MAVA Care offers high-quality radiology billing services in the USA. Decreasing remunerations, escalating infrastructure costs, and future alterations in the payor mix pose various challenges for radiology medical practices. Besides this, radiology services’ sophisticated and specialized nature can be challenging for radiologists. Radiology is associated with hundreds of subtleties because of its advancing technology and treatment mechanisms.
Therefore, MAVA Care uses our end-to-end medical billing services for radiology practices. At our radiology billing company, we ensure accurate medical coding and streamline the billing process, reducing errors and optimizing reimbursement. Our auditors and billing experts come with years of experience and niche-based knowledge to enable the smooth operation of radiology billing.
Accurate radiology billing and coding services are important for keeping radiology practices’ financial health stable and ensuring they follow healthcare rules. This process involves using certain CPT (Current Procedural Terminology) codes and ICD (International Classification of Diseases) codes to accurately detail the procedures and diagnoses. Each radiological service must be coded correctly, like X-rays, MRIs, and ultrasounds. However, if they are not, it can lead to claim denials and delays in reimbursement, which is a big problem. Although it sounds simple, proper coding is essential because it helps practices get paid on time.
Furthermore, effective radiology billing also involves checking insurance coverage, handling pre-authorizations, and ensuring the right documentation to support the services billed. With the complexities involved, radiology billing and coding require specialized knowledge and attention to detail. However, this makes it vital to partner with professionals or services experienced in the nuances of radiology billing.
MAVA Care has niche-based experience in radiology medical radiology billing services for years. Our skilled radiology billing team provides precise invoicing and auditing services to ensure timely and optimum reimbursements. Contact us now for in-depth details and information on how MAVA Care can help you get maximum radiology services reimbursement. We provide extensive radiography services and specialized billing services, including but not confined to the following:
After an appointment, a medical coder will look at the patient's medical documentation and classify the patient's condition under the industry-recognized alphanumeric codes, such as CPT and ICD-10. After this, the billing staff itemizes the codes into a payment claim and sends the claim to the patient's insurance company.
Credentialing is one of the basic steps in every revenue cycle and how a provider or physician establishes an association with the payors. This would enable patients to utilize their insurance cards and pay for the radiology services rendered. This also enables the providers to be reimbursed on time for their services.
In insurance eligibility verification, we check if patients can use radiology services benefits from their insurance policy. We also look at the referral and pre-authorization requirements. After these checks, we determine the deductible amount and a patient's co-payment. Our medical billing radiology services improve cash flow, expedite repayments, and provide insurance verification.
The team at MAVA Care reviews several sources in patient files. These include doctors' notes or transcriptions, imaging reports, diagnostic reports, and other sources. In order to assign the appropriate radiological codes and to confirm the services rendered, this is done. Analysis and billing steps are crucial for RCM, and incorrect code submissions lead to continuous claim denial and disrupted workflow.
The key step of the billing process is charging entry, which controls the payment amount for a healthcare organization. It's necessary to have a skilled team working on demographic entries as they have to input accurate data into the system. The radiological medical billing services team delivers accurate patient data for radiological charge entry services.
Lastly, all data related to the services rendered must be reported to the radiology billing department. This includes any diagnosis codes, CPT codes, and modifiers used in the actual rendition of the services. These are tracked data that may also be useful for regulation purposes.
MAVA Care specializes in radiology billing services, ensuring efficient and accurate claim submissions for radiology practices. Our services include detailed charge entry, precise medical coding for radiology procedures, claim submission, and thorough AR follow-up. Our radiology billing company excels in claim submission, AR follow-up, and denial management to boost revenue for radiology practices. We handle denial management and focus on maximizing reimbursements, supporting radiology practices needed to streamline their billing process and improve revenue cycles. Additionally, we ensure compliance with industry regulations, making the entire billing experience smoother and more efficient.
Billing services use CPT codes to describe procedures and services done by health care providers. There are thousands of CPT codes used by radiologists, depending on the imaging study or procedure. Nuclear medicine alone has 2,000 medical codes (78000—79999). Broader categories like diagnostic radiology have 6500 medical codes (70000—76,499). Here are a few more examples:
Diagnostic Ultrasound: 76500—76999
Breast, Mammography: 77051—77059
Radiologic Guidance: 77001—77032
Radiation Oncology: 77261—77999
Bone/Joint Studie: 77071—77084
MAVA Care will reduce the administrative burden on the radiology practice, allowing them to treat more patients. Our employees are consistently updated about the new changes in coding guidelines and changes in payer policies to make sure that every claim submitted to the insurance company is being filed at its highest precision and efficiency. The advanced software used for billing, accompanied by timely, real-time tracking of claims, enables faster turnaround times for payments and minimizes claims rejections. Therefore, a radiology billing company offers efficient claim submission, AR follow-up, and denial management to optimize revenue.
Our denial management process is channeled to fully understand rejected claims, followed by quick resubmissions and proper communication with payers so we can quickly resolve the problems. Besides the above, customized reporting provides practices with updated information to understand their financial status, which can be used for practice growth and strategy planning. MAVA Care is committed to being the reliable partner radiology practices need to achieve a profitable revenue cycle, each practice getting what it needs.
Outsourcing medical radiology billing services allows radiology practices to streamline their billing process while focusing on patient care. Our expert team understands the intricate requirements of radiology billing, including the use of specialized CPT (Current Procedural Terminology) and Dx (Diagnosis) codes. These codes ensure the accurate submission of claims, reflecting radiologists’ procedures and diagnoses.
Our process involves creating a clean and efficient claim submission pipeline tailored specifically for radiology practices. This ensures that claims are thoroughly reviewed for accuracy before submission to payers, reducing the risk of errors that could delay payments or lead to denials. Hence, our team keeps up with the ever-changing billing guidelines and insurance policies specific to radiology, ensuring compliance and reducing the chance of claim rejections. You may rely on MAVA Care medical billing company to gain the maximum revenue cycle through radiology medical billing and to learn the daily rates.