Care

CARE CLAIM SOLUTIONS

Radiology

Specialised billing for high-value, high-precision imaging practices.

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We Speak the Language of Scans, Codes, and Compliance

Radiology billing isn’t just about submitting claims—it’s about understanding the complexity of each modality, the specificity of each code, and the urgency of reimbursement. At Care Claim Solutions, we offer radiology-focused billing that is fast, accurate, and tightly integrated with your imaging operations.

We help radiology providers:

1

Navigate payer-specific CPT/HCPCS rules with ease

Our workflows ensure nothing is missed—from accurate coding to timely follow-up—so your revenue reflects the true value of your care.

2

Prevent revenue leakage through structured A/R workflows

We reduce aging claims by monitoring every submission, denial, and outstanding balance across all payer types.

3

Gain visibility into financial performance with real-time analytics

Track claims, collections, and denial trends with intuitive dashboards built into your existing billing platform.

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From MRI and CT to ultrasound and nuclear medicine, our billing team handles each case with specialty precision. Radiology claims are among the most frequently denied due to coding inaccuracies and lack of documentation—yet they’re often the most valuable. That’s why we’ve invested in specialised coders, platform integration, and automation tools to get it right the first time. By syncing directly with your imaging workflow (PACS, RIS, EHR), we help reduce billing friction and increase financial performance. Whether you're struggling with aging receivables or inconsistent monthly revenue, our team acts as your financial command centre—driving collections while freeing up your staff for patient-facing care. By syncing directly with your imaging workflow (PACS, RIS, EHR), we help reduce billing friction and increase financial performance.

Designed for Diagnostic Precision, Built for Billing Performance

Radiology billing isn't just technical—it's time-sensitive, detail-heavy, and deeply tied to how imaging centres operate. At Care Claim Solutions, we’ve built our radiology billing workflows to mirror the diagnostic journey: from scan to claim, with zero friction in between. Whether you're a standalone imaging centre or part of a larger multi-specialty network, we help you maintain financial accuracy while reducing operational burdens. Our focus is simple: get your claims approved faster, paid quicker, and handled with the accuracy radiology demands. At Care Claim Solutions, we handle the entire revenue journey—patient intake, eligibility verification, coding, submission, denial resolution, and final collections. Our approach is structured, software-aligned, and custom-built for your practice size and specialty mix. Whether you're a solo provider or managing multi-specialty locations, we make sure every encounter results in accurate billing, faster payments, and clean financial records. Whether you're a standalone imaging centre or part of a larger multi-specialty network, we help you maintain financial accuracy while reducing operational burdens. Our focus is simple: get your claims approved faster, paid quicker, and handled with the accuracy radiology demands.

Every scan is different, and so is the coding. Our team applies the correct CPT/HCPCS and ICD-10 codes based on modality, payer rules, and documentation requirements—ensuring radiology claims pass pre-adjudication checks.

  • CT
  • MRI
  • PET
  • X_ray and Interventional Radiology expertise
  • Modality-driven CPT mapping
  • ICD-10 selection based on clinical indications

High-cost imaging services often require strict payer pre-approvals. We manage the authorisation lifecycle, from initial request to confirmation and submission—avoiding rejections due to missing or invalid authorisation numbers.

  • Real-time auth tracking
  • Integrated payer portal monitoring
  • Patient eligibility confirmation prior to service

We work with systems like StreamlineMD, Aprima, DocuTAP, and Fusion Web Clinic, directly extracting data to reduce manual errors and redundant entry. This allows faster claim generation, accurate documentation, and cleaner submissions.

  • Claim data sync from PACS/RIS/EHR
  • Fewer clerical steps
  • Faster scan-to-submission times

We proactively scrub radiology claims before submission, identifying coding gaps, NCCI edits, or missing modifiers. Denied claims are worked within 48 hours with structured follow-ups and appeal documentation.

  • Radiology-specific denial handling
  • Modifier application (26, TC, etc.)
  • First-pass success optimisation

Through dashboard integration with your billing platform, we provide full transparency on claim status, payer trends, and financial performance. Our clients stay informed—no guessing, no waiting.

  • Dashboard insights for collections
  • aging, and trends
  • Customisable reporting by modality or CPT group
  • Claim status tracking in real time