The Leading Practice Management and RCM Billing Software for Radiology

Diagnostic radiology groups operate at the intersection of high reimbursement value and high denial risk, with every CT, MRI, and PET study subject to prior authorization gauntlets, multiple procedure payment reductions, and strict technical/professional component sequencing. Generic billing platforms cannot keep pace with the constantly shifting MPPR tables and modality-specific authorization requirements that determine whether a six-figure imaging program collects what it earns.

A radiologist reading a multi-sequence MRI with contrast for one patient may simultaneously be interpreting CT and ultrasound studies for others, each requiring correct modifier-26 professional component billing while the imaging facility bills modifier-TC for equipment and staff. When multiple imaging procedures are performed in the same session, Medicare's MPPR rules reduce payment on subsequent procedures by a fixed percentage, and if the reduction is applied to the wrong procedure or sequence, the practice either underbills or invites an audit.