Medical Billing & Credentialing Services | Prohealthcare Advisors
- 410 Peachtree Pkwy, Suite 4245 Cumming, GA 30041
- Email: info@prohealthcareadvisors.com
- Services
Medical Billing and Practice Management
Creative Collection Solution
MD Audit Shield – RAC
Physician Credentialing
EMR/EHR Software
Electronic Fund Transfer (EFT)
CodeMAXX Services
HIPAA
Powerful Radiology Billing Credentialing Results Today
Radiology billing punishes small mistakes — a global claim billed without its professional-component split, an interventional procedure unbundled the wrong way, a CT billed with contrast when the order said without, or an advanced imaging study billed without its prior authorization. Unlike most specialties, your revenue depends on getting the component, the bundle, and the authorization right on every study.
We deliver end-to-end Radiology Billing Credentialing for imaging centers, radiology groups, and hospital outpatient departments — built around global vs. professional split accuracy, interventional bundling, and payer enrollment that actually lands.
Radiology Billing Services We Handle
- Charge Entry & ClaimsClean claims submitted on time, every time.
- Denial ManagementDenials worked fast, not written off.
- Prior AuthorizationsAdvanced imaging approved before the study.
- Eligibility VerificationCoverage checked before the visit, not after.
- Payment PostingEvery payment matched, every balance clear.
- CredentialingPanels, CAQH and renewals kept up to date.
Where Radiology Claims Most Often Go Wrong
| Claim Element | Common Denial Trigger | Our Safeguard |
|---|---|---|
| Global vs. professional split (26 / TC) | Wrong component billed for the setting | Component check per study and setting |
| Interventional radiology bundles | Unbundled codes denied as included | Bundling check before submission |
| CT / MRI 70450–70553 | Contrast vs. non-contrast mismatch | Contrast documentation check |
| Ultrasound 76536–76886 | Complete vs. limited study mismatch | Study-type check against the report |
| Mammography 77065–77067 | Screening vs. diagnostic order mismatch | Order-type check before submission |
| Prior authorization | Advanced imaging billed without auth | Authorization tracking per study |
Radiology Codes We Bill Every Day
Getting Started in 3 Simple Steps
- Free AuditWe review your AR, denials and panel status.
- Enrollment & SetupWe enroll your clinicians and set up clean billing.
- Clean Claims, Faster PayClaims go out clean — and payments come back faster.
Panel Enrollment and Credentialing for Radiology Practices
Getting on a panel is only the first step — staying on it is the work. We manage CAQH attestations, Medicare enrollment, commercial payer applications, license and supervision renewals, and monthly OIG/SAM exclusion sweeps across your clinician roster, so no radiologist reads studies while a panel application sits in limbo or a roster drops a clinician silently.
On the compliance side, we keep your billing aligned with current payer policies for imaging — including global vs. professional component rules, interventional bundling, and dose-reporting requirements — and we track prior authorizations from request to approval, so studies are not delayed and claims are not denied for a missing authorization.
Radiology Billing Credentialing — FAQ
What is the difference between global and professional component billing?
How are interventional radiology procedures billed?
How do you bill CT and MRI with contrast?
What is the difference between a complete and a limited ultrasound?
How is mammography billed — screening or diagnostic?
Is RAC audit defense included with radiology billing services?
Related Locations & Specialties
Your Practice's Revenue Cycle Is Leaking. We'll Show You Where.
Free Payer Performance Audit — credentialing review, global vs. professional claim sampling, prior authorization screen. No sales pitch, no obligation.
Request Your Free Radiology Audit →