Radiology revenue cycle

Recover the revenue radiology has already earned.

radbill reads every claim the way a radiologist reads a study: finding the underpayments, denials, and coding gaps buried in the noise, and turning them back into collected revenue.

Book a demoSee how it works

Professional and technical components, modality mix, and payer-specific imaging rules, handled end to end.

Claim stream
Recovered this cycle
+$2,036/ 30 claims

Most radiology revenue loss is invisible until it is already gone.

High volumes, thin per-study margins, and imaging-specific payer rules make radiology uniquely prone to silent leakage. The losses rarely show up as a single number. They accumulate one denied or shorted claim at a time.

1 in 7
Claims denied or underpaid

Radiology claims rejected or shorted on first submission, often for coding and medical-necessity reasons unique to imaging.

60%+
Of denials are recoverable

Most denied imaging claims can be overturned on appeal. The majority are never reworked and quietly written off.

$25+
To rework one claim by hand

The administrative cost of manually chasing a single denial, before a dollar of the original charge is recovered.

From the read to the remittance, one revenue cycle built for imaging.

radbill owns the full arc of the claim. Each stage is tuned to the way radiology actually bills, not a generic medical-billing template pointed at imaging.

01

Capture & code

Every study coded for what it actually is: professional and technical components split correctly, modifiers and RVUs checked against the read.

  • CPT 70010–79999
  • TC / PC split
  • Modifier capture
  • RVU-aware
02

Prevent denials

Each claim is scrubbed against that payer's imaging-specific rules before it goes out, so far fewer come back.

  • Payer rule checks
  • Clean-claim scrub
  • Medical necessity
  • Prior auth
03

Recover & appeal

Denials and underpayments are worked automatically, with appeal packets built from the documentation payers actually require.

  • Denial work
  • Appeal packets
  • CO-97 / CO-50
  • Underpayment audit
04

Analyze payer mix

See exactly where revenue leaks, by modality, payer, and study type, and act on it before the next cycle closes.

  • Modality mix
  • Payer scorecards
  • A/R by study
  • Leakage map

Fewer denials, faster reimbursement, more of what you earned.

Representative ranges across radiology practices on radbill. Actual results depend on your payer mix, modality spread, and current baseline.

8–15%

Net revenue lift

Typical recovery once coding accuracy, denial prevention, and appeals compound across a full cycle.

95%+

Clean-claim rate

Claims accepted on first submission after imaging-specific scrubbing.

60%+

Of denials overturned

Recoverable denials worked and appealed rather than written off.

<30d

Days in A/R

Faster, more predictable reimbursement across the payer panel.

Built for imaging, not pointed at it.

General-purpose billing companies treat radiology as one more specialty in the stack. The result is dropped codes, missed components, and denials no one recognizes. radbill starts from how imaging actually bills.

If your billing partner cannot tell a 70551 from a 70553, they are guessing with your revenue.

Professional & technical split

Bill the read and the equipment correctly, whether you are hospital-based, an IDTF, or billing globally.

Modality-aware coding

CT, MR, ultrasound, mammography, nuclear medicine, and IR each carry their own bundling traps. We code to each.

Imaging payer rules

Prior-auth, LCD/NCD medical necessity, and bundling edits specific to imaging, kept current per payer.

Contrast & supervision

Capture contrast administration, supervision-and-interpretation, and add-on codes that routinely get dropped.

Subspecialty reads

Neuro, MSK, breast, cardiac, and interventional coded to the subspecialty, not flattened to a generic template.

Self-referral & Stark

Structure compliant billing for in-office and in-practice imaging without leaving revenue on the table.

Security & compliance

  • HIPAA compliant
  • SOC 2 Type II
  • HITECH
  • BAA on request
  • PHI encrypted in transit & at rest

Connects to your stack

  • Epic
  • Oracle Health (Cerner)
  • MEDITECH
  • RIS / PACS (DICOM)
  • HL7 / FHIR
  • Major clearinghouses

See what radbill recovers from your claims.

Send us a recent denial and remittance sample. We will show you, claim by claim, where the revenue is and what it would take to recover it.

Book a demoTalk to the team

No rip-and-replace. We run alongside your current setup through onboarding.