What Is Radiology in Medical Billing?

Using imaging techniques, radiology is a medical service that diagnoses and treats diseases. As disorders develop and become more complex, radiology has become increasingly specialized and costly. And this applies not only to the patients but also to the service providers.

For the service providers, updates are received frequently, denoting a change in CPT codes for radiology billing services. To properly bill clients and insurance companies, medical facilities must keep a constant eye on the radiology medical billing. To help you with this increasingly tough issue, our team unpacked some crucial points for you below.

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The two components of radiology medical billing

We mentioned before that radiology medical billing has its complexities. Other specialties in the medical field will only have one component to their billing. But not radiology; it has the professional and the technical components.

The technical component, as the name implies, has to do with technical elements. This is typically in the diagnosis of the disease. The medical professional will use radiology apparatus and machines and dyes. From the conclusion of the exam, the radiologist will receive the results and interpret them. The patient will obtain the diagnostic results and this service will be billed as the professional component.

It can be a bit confusing. For a medical practice to stay in the business, it is recommended that you engage a team of certified billers who can interpret and apply their knowledge of the complex radiology billing system.

Choosing a radiology medical billing company

Since you are considering employing a company for your radiology claims, use one that meets the following criteria:

  •       Experience. You will need to choose a company that has extensive experience in radiology billing systems. A compromise on this bit may lead your medical practice to return losses.
  •         Procedures for identification of underpayments. This is a common scenario in medical practices, where the payments do not tally with the contracted rates. A reputable company must be able to identify this, pursue a short-term and long-term solution and work with other parties to find a solution.
  •         Certification by the American Association of Professional Coders (AAPC). AAPC is the national body that monitors and regulates the medical billing and coding industry. It is recommended that your medical coders meet this threshold. As the client, you will have peace of mind knowing that the contractor has the experience, training, and qualification required.

If you are a healthcare provider in need of any billing and coding services, there is no better company to call. We are an experienced and reputable service provider known for our customized services and products. So call us today and make your medical practice profuse and efficient.