a claim sent to FFS when the member belongs to a PASSE (or the reverse) denies for the wrong payer even when the read is clean.
Radiology billing · Arkansas
Radiology Billing Services in Arkansas
Radiology billing services in Arkansas turn on a routing question no other state frames quite the same way: whether a given patient's imaging pays through traditional fee-for-service Medicaid or through a PASSE, the specialized managed-care entity that covers Arkansans with serious behavioral, developmental, or intellectual needs. 247 Medical Billing Services runs that FFS-versus-PASSE decision, the professional-technical split, and the coverage check across your book so your interpretations pay the first time — whether you read for a hospital in Little Rock or run an independent center in Fayetteville. You get a dedicated account manager, a free performance dashboard, HIPAA and SOC 2 Type II compliance, and a radiology billing company that has worked imaging claims since 2005.
HIPAACompliant
SOC 2Type II
Serving Since2005
Specialty-FocusedRCM
We bill Radiology across Arkansas
Diagnostic Imaging
CT & MRI
Ultrasound
Interventional
Mammography
And More
Best Radiology Billing Services in Arkansas (AR)
Arkansas's defining radiology challenge is its split delivery model. The Department of Human Services runs most of Medicaid on a fee-for-service basis through fiscal agent Gainwell, but carves out roughly a fifth of the population — those with serious mental illness, substance-use disorder, or intellectual and developmental disabilities — into the PASSE program (Provider-led Arkansas Shared Savings Entity). Three PASSEs, Arkansas Total Care, CareSource, and Empower/Summit, manage those members' care under their own authorization and claims rules. For a radiology group, that means the same MRI or CT can pay two completely different ways depending on which program the patient sits in, and a claim built for FFS that should have gone to a PASSE — or the reverse — denies for the wrong payer even when the read is flawless.
Sitting over both tracks is traditional Medicare and its Arkansas Part B MAC, Novitas Solutions (Jurisdiction H), whose Local Coverage Determinations govern medical necessity for advanced imaging in this state. Arkansas FFS Medicaid also leans on manual pricing for certain codes, so unpriced imaging can stall without the documentation the state expects. An Arkansas radiology claim pays cleanly only when it is routed to the correct track — FFS, the right PASSE, or Medicare — and coded to that payer's coverage rules. That combination of routing discipline and imaging fluency is exactly what a generalist billing services company cannot deliver.
Arkansas radiology billing at a glance
| Facet | Arkansas detail |
|---|---|
| Medicaid program | DHS, Division of Medical Services (Gainwell fiscal agent) |
| Delivery model | Fee-for-service plus PASSE (SMI / SUD / IDD carve-out) |
| Major plans | PASSE: Arkansas Total Care, CareSource, Empower/Summit |
| Medicare Part B MAC | Novitas Solutions (Jurisdiction H) |
| Appeal window | 30 days (provider) |
| Medicaid enrollment | ~794,000 |
| Key billing challenge | FFS-versus-PASSE routing; manual-pricing documentation |
Radiology Billing Services in Arkansas for Every Practice
No two Arkansas imaging operations bill the same way, and the professional-technical split is where that shows first. When a radiologist reads on a facility's scanner, the interpretation bills under the professional component (modifier 26) and the facility bills the technical component (TC). When one entity owns both the equipment and the read, the study bills globally. Across Arkansas's mix — hospital outpatient departments, freestanding imaging centers, rural reading arrangements, and multi-specialty groups running in-office ultrasound and CT — equipment and interpretation are owned in every combination. Bill a professional read globally, or duplicate a technical charge, and the claim denies or triggers a recoupment.
Advanced-imaging prior authorization is the other constant, and in Arkansas it changes shape with the track. FFS Medicaid, the PASSEs, Medicare Advantage, and commercial plans each run their own radiology-benefit pathway for MRI, CT, and PET, so the authorization requirement has to be checked per patient once the correct program is confirmed. Our team treats that authorization as a production step, cleared before submission rather than relitigated after the denial. We confirm contrast and physician-supervision requirements up front, apply repeat-study modifiers 76 and 77 when an interpretation is re-read, and use modifier 59 only where the NCCI edits genuinely support it. Because Arkansas gives providers just 30 days to dispute, that up-front discipline is what makes it worth the decision to outsource radiology billing rather than carry it in-house.
How radiology claims get paid in Arkansas
Codes appear only to show the mechanics our team runs on every Arkansas study.
| Study or element | How it's billed | What drives payment |
|---|---|---|
| MRI brain w/wo contrast (70553) | Prior auth per track, then 26 / TC or global | FFS or PASSE authorization before the scan |
| CT abdomen and pelvis (74177) | Global, or split by ownership | Who owns scanner vs read; site of service |
| PET imaging (78815) | Advanced imaging, LCD-governed | Medical necessity per Novitas JH LCD |
| Read on facility equipment (74177-26) | Professional component, modifier 26 | Group reads; facility bills TC |
| Screening mammography (77067) | Global or technical | Frequency and screening-vs-diagnostic intent |
| Repeat interpretation | Modifiers 76 / 77 | Same- or different-physician re-read documented |
| Unpriced / manual-priced code | Manual pricing | FFS documentation the state needs to set a rate |
Where Arkansas radiology practices lose revenue
a missed radiology-benefit-manager authorization on an MRI, CT, or PET under any track.
a professional read billed globally, or a technical charge duplicated, across varied ownership arrangements.
the ordering diagnosis fails the Novitas Jurisdiction H coverage determination and the read denies.
components and add-ons billed in combinations the edits reject.
a repeat interpretation submitted without modifier 76 or 77, or a manual-priced code sent without documentation.
Revenue review
Put a dollar figure on what your radiology claims are leaving behind.
A certified radiology billing specialist reviews your coding, unit counts, authorizations and aged A/R against the payers you actually bill in Arkansas — and puts a number on what your current process is leaving on the table.
- Professional and technical components billed to the right entity per site
- Advanced-imaging authorization confirmed before the study is read
- Contrast, laterality and comparison-study modifiers checked per payer
HIPAA & SOC 2
Back to you within one business day
No long-term lock-in
Request a Revenue Review
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Why Arkansas practices outsource radiology billing to 247MBS
Split-track, short-window imaging is exactly where a professional, radiology-fluent partner protects margin. When you outsource to 247MBS, the FFS-versus-PASSE decision, the prior-auth queue, the split, and the LCD check are cleared before submission — not after the denials land. We run eligibility and payer verification to pin whether a patient is FFS, in a PASSE, or covered by Medicare per encounter, denial management and appeals worked to root cause inside Arkansas's tight 30-day provider window, and A/R follow-up that chases aged imaging balances to resolution. Our compliant results — a 99% clean-claim rate, roughly 99% net collections, A/R under 25 days, up to 40% fewer denials, and 90% of denials recovered — are measured against your own book in the audit. It all runs inside our radiology revenue cycle practice, one team and one dashboard, backed by 98% client retention. For groups that want the broader state picture, our Arkansas medical billing overview shows how the same discipline applies across specialties.
Who we serve in Arkansas
We bill the full range of Arkansas imaging: independent radiology reading groups, hospital-affiliated and rural outpatient radiology, freestanding imaging and diagnostic centers, teleradiology practices reading across state lines, and multi-specialty groups running in-office X-ray, ultrasound, and CT. From Little Rock and Fayetteville through Fort Smith, Springdale, and Jonesboro, our medical billing services company handles the entire Medicaid FFS, PASSE, Medicare, and commercial cycle. For teleradiology reads, we confirm the reading radiologist's Arkansas licensure and payer enrollment before the first claim goes out.
Medical Billing for Radiology in Arkansas
Medical billing for radiology in Arkansas lives or dies on one question a generalist rarely asks: is this patient fee-for-service or carved into a PASSE? 247MBS answers it per encounter, then routes each interpretation to Gainwell, Arkansas Total Care, CareSource, Empower/Summit, or Novitas with the authorization already cleared and the professional-technical split coded to who owns the scanner. That routing discipline is why Little Rock and Fayetteville reading groups collect on the first pass and hold A/R under 25 days, against a 99% clean-claim rate we have sustained since 2005. Request a revenue review and see how much the FFS-versus-PASSE mismatch is costing your imaging revenue.
Choosing a Radiology Billing Services Provider in Arkansas
Radiology billing in every Arkansas city we serve
Each city page covers the local payer mix, the practices we bill for there, and the denials we prevent.
These are the Arkansas markets we cover in depth. We bill radiology practices right across the state — tell us where you are and we will walk you through billing in your area.
FAQ
We verify each patient's program through eligibility before the claim. Members carved into a PASSE for serious mental illness, substance-use disorder, or an intellectual or developmental disability bill under that PASSE's rules; everyone else bills fee-for-service. Getting that routing right is usually the largest single denial category we close in Arkansas.
Arkansas Medicaid FFS, the three PASSEs — Arkansas Total Care, CareSource, and Empower/Summit — plus traditional Medicare and its MAC, Novitas Solutions, and your commercial carriers.
Per encounter. We confirm who owns the scanner and who owns the read before coding, billing the professional component under modifier 26 and the technical component under TC when they differ, and globally when one entity owns both.
Yes — we confirm the reading radiologist's Arkansas licensure and payer enrollment and apply repeat-read modifiers 76 and 77 when a study is re-read.
26 / TC split·place of service·prior authorization·laterality
Ready to get more Arkansas claims paid on the first pass?
Whether you are a solo practice or a multi-site group, we bill Radiology across Arkansas under one dedicated account manager and a live dashboard — and treat every counted unit, authorization and appeal as recoverable revenue until it is safely paid.
Prefer email? sales@247medicalbillingservices.com