Radiology Medical Billing & Credentialing Services
Streamlined Reimbursements & Full Compliance for Diagnostic & Interventional Radiologists
Radiology billing isn’t just about codes—it’s about mastering complexity. Whether you're a diagnostic imaging center, a teleradiology provider, or an interventional radiologist, the billing process can be a maze of modifiers, global and technical components, and strict documentation rules. One misstep can result in massive revenue loss.
At Oakview Medical Billing Solutions, we understand the intricate layers of radiology billing and credentialing. We help radiologists stay focused on reading films and performing procedures while we handle every facet of revenue cycle management—compliantly, accurately, and aggressively.
Why Radiology Billing is Uniquely Challenging
Radiology faces some of the most detailed and technical billing requirements in all of healthcare. Here’s why radiology practices struggle with in-house billing or generic billing vendors:
Global vs. Professional vs. Technical Components
Radiology services are often split into professional (physician interpretation), technical (equipment/facility), and global (both). Billing incorrectly or omitting modifiers (like -26 or -TC) can cause claim denials or underpayments.
Extensive CPT & ICD-10 Coding
Radiology includes thousands of CPT codes for imaging types, body regions, contrast usage, and procedural intent. Coders must constantly stay updated on changes in guidelines and payer rules.
High Pre-Authorization Denial Rate
Advanced imaging (MRIs, CT scans, nuclear medicine) often requires prior authorization. Without proper documentation and workflow, denials skyrocket—delaying patient care and impacting cash flow.
Interventional Radiology Coding Complexity
IR procedures demand precision coding, with multiple components, bundled services, and time-based elements. Misbilling results in severe compliance risks or lost revenue.
Hospital vs. Office Setting Nuances
Whether you bill as a hospital-based group or an outpatient imaging center, radiology billing differs drastically by place of service—and it’s critical to get this right to avoid denials.
What Oakview Brings to Radiology Practices
At Oakview, we don’t treat radiology like a plug-and-play specialty. We tailor your billing and credentialing approach to your modality, setting, and growth goals:
Subspecialty-Trained Radiology Coders
Our coders are AAPC- or AHIMA-certified with expertise in diagnostic, interventional, and nuclear radiology CPT coding. Every code is double-checked before submission.
Real-Time Authorization & Eligibility Checks
We handle prior auths and eligibility verification for CTs, MRIs, PET scans, and ultrasounds—so your patients don’t experience delays, and you don’t face denials.
Modality-Specific Charge Entry
Whether it's X-ray (plain film), cross-sectional imaging (MRI/CT), ultrasound, or nuclear medicine, we handle all components correctly using the right modifiers and NCCI edit checks.
Claim Scrubbing & Rapid Submission
We scrub every claim using payer-specific rules and radiology logic, ensuring error-free submission and faster reimbursement cycles.
Credentialing & Recredentialing for Radiologists
From independent radiologists to groups and mobile imaging services, we credential your providers with Medicare, Medicaid, and all major commercial insurers—keeping everything fully compliant.
Teleradiology Billing Support
For mobile or remote diagnostic radiologists, we handle time zone-sensitive claim timing, global/technical splits, and out-of-state payer rules.
Radiology Services & Relevant CPT Codes
Why Radiologists Trust Oakview
Deep knowledge of radiology billing complexities
Specialists in imaging center and teleradiology workflows
24–48 hour turnaround on charge posting
Denial resolution team with radiology-specific experience
Credentialing for MDs, DOs, and radiologist extenders
Compliance monitoring and audit prep support
We’ve helped radiology groups boost clean claim rates to 98%+ and cut A/R days by 40% within 90 days of onboarding.
Let’s Optimize Your Imaging Revenue Today
Don’t let undercoding, billing errors, or missing authorizations hurt your bottom line. Oakview Medical Billing Solutions is ready to transform your radiology revenue cycle.
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KY 40507
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