High Volume. Higher Accuracy.
Radiology Billing & Revenue Cycle Management
Radiology billing made seamless—from image to invoice. Get paid faster with fewer errors and better insights.
Robust RCM Solutions for
Radiology Practices
Radiology practices face the challenge of accurately coding complex imaging procedures, managing payer-specific rules, and navigating the ever-changing landscape of insurance policies.
At Health Prime, we specialize in streamlining these processes, ensuring your claims are submitted correctly and your revenue cycle runs smoothly. With our comprehensive radiology billing and coding expertise, you’ll experience faster reimbursements, reduced denials and enhanced financial performance.
Our radiology-specific revenue cycle experience and capabilities can help your practice ensure every dollar is captured quickly and efficiently. We go beyond basic medical billing, by utilizing:
- Accession Number Tracking
- MIPS Consulting and Reporting
- Payer Contract Management
The Tools You Need, Tailored for You
Technology that powers RCM performance
Our technology platform is engineered to simplify and streamline radiology billing complexities, including multiple modalities, varied service locations, and high imaging volumes. Our integrated, software-agnostic platform powers billing workflows and drives consistent financial results with intelligent tools, that:
- Automate demographic and charge capture across modalities and seamlessly ingest data from RIS, PACS, and hospital systems
- Apply rule-based logic for correct CPT coding, modifier use, and global/technical/professional split billing
- Leverage AI-based coding to interpret imaging data and documentation patterns, reducing manual coding
- Eliminate delays with exception-based workflows and rapid eligibility verification
Data-driven analytics and business intelligence
Health Prime’s customized, dynamic dashboards give radiology groups the visibility they need to stay in control by tracking critical metrics, including provider, case volume, and modality mix all in one place.
In radiology, managing high volumes, multiple modalities, and diverse payer requirements demands more than standard reporting. Our actionable analytics help you:
- Uncover revenue opportunities across locations and providers
- Identify and address denial patterns early
- Make faster, data-driven decisions to boost performance
Power Your Radiology Performance
Turn data into actionable insights your team can actually use. Our analytics platform analytics platform has launched new robust and user-friendly dashboards that provide a clear view of radiology practice performance – covering modalities, time blocks, machine use, anatomical scan volumes, payer performance, CPT coding trends, and more.
- Sort between critical date elements, including date of service and date of posting
- Track service volumes to anticipate workload and staffing needs
- Spot coding and billing trends before they impact reimbursement
- Monitor payer performance to stay ahead of denials and delays
- Measure meaningful KPIs and metrics and benchmark against targets
stay compliant with
our mips solutions
Easily navigate CMS regulations and streamline MIPS reporting with guidance designed for the unique workflow and billing structure of radiology practices. Our radiology-focused registry and experienced team help maximize your MIPS score and protect your Medicare revenue.
- Access to over 20 QCDR quality measures, in addition to all national quality measures
- Annual optimization of your MIPS score with reporting recommendations
- Audit assistance
- End-of-year timely submission of MIPS data to CMS
- Interpretation of MIPS regulatory changes as they relate to your practice
- Regular performance monitoring
Results You Can Expect
Expedited Submissions & Lower Denial Rates
Streamlined workflows ensure claims are submitted quickly and correctly, the first time.
Steady Revenue Streams & Improved Collections
Optimized billing practices support reliable income and long-term financial planning.
A Better Patient Financial Journey
User-friendly statements and payment options that promote transparency and patient satisfaction.
What Sets Us Apart for Radiology Practices
Radiology Billing Expertise
Deep understanding of global, technical, and professional component billing—backed by specialty-trained coders.
Seamless RCM Integration
From coding and billing to compliance and reporting, we manage the entire revenue cycle for you.
Proven Impact
Radiology groups see consistent improvements in net collections and operational performance.
Data You Can Trust
Robust analytics provide full visibility into productivity, collections, and denial trends.
stats
It's all in the numbers
Success rate of claims accepted on the first pass
Increase in reimbursement year-over-year
Increase in overall practice productivity
hear from our clients
Trusted Partnerships. Proven Results.
Thanks for over 30 years of partnership!
We’re proud to celebrate over 30 years of success with Northwest Radiology Associates. Over multiple decades, we’ve grown alongside a team that leads Illinois in imaging innovation, accuracy, and patient-centered care. Their commitment to excellence has made them a respected name in diagnostics.
Thanks to their trust in us, we’ve delivered consistent support across projects big and small.
Click here to learn more about Northwest Radiology Associates
Want More?
Explore in-depth articles, updates, and expert insights on radiology revenue cycle management.
Take The Next Step
Ready to simplify your revenue cycle and boost your practice’s financial performance?
Contact us today to learn more or schedule a consultation.
Take The Next Step
Want to make radiology billing more efficient and less stressful?
Reach out to see how Health Prime can help streamline your revenue cycle.