Revenue Cycle Problems in Radiology: How to Fix Denials, Delays, and Low Collections

Radiology billing is fast-paced and complex. With high claim volumes, multi-modality CPTs, and strict documentation rules, even minor errors can result in large-scale revenue loss.

At iMagnum Healthcare Solutions, we help radiology groups fix their revenue cycle using AI-powered automation, specialty coders, and fast AR turnaround.

Common Billing Errors in Radiology

Recurring mistakes include:

• Incorrect CPT selection based on modality (CT vs. CTA, MRI with vs. without contrast)
• Missing modifiers for bilateral or multiple procedures
• Technical/professional component confusion (TC/26)

Fix:

• CodeFlow AI suggests CPTs based on modality + report text
• Modifier validation tools ensure proper TC/26 flagging
• QA rules catch bundling issues pre-submission

Prior Auth Delays in Imaging Services

CT, MRI, PET scans often require payer pre-authorization, especially for recurring or cross-site services.

Fix:

• Prior Auth Smart automates prior auth workflows by imaging type
• Tracks turnaround SLAs by payer
• Flags urgent imaging delays to ops managers

Denials in Radiology Billing

Frequent denial reasons include:

• Diagnosis-to-procedure mismatches
• Non-covered CPTs based on patient plan
• Missing clinical documentation for high-cost imaging

Fix:

• RevShield AI maps denial hotspots by CPT, ICD, and site
• Automates appeal letter creation for repeat payers
• Routes error-prone claims to manual review pre-submission

How to Fix Low Collections in Radiology

Issues include:

• Long lag between service and claim submission
• Patient portion uncollected post-imaging
• High volume of underpaid claims

Fix:

• 24–48 hour turnaround from report sign-off to claim submission
• Eligibility checks and copay estimates at scheduling
• AR automation that flags underpayments vs. fee schedule

Radiology RCM Wins with iMagnum

• Denial rate reduced by 40%
• Coding turnaround improved by 2.1 days per batch
• Patient AR follow-up automated across 3 locations

Tailored Radiology Billing Solutions for Specialized Practices

Precision and speed are critical in radiology billing, where every CPT code and modifier can impact revenue. Partnering with expert radiology billing services and teams who understand radiology medical coding ensures that providers—from Merrimack Radiology to Northside Radiology and Virtual Radiologic Professionals LLC billing—receive accurate, compliant reimbursement.

Whether you’re focused on medical radiology billing, managing large networks like Radiology Alliance billing or working with consultants like Florida Radiology Consultants billing, trusted radiology revenue cycle management transforms complexity into profitability.

Conclusion: Speed and Accuracy Matter Most

Radiology billing success depends on quick turnaround and technical precision. iMagnum delivers both.

Let us keep your imaging revenue clear, fast, and compliant—just like your scans.