Comprehensive Radiology Billing Services
NextGen offers scalable medical billing solutions tailored specifically for radiology practices. These comprehensive services cover revenue cycle management (RCM), accounts receivable recovery, electronic health record/electronic medical record (EHR/EMR) technologies, practice management support, and patient engagement services — all designed to streamline workflows and enhance financial performance.
The Results Will Amaze You
98.5%
First Pass Clean Claims Rate
30-35%
First Pass Clean Claims Rate
35%
First Pass Clean Claims Rate
Simplified Billing. Amplified Revenue
Partner with us for streamlined radiology billing services, so you can focus on patient care with ease.
Radiology Billing Services for Faster Reimbursements
As a leading radiology billing company, we will help you with:
- Billing for professional services provided by physicians, regardless of their specialty.
- For hospital and skilled nursing facility (SNF) patients, we ensure that all claims adhere to the latest standards.
- Bills according to the different radiology cost components, including technical components (TC), professional components (PC), and global billing.
- Accurate use of CPT, ICD-10, HCPCS codes, modifiers (e.g., modifier-26, modifier-TC), and Dx-codes for billing therapeutic, interventional, and non-interventional radiology.
- Technical billing for advanced imaging services like X-rays, MRIs, CT scans, and ultrasounds.
- Clear reports for each patient that outline charges, allowed amounts, deductibles, co-payments, and co-insurance using the EOB.
- Collect EOBs from insurance providers to check for any uncovered services or disputes. If issues arise, we address them and begin the appeals process.
Radiology Billing Company that Understands Your Unique Challenges
Our radiology medical billing professionals review patient records and assign the appropriate diagnosis codes, including claims that contain only a rule-out diagnosis. That means quick, timely reimbursement for you.
Nextgen and Payer Compliance (NCCI Edits and MPPR)
Understanding the payer policies, especially Nextgen NCCI edits and MPPR rules, is crucial for proper reimbursement. Not following these rules can result in claim rejections or reduced payments.
Before submitting claims, we take the time to thoroughly review them to ensure that all codes are accurate and in line with NCCI edits. Our radiology billing services software can identify potential issues, which helps to reduce errors and streamline the billing process. The results? Better, faster, & higher reimbursements.
Authorization and Pre-certification Requirements
At NextgenBillingSolution, we understand that obtaining prior authorization for advanced imaging procedures such as MRI, CT, and PET scans can be both time-consuming and frustrating, often causing delays in patient care. Denials due to missing pre-authorizations not only impact revenue but also increase administrative workload.
That’s why NextgenBillingSolution takes a proactive approach by:
Developing streamlined workflows for managing prior authorization requests, ensuring faster processing and minimizing patient care delays.
Tracking and following up on authorization requests with payers to accelerate approval times and maintain consistent cash flow.
Medical Necessity Denials
Radiology services are frequently denied by payers because they are not deemed “medically necessary.” Radiologists must provide sufficient evidence in their reports to demonstrate the medical necessity of advanced imaging studies, especially for specialties like Pathology, Thoracic Surgery, Gastroenterology, and Urology. Here’s how our medical billing radiology services tackle these challenges for you:
- Extensive knowledge of insurance carrier policies regarding prior authorizations.
- Gather essential clinical information, including medical history, imaging indications, and diagnostic codes, to support the request.
- Engage with insurance companies to clarify requirements and resolve discrepancies.
- Manage appeals for denied requests by preparing detailed appeal letters and documentation.
What our Cilents say about Working with us
NextGen billing solution did a great job with our billing and helping clean up old AR. Regular updates and good communication were very appreciated.
NextGen billing solution has been and continues to be critical to the success of Ion Diagnostics. As our medical billing company, they consistently meet our needs for compliance and dedicated, responsive client service. They excel in revenue cycle management and truly feel like a partner.
I am impressed with NextGen billing solution promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases.
I am very thankful to NextGen billing solution because they rectified all the mistakes which were done by my previous medical billing partner. They are so fast and efficient.
NextGen billing solution, as our medical billing company, has reduced our claim denials by up to 20% and resolved all of our billing challenges, including prior authorization and credentialing. We have regularly scheduled weekly meetings with them, and they have been very responsive and courteous during the calls
Our experience with NextGen billing solution is great. They help us to increase our revenue with their quality medical billing and customer support services. Always recommend them to others.
We have experienced tremendous improvements within our billing and claims department that we have entrusted NextGen billing solution to manage.
Why Outsource Your Radiology Billing Services to Us?
Unlike other radiology billing companies, we prioritize transparency and personalized service to enhance client satisfaction.
Clean Claims, Fewer Denials, & Streamline Operations
Nextgen Billing Solution delivers industry-leading radiology billing services with 96%+ collection ratios and around-the-clock operational support. Our advanced billing platform ensures seamless claim submission, precise coding, and compliance with all major regulations, including No Surprise Act, ACR, CMS, HIPAA, OIG, ACA, and AMA guideline.
With a client base spanning all 50 states, we process over 75,000 claims daily, achieving unmatched efficiency and accuracy. Our Qualified Clinical Data Registry (QCDR) enables smooth MIPS reporting, helping healthcare providers meet performance and compliance benchmarks effortlessly.
User-friendly Radiology EHR/EMR/PMS Software
NextgenBillingSolution offers seamless integration with PACS (Picture Archiving and Communication System), enabling efficient storage and retrieval of medical images. The platform supports streamlined patient appointment scheduling and automates the entire billing process to enhance workflow accuracy and speed.
With secure patient portals, individuals can easily access their medical records, test results, and communicate directly with healthcare providers. Additionally, NextgenBillingSolution ensures smooth data sharing across multiple healthcare systems and providers for improved care coordination.
Outsource your radiology billing services to NextgenBillingSolution and experience a revenue boost of up to 35% with our advanced, technology-driven billing systems!