medicaid, and all commercial insurers
- Instant alerts for claim rejections and quick auto-correction tools
- Real-time dashboards for claim status, payment forecasting, and productivity metrics
AI-Powered A/R Management & Denial Resolution
High-volume specialties like radiology can easily accumulate aging accounts receivable and frequent denials, especially for authorization, bundling, or medical necessity issues. Our AI-based A/R management platform automatically prioritizes claims by age, balance, and denial reason, generating actionable worklists and automated appeal letters to speed up resolution and revenue recovery.
Key Highlights
- AI-driven denial analytics and A/R worklist generation
- Automated appeals for bundling conflicts, authorization denials, and medical necessity rejections
- Denial trend analysis by modality, payer, and location
- Real-time cash flow forecasting and revenue recovery reporting
Automated Patient Billing & Digital Payment Solutions
For radiology services not fully covered by insurance — such as imaging for cosmetic reasons, high-deductible plans, or out-of-network services — our system generates clear, easy-to-understand patient statements, sends payment reminders via email or text, and offers mobile-friendly online payment options.
What Patients Appreciate:
- Automated, itemized patient statements
- Digital and mobile payment portals
- Text-to-pay reminders for convenience
- Recurring payment plan options for large balances
The Benefits You’ll Experience
- Faster eligibility, authorization, and registration processes
- Accurate, AI-assisted radiology coding for all modalities and services
- Lower claim denials and reduced rejections
- Real-time claim submission, tracking, and revenue reporting
- Automated denial management and appeal processing
- Increased patient collections with digital payment tools
- Shortened A/R cycles and improved financial performance
- HIPAA-compliant, secure patient data management
Why Choose Med Karma
At Med Karma, we understand radiology’s operational, clinical, and financial complexities. Our radiology billing experts are trained in the latest coding updates, prior authorization trends, and radiology-specific compliance requirements. Combined with our automation-first RCM platform, we help radiology practices, imaging centers, and hospital departments accelerate cash flow, minimize administrative burden, and secure every dollar they’ve earned.
Whether you operate a single-site diagnostic imaging center, a multi-location radiology group, or an interventional radiology service line within a hospital system — our customized solutions adapt to your technology, payer mix, and business goals.