Radiology Billing Services
Radiology Medical Billing Services for Imaging Centers & Radiologists in NY, NJ & CT
Radiology billing operates at high volume and high velocity — imaging centers process large numbers of claims each day, each requiring precise procedure code selection, accurate modifier application, and correct professional and technical component billing. Whether your practice performs diagnostic imaging, interventional procedures, or nuclear medicine studies, the margin for billing error is slim and the financial consequences of systematic miscoding are significant.
Billing Genies provides comprehensive radiology medical billing and revenue cycle management to independent imaging centers, hospital-affiliated radiology groups, teleradiology services, and interventional radiology practices across New York, New Jersey, and Connecticut. Our radiology billing specialists bring expertise across all imaging modalities, professional and technical component splitting, and the prior authorization requirements specific to NY, NJ, and CT commercial payers.
Our Radiology Billing Services
Diagnostic Imaging Billing (MRI, CT, X-Ray, Ultrasound)
We manage billing for the complete range of diagnostic imaging — plain film radiographs, computed tomography, magnetic resonance imaging, and ultrasound studies. We ensure correct contrast documentation, comparison study notation, and accurate laterality modifier application on every claim, supporting both high-volume daily billing and complex multi-modality studies.
Mammography & Women's Imaging Billing
Screening and diagnostic mammography billing requires precise distinctions between study intent, three-dimensional tomosynthesis add-ons, and computer-aided detection. We ensure MQSA compliance documentation accompanies mammography claims and that all applicable add-on services are coded correctly — neither overbilled nor missed.
Interventional Radiology Billing
Interventional radiology procedures — including angiography, embolization, biopsies, drain placements, and pain management procedures — involve complex bundling rules between imaging guidance and procedural codes. We apply supervision and interpretation codes correctly, ensure imaging guidance is billed separately only when permitted, and manage the prior authorization burden of IR procedures.
Nuclear Medicine & PET Imaging Billing
Nuclear medicine and PET scan billing requires documentation of radiopharmaceutical administration, dosimetry, and physician interpretation. We handle radiopharmaceutical billing alongside technical and professional study codes, ensuring complete and accurate reimbursement for the full scope of each nuclear medicine encounter.
Professional & Technical Component Billing
Radiology practices frequently bill either a global service or separately split technical and professional components depending on the practice arrangement. We manage this split accurately across all imaging modalities, ensuring the correct modifiers are applied based on your specific billing arrangement with facilities and referring institutions.
Why Choose Billing Geinies for
Radiology Billing Services
High-volume radiology billing expertise supporting accurate coding for hundreds of daily claims
Professional and technical component management for all practice billing arrangements
Correct Coding Initiative edit compliance to prevent bundling errors before submission
Interventional radiology authorization and supervision code expertise
Mammography billing compliance including tomosynthesis and computer-aided detection add-on rules
Real-time claim tracking and denial trending by imaging modality and payer
Scalable billing support for independent imaging centers and hospital-based radiology groups
Our Process
Our Radiology Billing Process
Geographic
Serving Radiology Practices Across NY, NJ & CT
New York
New Jersey
Connecticut
New York
New York imaging centers face some of the strictest prior authorization requirements in the country — particularly for advanced imaging ordered by non-participating providers. We help NYC-area radiology practices navigate the full range of NY commercial payer prior authorization policies and maximize net reimbursement per study.
New Jersey
New Jersey radiology practices billing through major commercial payers benefit from our familiarity with NJ-specific imaging coverage policies. We help NJ imaging centers reduce advanced imaging authorization denial rates and improve overall cash collections through proactive denial management.
Connecticut
Connecticut imaging centers affiliated with major health systems, as well as independent practices, rely on our radiology billing expertise to manage prior authorization complexity and to ensure accurate billing for both facility and professional components across all payer types.
FAQs for Billing Genies
What is the difference between professional and technical component billing in radiology?What does a medical billing company do?
The professional component covers the radiologist’s interpretation and written report. The technical component covers the use of the equipment and the staff who operate it. When one entity performs both, a global code is billed. When they are separate — for example, an independent radiologist interpreting a hospital-owned study — each component is billed separately with the appropriate modifier.
A medical billing company manages claim submissions, coding, and payments to help healthcare providers receive faster and more accurate reimbursements.
What is the difference between screening and diagnostic mammography billing?What does a medical billing company do?
Screening mammography is a routine study performed on an asymptomatic patient. Diagnostic mammography is performed in response to a symptom, clinical finding, or abnormal screening result. The distinction must be clearly documented in the physician’s order and the radiologist’s report. Many payers apply different patient cost-sharing rules to each study type.
A medical billing company manages claim submissions, coding, and payments to help healthcare providers receive faster and more accurate reimbursements.
Is prior authorization required for MRI studies in New York?What does a medical billing company do?
For most commercial payer plans in New York, outpatient MRI studies require prior authorization when ordered by a participating provider. Requirements vary significantly by payer, plan type, and body part imaged. Our team manages all authorization requests and tracks their status to ensure imaging studies are performed with confirmed coverage.
A medical billing company manages claim submissions, coding, and payments to help healthcare providers receive faster and more accurate reimbursements.
How do Correct Coding Initiative edits affect interventional radiology billing?What does a medical billing company do?
CCI edits bundle many imaging guidance codes with procedural codes to prevent duplicate billing. Our team reviews CCI compatibility before every interventional claim to ensure imaging guidance is only billed separately when permitted — and that all separately reimbursable components of complex IR procedures are captured completely.
A medical billing company manages claim submissions, coding, and payments to help healthcare providers receive faster and more accurate reimbursements.
Can you handle billing for a radiology group that covers multiple hospital facilities?What does a medical billing company do?
Yes. We regularly manage billing for radiology groups with professional service agreements across multiple hospital facilities, outpatient imaging centers, and teleradiology networks. We track each facility’s billing arrangement and apply the correct billing configuration for every study type and location.
A medical billing company manages claim submissions, coding, and payments to help healthcare providers receive faster and more accurate reimbursements.
