How do you determine global versus component billing?

Billing is driven by place of service and equipment ownership configured per facility and per contract, so professional-only, technical-only or global billing is applied automatically rather than decided study by study.

Can you handle our claim volume?

Yes. The platform is built for high-throughput processing with automated edits and exception-based review, so staff attention goes to the small fraction of claims that actually need a human.

Do you support imaging prior authorization?

Yes. Authorization status is verified before studies are performed, including radiology benefit manager requirements, preventing the denials that follow unauthorized advanced imaging.

Radiology

Healthcare IT and billing built for a radiology practice

Professional and technical component billing, high-volume claim throughput and imaging authorization for radiology groups.

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Why radiology is different

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Radiology billing is defined by volume and by component logic: whether each study is billed globally, professionally or technically depends on equipment ownership, place of service and the contract behind it.

Healthcare SBC handles that at scale, with automated component determination, high-throughput claim processing, imaging authorization support and per-facility contract management.

Common challenges

Where radiology practices lose revenue

The billing and workflow problems specific to this specialty, and the ones generic systems handle badly.

Component determination

Global, professional-only and technical-only billing depends on setting and ownership, and errors are systematic rather than isolated.

Extremely high claim volume

Radiology groups generate claim volumes that make manual review impossible and automation essential.

Imaging prior authorization

Advanced imaging carries dense authorization requirements enforced through radiology benefit managers.

Multi-facility contracts

Groups reading for many facilities must manage distinct contracts, rates and remittance streams.

How we address it

Built for radiology workflows

Automated professional and technical component determination per study
High-volume claim processing with automated payer-specific edits
Imaging authorization verification before study performance
Per-facility contract, rate and remittance management
Radiologist productivity and turnaround analytics

Commonly billed codes in radiology

A sample of the codes our radiology coders work with daily.

71046Radiologic examination, chest, two views
70450CT head or brain without contrast
72148MRI lumbar spine without contrast
76700Ultrasound, abdominal, complete
77067Screening mammography, bilateral

Codes shown for reference only. Verify against current code sets and payer policy.

Other diagnostic specialties

Pathology

Specimen-level billing, CLIA compliance and client billing workflows for pathology and laboratory groups.

FAQ

Radiology, frequently asked questions questions

How do you determine global versus component billing?: Billing is driven by place of service and equipment ownership configured per facility and per contract, so professional-only, technical-only or global billing is applied automatically rather than decided study by study.
Can you handle our claim volume?: Yes. The platform is built for high-throughput processing with automated edits and exception-based review, so staff attention goes to the small fraction of claims that actually need a human.
Do you support imaging prior authorization?: Yes. Authorization status is verified before studies are performed, including radiology benefit manager requirements, preventing the denials that follow unauthorized advanced imaging.

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