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Radiology Billing Services

We deliver scalable, end‑to‑end radiology billing services tailored for diagnostic imaging centers, interventional radiology, mobile units, and freestanding imaging facilities. These solutions include revenue cycle management, strategic A/R recovery, effortless EHR/EMR and practice management integration, and proactive patient engagement services.
  • Multi-state provider credentialing support
  • Automated prior authorization management
  • RPA bots for 276/277 status for streamlined claim tracking
  • Denial analytics with predictive insights to reduce write-offs
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  • Our Key Performance Indicators

Roadmap to Optimized Revenue Cycle Performance

Our radiology revenue cycle management services keep you informed at every stage of your revenue workflow. With advanced BI reporting such as aging analysis reports, denial trend reports, net collection rate reports, and days in accounts receivable reports, you gain clear and measurable insights into your financial performance.
Collection Ratio
90 +%
Reduction in AR
35 %
First Pass Clean Claims Rate
90 %
Revenue Increase
6 %
Lowest Denial Rate
0 %
Days Turnaround Time
7- 10

Simplifying Radiology Billing for Every Care Setting

  • Hospital Radiology Departments
  • Diagnostic Radiology Groups
  • Teleradiology Providers
  • Hospital Radiology Departments
  • Diagnostic Radiology Groups
  • Teleradiology Providers

We Follow the Latest 2025 Radiology Billing Guidelines

Our 500+ certified professional billers (CPB) & certified professional coders (CPC) apply these codes and modifiers correctly the first time, ensuring your claims pass payer edits and avoid costly delays.

Code(s) Short Description
76014 MRI safety screen – metallic/electronic implants
76015 MRI safety screen – implant data verification
76016 MRI safety – uncertain implant status
76017 MRI safety – additional imaging/prep
76018 MRI safety – post implant adjustment
76019 MRI safety – multiple implants/foreign bodies
07XXT – 07X2T (Cat III) AI-assisted diagnostic imaging add-on codes (Cat III)
71271 (revised) Low-dose CT lung cancer screening (with CAD)
Category III Extensions Emerging technology codes extended to 2030

Quarterly changes in CPT®, HCPCS, ICD-10, MPPR, and NCCI are tracked and implemented, thereby reducing systemic denials and maintaining compliance throughout the year.

Modifier Purpose
26 Professional component (interpretation/reporting)
TC Technical component (equipment, technologist)
RT / LT Laterality specification (Right or Left)
50 Bilateral procedure
59 Distinct procedural service (unbundling when appropriate)
XE, XP, XS, XU CMS X modifiers for separate services
Q0 / Q1 Screening mammography distinctions
76 / 77 Repeat procedures (same/different physician)
Accurate application of modifiers such as 26 and TC (professional and technical components), along with 59, 76, and 77, helps prevent denials and overpayment corrections.

Built-In Compliance with Every Billing Workflow

Our radiology billing services ensure your practice stays fully compliant while maintaining smooth and efficient revenue cycle operations.

  • HIPAA
  • OIG Compliance Guidelines
  • HITECH Act
  • Affordable Care Act (ACA)
  • No Surprises Act (NSA)
  • Price Transparency Rule 2025
  • Radiopharmaceutical Payment Update
  • Appropriate Use Criteria (AUC) Program
  • Medicare Claims Processing Manual & NCCI Edits
  • Medicare Physician Fee Schedule (PFS) Final Rule 2025

We stay ahead of regulatory changes, including the recent 2.9% OPPS/ASC payment increase, to optimize reimbursement for radiology and outpatient imaging centers.

How Dastify Solutions Stays Ahead of the Curve

As a reliable radiology billing company, we provide you with:

Strong Clinical Documentation Support

Complete documentation of medical necessity (LCD) strengthens claims and minimizes rejections often associated with unsupported rule-out diagnoses.

Expertise in Interventional Radiology (IR) Coding

Complex interventional radiology services, global periods, and E/M rules are coded accurately to ensure proper charge capture and reduce error rates.

System Integration & Data Flow Management

Streamlined data exchange between EHR, RIS, and PACS through HL7/FHIR integration prevents charge errors and lost revenue.

Key Features of Our Radiology Billing Software

All operations adhere to HIPAA Title II Privacy and Security requirements. Data encryption, access audits, and SOC 2/HITRUST-level safeguards protect PHI throughout the billing lifecycle.

Authorization & Pre‑Certification Workflows

The built-in authorization manager handles MRI, CT, and PET pre-approvals, tracks payer responses in real-time, and escalates pending requests to prevent treatment delays and claim denials.

Multi‑Specialty Physician Billing

Handles professional billing for physicians across all specialties, ensuring compliant CPT®, HCPCS, and ICD‑10‑CM diagnosis code (DX code) mapping for therapeutic, interventional, and diagnostic radiology services.

AI-assisted Radiology Claim Scrubbing

Generates hospital and SNF claims with built‑in payer rules, including Medicare NCCI and MPPR guidelines, to reduce rejections and underpayments.

AI-assisted Radiology Claim Scrubbing

Generates hospital and SNF claims with built‑in payer rules, including Medicare NCCI and MPPR guidelines, to reduce rejections and underpayments.

Integrated Imaging & Patient Access

Connects with PACS for image storage and retrieval and includes a built‑in RIS for order tracking, reporting, and appointment scheduling. Patients can securely access their reports, view imaging results, and communicate directly with providers through a portal.

What Makes Us the Best Radiology Billing Company in the USA?

Dastify Solutions brings over a decade of experience managing complex billing workflows across more than 75 medical specialties. Thousands of radiology providers choose our billing services for their proven accuracy, transparency, and reliable results.

24/7 Expert Support

Certified billing specialists available around the clock to ensure uninterrupted claim submissions and quick issue resolution.

Clients experience up to 50% reduction in billing overhead with our automated, rules-driven RCM platform.
Serving providers in all 50 states with full compliance to state-specific payer rules and Medicaid requirements.
Processing capacity of 75,000+ claims per day with a 98.5% clean claim rate, leading to faster payments. Outsource your radiology billing services today!
Integrated QCDR reporting consistently helps practices achieve MIPS scores of 75 or higher, avoiding penalties and earning bonus incentives.
Standard and custom reports provide insight into Days in A/R, collection ratios, denial patterns, and payer trends for stronger financial decisions.
Focused A/R cleanup for radiology groups lowers denial rates by up to 30% and improves payment turnaround.

Our Satisfied Clients

Discover how physician groups thrive with us.

Dastify Solutions has been a huge help with all of our surgical prior authorizations. They are reliable, efficient, and make the process so much easier. We can always count on them, which allows us to focus on providing the best care for our patients. Highly recommend!

Harlee Mallin - Utah

Dastify is awesome! They have assisted our company every step of the way. They are easy to work with and are always responsive and professional. I would recommend them for all of your billing needs!

Steen - New Mexico

Very happy with Dastify’s services for our practice. We highly recommend them! They are very thorough and professional.

Chelsey Murrel - Utah

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Frequently Asked Questions

Radiology often involves multiple imaging modalities or multiple body areas in one session. Incorrect modifier usage can lead to payment reductions, duplicate claim denials, or compliance issues. Modifiers such as 26 (professional component), TC (technical component), and 59 (distinct procedural service) must be applied based on documentation and payer policy. Our team uses automated edits and manual reviews to apply modifiers correctly, protecting both compliance and revenue integrity.
Yes—but only under specific conditions. An E&M code can be billed if it occurs outside the global surgical period. Modifier 57 is used when pre-procedure decision-making leads to a major procedure. Modifier 25 applies if a distinct E&M service is separate from the interventional procedure. We review each case carefully to apply codes and modifiers correctly and defensibly.
No, injection of radiopharmaceuticals and technical tasks like venipuncture are bundled into nuclear CPT codes and not paid separately. Additional modifiers may apply for separate procedures on the same day.
We support seamless integration with EHR, RIS, and PACS systems via HL7/FHIR interfaces, enabling accurate charge capture and documentation flow. Our automation tools include RPA bots for ERA posting, denial triggers, and BI reporting dashboards for clean claim rates, AR aging, and denial trends.

We use a modern FHIR (Fast Healthcare Interoperability Resources)–based authorization engine to automatically submit and monitor payer requests. Real-time tracking flags delays or mismatches, typically reducing authorization-related rejections by around 40–45%. Specialist staff follow up when needed to ensure all required approvals are secured before service delivery. 

Yes, we have experience in handling complex billing for both inpatient and outpatient settings. For hospital-based practices, we manage professional component billing to ensure physician payments are optimized. For office-based or freestanding imaging centers, we manage global billing that includes both technical and professional components. Our approach is customized to your practice size, payer mix, and service profile.
Payers often apply Multiple Procedure Payment Reduction (MPPR), which reduces reimbursement for secondary technical components by 50% and professional components by 5% when multiple imaging codes are billed together. We appeal incorrectly applied reductions, ensure proper use of modifiers (e.g., 59, XU), and validate that documentation supports separate sessions or medical necessity. Our denial management process focuses on quickly recovering revenue and preventing repeat issues.
CPT 37241 covers transcatheter therapy for non-vascular embolization procedures. Reimbursement accuracy depends on the correct coding of the procedure, documentation of medical necessity, and payer-specific rules. For Medicare and most commercial payers, the global code includes physician work, technical components, and post-procedure care. We track payer fee schedule updates, ensure proper use of modifiers for laterality or separate sessions, and validate claim alignment with the latest CMS and AMA guidelines to avoid underpayment or claim denials.
The National Correct Coding Initiative (NCCI) edits define which imaging procedures can and cannot be billed together. In 2025, CMS added and revised edits for CT and MRI combinations, particularly when performed in the same session. For example, certain CT abdomen and pelvis combinations are bundled unless modifier 59 or XE is used to indicate distinct services. Our billing specialists review NCCI quarterly updates, apply the correct modifiers when services are clinically separate, and ensure compliance to prevent payer rejections or post-payment audits.
Our team ensures your diagnostic facility meets all CMS IDTF accreditation requirements, which is critical for Medicare and insurance reimbursement. We help maintain compliance with 42 CFR 410.33 performance standards, covering everything from credentialing and quality control protocols to accurate CPT/HCPCS coding for diagnostic imaging.
Our pricing for radiology medical billing services is customized to your practice’s size, service mix, and billing complexity. We offer flexible engagement models, including percentage-based, per-encounter, and dedicated full-time billing team options. Every plan is designed to be transparent, with no setup fees, hidden charges, or long-term lock-in contracts.

Outsource the Best Radiology Billing Services in the USA

Request a demo or consultation today and discover how our integrated RCM solution, featuring AI coding, RPA workflows, robust dashboards, and specialty coding expertise, can help increase your collections.
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