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Radiology billing and coding   are often seen as unmanageable. It’s difficult to stay up-to-date on the individual payer and regulation changes. Billing and coding inconsistencies may lead to claims denials. Here’s a closer look at some strategies to maximize radiology practice reimbursement. · Use of proper modifiers · Leverage Payer Contracts · Better manage denials Use Proper Modifiers Incorrect modifiers are one of the reasons for lost reimbursement in radiology practices. While submitting the claim, physicians have to mention where the radiology service rendered, who owns the equipment as a modifier. 26, TC, 76, 77, 50, LT, RT are few of modifiers used in radiology medical billing. · 26 — Professional component- This modifier is used when the physicians supervise and interpret a diagnostic test and write reports. · TC — Technical component — This modifier covers the cost of staff, types of equipment and non-professional components. · 76 modifiers used w...

For successful radiology practices, error-free claim and timely submission is one of the key aspects that improve practice cash flow but also reduce the overall billing cost.   In radiology billing services , most of the medical claims are denied by the payers due to some reasons. Incorrect information of patient’s insurance coverage, eligibility is one of the main reasons for radiology claim denials. Let’s discuss the reason for radiology claim denials and how to avoid them. Focus on Insurance Plan Information  Having right insurance plan is an important element in medical billing.   Collect the below details to get the full reimbursement without any rejections. Name of the plan Subscriber Name Group number Coverage effective dates Secondary /supplemental coverage Verify Basic Demographic Details of the Patient: Ensure the patient fills all the details without any error at the time of registration.   Below is the checklist to be verified: Pat...