• Assign the appropriate modifiers common to a Radiology facility as per specific payer guidelines

  • Have knowledge of the rules and regulations of Medicare billing including technical and professional components

  • Assignment of CPT Codes for various Radiological exams to include CT, MRI, Nuclear Studies, Myelograms, plain film xrays and Ultrasound

  • Assignment of HCPCS codes for Contrasts Used by the Radiologist for various studies
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Questions to ask
before choosing a
    • How long they have been in business?
    • Are they locally owned and operated?
    • Ask if owners are involved in daily operations
    • Ask them about their safeguards from loss of revenue
    • Ask them about their Professional on-going training
    • Ask them about their onsite industry I.T. support
    • Ask them about custom financial reporting and profitability
    • Ask them about their specialty specific training of their billers
    • Ask them about their Certified Coding Audit Support
    • How do they plan to streamline your billing?
    • What is their employee retention rate?
    • Ask them about their Client Care Department
    • Ask them about their Accountability Clause
    • What are their success stories?
    • How many years of experience does the biller have?
    • How will my biller help me increase my revenue?
    • What is the specialty specific training my biller has received?
    • How can my biller manage daily tasks, denials and follow-ups?
    • How can the biller help with the growth of my practice?
    • Ask them about their experience with data analysis and custom financial reporting
    • How am I going to respond to I.T. issues? What can my biller do to minimize downtime?
    • Who is going to be accountable for loss of revenue?
    • How do they plan to streamline my billing process?
    • How does my biller guarantee uninterrupted revenue cycle?
    • How much time will I invest managing the billing?

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