Claim the funding radiology has already earned.
RadBill reads every study against the clinical evidence around it, finding the gaps between what was performed and what was claimed, across contrast, regions, modifiers, and more, and making sure your department receives what it is owed.
Built for the Australian system.
Most radiology underclaiming is invisible until long after the study is done.
High volumes, thin per-study margins, and the complexity of imaging billing make radiology uniquely prone to silent underclaiming. Rejections bounce back and get worked. Undercoding never does: spotting it takes clinical judgment, not a clerical fix, so it leaves unflagged, one study at a time. That gap is funding your department earned and never received.
Australian research puts the gap from non-compliant radiology billing at 10–15% of scheme cost, and finds many practitioners underbill. An undercharged study (a missed contrast or add-on item) never surfaces as a rejection at all.
On top of what's undercoded, industry benchmarks put first-submission rejections at about 1 in 7 claims, and the usual culprits (wrong item number, referral, eligibility) map straight onto Australian imaging billing rules, where they're predictable and preventable.
A contrast not claimed, a region missed. It raises no rejection and no flag, so unlike a denial it never bounces back to be worked. That funding leaves with the study.
The model
Built for the Australian schedule, not adapted to it.
RadBill is the first billing model purpose-built for the Australian schedule. It reads every study against the evidence around it and re-derives what it should have paid, combining multiple techniques to balance consistency, robustness and reasoning. Together they surface the underbilling no single approach would catch alone.
Imported
56301
CT chest, contrast given but billed without.
Re-derived
56307Contrast found on the report. +$118 recovered.
Built for imaging, not pointed at it.
General-purpose billing companies treat radiology as one more specialty in the stack. The result is wrong items, missed services, and rejections no one recognises. RadBill is built for the Australian market, starting from how imaging actually bills under Medicare.
If your billing partner cannot tell a 56001 from a 56007, they are shortchanging every study your radiologists read.
Bulk-bill, private & gap
Make the right bulk-billing, private-fee, and gap decision on every study, and capture it correctly the first time.
Modality-aware items
CT, MR, ultrasound, mammography, nuclear medicine, and IR each carry their own MBS item and multiple-services traps. We select the right item for each.
Medicare imaging rules
Eligibility, referral validity, the multiple-services rule, and imaging-specific item descriptors, kept current with the MBS and its diagnostic-imaging updates.
Security, compliance, and integrations
Security & compliance
- Privacy Act 1988 (APPs)
- ISO 27001
- My Health Records
- Encrypted and never leaves your environment
Connects to your stack
- Karisma RIS
- Comrad
- SECTRA PACS
- HL7 / FHIR (DICOM)
See what your department has been leaving unclaimed.
Share a de-identified, custodian-authorised sample under agreement and we will show you, study by study, where billing understated what was performed.
References & sources
Figures on this page are representative revenue-cycle benchmarks, drawn largely from international research and adapted to the Australian context. Results vary by practice, modality mix, and current baseline.
- 1.Leakage from non-compliant Medicare billing in Australia is estimated at 10–15% of scheme cost, and research finds many practitioners undercharge. Wading through Molasses, Australian medical-billing study (2022).
- 2.Initial claim denial rates run roughly 12–16% (about 1 in 7) across commercial and government payers, a widely cited revenue-cycle benchmark. Experian Health, State of Claims 2025.
- 3.Unclaimed items add up quickly on the MBS: adding the contrast item to a contrast-enhanced CT is worth on the order of $100 in benefit per study. Schedule fees as at 1 July 2025. MBS Online, Category 5 Diagnostic Imaging.