Radiology Billing Company

Radiology Billing Services
for USA Providers

A radiologist rarely owns the scanner. With teleradiology, they may not even be in the same state as the patient. That makes the professional and technical halves of a radiology claim more separate than almost anywhere else in medicine. Our radiology billing services track who did what, and from where, on every study.

96%avg. net collection rate across TruCare clients

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Results across TruCare clients

96%

average net collection rate across TruCare clients

>95%

clean claim rate, accepted on first submission

−37%

fewer claim rejections

−38%

days in A/R

Figures reflect TruCare client results across specialties, trailing twelve months.

Why practices choose our radiology medical billing services

Rated 4.8 / 5

Based on 180+ client reviews

Verified client reviews

Dec 03, 2027

We were billing global on studies we only read

We billed as if we owned the equipment on cases we were only interpreting remotely. That mismatch was denying claims for months before anyone traced it back.

Dr. Thaddeus Okonkwo, radiologist

3 weeks ago

Our screening mammograms stopped converting incorrectly

A screening study that becomes diagnostic mid-exam needs a specific modifier, and we were either missing it or applying it to the wrong one.

Marisol Achterberg, practice administrator

Oct 19, 2027

We were still trying to use a program that no longer exists

We had a checklist item about consulting appropriate use criteria before ordering, and nobody had told us CMS had already paused that program.

Priscilla Nwosu, imaging center manager

Sep 01, 2027

Our teleradiology enrollment finally covers every state we read in

We added two new facility contracts in states we were not enrolled in yet, and found out the hard way when claims started failing.

Dr. Harlan Vossberg, teleradiology group medical director

Jul 14, 2027

One view across every modality we read

X-ray, CT, MRI, and mammography, all billed through one process instead of four separate habits.

Reginald Oyelaran, billing manager

What we handle, across every modality

View all services

We get your radiologists enrolled everywhere they read

TruCred files Medicare, Medicaid, and commercial enrollments, including the multi-state licensure and enrollment teleradiology requires. Revalidation dates are tracked so nothing lapses.

Multi-state enrollmentTeleradiology credentialingRevalidation

The scan and the read often happen in two different places.

Most physicians who bill for a service are standing where the service happened. Radiology breaks that assumption more than almost any other specialty. A radiologist interprets an image, but the equipment, the technologist, and the patient are frequently somewhere else entirely, owned and staffed by a hospital or an imaging center the radiologist has no equity stake in at all.

Teleradiology pushes this further than any other arrangement in medicine. A radiologist can read a study transmitted from a facility in a different state, sometimes several states away, and never set foot in the building where the scan happened. Billing has to reflect that precisely: the professional component belongs to the radiologist, wherever they are, and the technical component belongs to whoever owns the scanner, and the two are never confused on a correctly built claim.

Layered on top of that split sits a federal program many practices still believe is active. The requirement to consult clinical decision support before ordering certain advanced imaging was paused and formally rescinded years ago, yet some billing checklists still list it as a live compliance step. What has replaced it is not a government mandate but commercial radiology benefit managers, who apply their own review criteria through prior authorization instead.

A billing company unfamiliar with these specific facts will bill global on a study the practice only interpreted, miss a multi-state enrollment gap, or build a compliance checklist around a program that no longer exists.

Six places radiology revenue goes missing

The wrong component was billed

Billing global on a study where the practice only provided the interpretation, or the reverse, does not match what the practice actually did and is a routine, avoidable denial.

A teleradiology enrollment gap went unnoticed

A radiologist reading for a new facility in a state the group is not yet enrolled in produces claims that fail at the most basic level, regardless of the quality of the read.

Screening mammography was billed as diagnostic, or the reverse

These carry different cost-sharing rules under Medicare, and a same-day conversion from screening to diagnostic needs its own modifier to be recognized correctly.

A compliance step was built around a defunct federal program

Time spent on a clinical decision support consultation requirement that CMS has already paused does not protect a claim and distracts from the commercial prior authorization that actually governs it now.

Contrast administration was not billed separately

Contrast media carries its own billable code, and folding it into the imaging study instead of billing it on its own line leaves revenue uncollected.

An interventional procedure was billed like a diagnostic study

These cases run on surgical-style global period logic, and billing them like a routine scan misrepresents the actual work performed.

Rated on the platforms that matter

Ratings shown are collected from verified client reviews.

Our service offerings

Every modality and every setting

X-ray and general diagnostic radiology

The highest-volume imaging category, billed with the professional and technical components split correctly based on who performed each part.

CT and MRI

Advanced cross-sectional imaging, billed with the correct component split and tracked against radiology benefit manager authorization requirements.

Mammography and breast imaging

Screening and diagnostic studies billed under their own distinct codes and cost-sharing rules, with same-day conversions coded correctly.

Ultrasound

Diagnostic ultrasound across body systems, billed to the specific study performed and the component each party actually provided.

Nuclear medicine and PET

Imaging requiring radiopharmaceutical administration, billed with its own authorization requirements layered on top of standard component billing.

Teleradiology

Remote interpretation billed under the professional component only, with enrollment tracked precisely against every state and facility a radiologist actually reads for.

Interventional radiology, briefly

Image-guided biopsies, drainages, and vascular procedures, billed under surgical-style global period rules distinct from diagnostic imaging.

Independent diagnostic testing facility billing

Imaging performed outside a hospital setting, billed with the correct place of service based on where each component of the testing actually occurred.

What actually makes this work

Billers who confirm component ownership before coding

Certified billers and coders on your account check who actually performed the interpretation and who owns the equipment before a code is chosen, not after a denial explains the mismatch.

Multi-state enrollment tracked against where your radiologists actually read

We map enrollment to real reading patterns, so a new facility relationship in a new state never outpaces your credentialing.

No disruption to how your practice already runs

We work from the system your practice already uses. Nobody learns a second one.

What actually causes radiology claims to fail

A radiology denial is rarely about whether the imaging was necessary. It is almost always about whether the component billed matches what the practice actually did, or whether enrollment covers where the interpretation actually happened.

Here is what we see most, and how each is caught before it becomes routine.

Curious what your denials are actually costing you?

Send us 90 days and we will show you the pattern.

Request a billing audit

The recurring six:

Global billed when only one component applied

A claim billed as if the practice owned the equipment and provided the interpretation, when only one was true, does not match the actual service.

Enrollment gap for a new teleradiology relationship

A radiologist reading for a facility in a state the group has not yet completed enrollment in produces claims that fail at the enrollment level, before coding is even relevant.

Screening and diagnostic mammography confused

Billing one as the other misapplies Medicare’s distinct cost-sharing rules for each.

Missing authorization from a radiology benefit manager

Advanced imaging billed without the authorization now required by commercial review, since the federal program that once addressed this directly has been paused.

Contrast not billed separately

A code that does not reflect contrast administration when it occurred leaves that portion of the claim uncollected.

Interventional procedure billed like diagnostic imaging

A procedural case billed under standard imaging logic instead of its actual surgical-style global period rules misrepresents the work performed.

The codes your radiology revenue runs on

Our radiology billing and coding services run on a component split that applies across every modality, plus a set of mammography-specific rules and a federal program that is no longer active. Our coders check who actually did what before any code is chosen.

Walk through your coding with us

The ones that matter most:

Modifiers 26 and TC

Professional component for interpretation alone, technical component for equipment and staffing alone. Neither applies when one entity bills the complete global service.

We connect to the EHR you already use

A radiology practice reads through its own reporting and imaging systems, and we do not ask that to change. Whether your practice runs on Epic, PowerScribe, or a PACS system like Merge, TruCare pulls from whatever platform your practice already uses, across every facility relationship you maintain.

What changes is what gets caught before it becomes a denial. A component about to be billed incorrectly for a study the practice only interpreted. A new facility relationship in a state enrollment has not yet caught up with. A screening mammogram about to be coded as diagnostic, or the reverse. Each one surfaces while it can still be corrected.

Check for your systems

Technician operating a CT scanner with a patient on the table

Deep integrations with all EHRs

TruCare connects seamlessly with your existing workflows — no switching required.

What actually moved for this specialty this year

The federal Appropriate Use Criteria program continued its wind-down

Having been paused and formally rescinded at the regulatory level in 2024, the related CMS quality measure for cardiac stress imaging not meeting appropriate use criteria was finalized for removal from MIPS for the 2026 performance year, confirming the program’s continued retreat rather than any renewed enforcement.

Commercial prior authorization remains the active gatekeeper for advanced imaging

With the federal program paused, radiology benefit managers continue to be the primary mechanism gating CT, MRI, and PET authorization, applying their own criteria independent of any CMS requirement.

Mammography coding and coverage rules held steady

The distinct screening and diagnostic mammography code structure, along with Medicare’s no-cost-sharing policy for screening, continued unchanged into 2026.

Teleradiology continued to expand as a practice model

Remote interpretation across state lines continues to grow as a share of total radiology volume, keeping multi-state enrollment accuracy an ongoing, rather than one-time, operational requirement.

Someone has to know which federal programs are actually still active

A billing checklist built around a program that no longer exists wastes effort and misses what actually governs the claim today.

We track which federal requirements are genuinely active and which have been paused or rescinded, and we build only the current rules into how your claims are checked before they go out.

In-house vs. outsourced

What one biller cannot track across modalities and state lines

A general biller can learn standard component billing reasonably well for a single facility relationship. Tracking enrollment across every state a teleradiology group actually reads in, distinguishing mammography types correctly, and knowing which federal programs are genuinely still active is a different, more current kind of attention. Outsourcing radiology billing services puts people on this who track it continuously, not once.

The question	One in-house biller	TruCare
Component billing accuracy	Assumed from habit	Confirmed against actual ownership and interpretation
Teleradiology enrollment	Tracked after a new relationship starts	Mapped ahead of each new facility relationship
Mammography coding	Screening and diagnostic sometimes confused	Coded correctly, including same-day conversions
RBM authorization	Filed close to the study date	Filed and tracked to a decision in advance
Defunct program awareness	Checklists sometimes still reference it	Built only around currently active requirements
Interventional radiology	Billed like standard imaging	Coded under its own surgical-style rules
Cost shape	Salary, benefits, training, software	A percentage of collections, so it scales with volume
Staff absence	Billing slows across the practice	Coverage is handled without disruption
Regulatory change	Discovered through a denial	Tracked and built into process ahead of time
Visibility	A report assembled on request	Live, by modality and by facility relationship

Compare against your numbersCurious where your practice actually stands? Send us 90 days of denials and aging A/R.

Hover a state to see coverage

Where we serve

Radiology billing in every state

We work with diagnostic imaging practices, teleradiology groups reading across multiple states, and practices offering interventional procedures alongside diagnostic imaging. As a diagnostic imaging billing services provider, we track enrollment precisely against where your radiologists actually read, since that is where most teleradiology billing actually breaks down.

Component billing accuracy

Multi-state teleradiology enrollment

Mammography coding

RBM authorization

Interventional radiology

A named account contact

Who we bill every day

Medicare Part B

Component billing, mammography, and the current status of federal imaging programs

Medicare Advantage

Authorization rules that differ plan by plan

Medicaid and managed Medicaid

State programs and MCO plans

BCBS and Anthem

Radiology benefit manager-administered authorization for advanced imaging

Centene family

Molina, WellCare, Amerigroup

Other

Self-pay and facility-contracted imaging

We bill whatever plans your practice is contracted with. If you are not contracted yet, TruCred handles the enrollment.

Radiology billing saver guide

A practice collecting $1.62 million saves up to $32,722 a year by outsourcing to TruCare

	In-house billing	With TruCare	Annual saving
Dedicated billing staff	$73,060	$0	$73,060
Billing software and clearinghouse	Varies	Included	—
Training, turnover, and coverage	Varies	Included	—
TruCare fee (from 2.49% of collections)	—	$40,338	—
Total annual cost	$73,060	$40,338	$32,722

Example: a practice collecting $1.62 million a year with one full-time biller, at TruCare’s starting rate of 2.49%. Biller cost uses the BLS May 2025 median wage for medical records specialists ($51,140), with benefits at 30% of total compensation. Software and training costs vary by practice and are not counted. We do not replace your front office, we take the claims work off it. Larger groups, particularly multi-state teleradiology practices, are quoted on volume rather than at the starting rate, so a bigger group should not scale this example up.

Want this run on your own numbers?

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What a practice gains once every component is actually confirmed

“We had been billing the same way for years without realizing our enrollment had quietly fallen behind our actual reading patterns. Once someone mapped where our radiologists were reading against where we were actually enrolled, we found gaps that had been costing us for longer than any of us wanted to admit.”

Dr. Thaddeus Okonkwo

Radiologist, multi-state teleradiology group

Radiology Billing Servicesfor USA Providers