Imaging Center Billing
Technical and professional component splits, modality-specific coding and authorization.
What it covers
- Technical (TC) and professional (26) component billing
- Global vs. split billing determination
- Modality-specific CPT accuracy
- Contrast, supervision and multi-procedure rules
- Prior authorization tracking per modality
- Radiologist read reconciliation
Where practices lose money here
Component splits billed wrong
Billing globally where only the technical component is owed — or vice versa — produces denials that look like coding errors and are actually contract errors.
Missing prior authorization
Advanced imaging is one of the most heavily authorised service lines. No auth means no payment, and it is almost never appealable after the fact.
Multiple procedure reduction applied incorrectly
MPPR rules on imaging are unforgiving, and getting them wrong in either direction is costly.
How Medway handles it
- Component billing is set from the contract, not from habit.
- Authorisation status is confirmed per modality before the study, and tracked to the claim.
- MPPR and supervision rules are applied per payer policy.
- Reads are reconciled so no professional component goes unbilled.
What you get
- TC/26 splits that match your contracts
- Authorisation confirmed before the study, not after the denial
- Modality-aware coding
- Every read accounted for
Get a free audit of your imaging center billing claims. Send us a recent aging report and we will show you, in writing, where the recoverable revenue is — no cost, no commitment.
Frequently Asked Questions
You send us a recent accounts receivable aging report and, where possible, a denial export. We review them and give you a written breakdown: where recoverable revenue is sitting, which denial reasons are costing you most, what your timely-filing exposure looks like, and the fixes we would make in priority order. It is yours to keep whether or not you work with us. Please do not include patient health information — we only need claim-level financial data.
Most of the timeline is payer enrollment and EDI setup, and neither is fully in our control — that is the honest answer. Practices already enrolled with their payers typically start seeing claims go out within two to three weeks. Where new enrollments or revalidations are needed, budget longer, because the payer sets that pace. We tell you which of the two you are in after looking at your current setup.
Solo practitioners are often the strongest case for it, not the weakest. A one-person billing office has no redundancy — a vacation or a resignation stops your revenue cycle, and the cost is not the temp, it is the AR that ages and the claims that pass their filing deadline while nobody is working them.
Access to your existing EMR/PMS, your payer list and contracts, your fee schedule, and a recent AR aging report. If you are moving from another biller, we also need clarity on who works the open AR at transition — that is the single most commonly mishandled part of a billing switch.
