Radiology billing · Austin, TX
Radiology Billing Services in Austin, Texas
Radiology billing services in Austin have to keep pace with one of the fastest-growing imaging markets in the country, where new outpatient centers open faster than payer contracts get sorted out.
247MBS has billed radiology since 2005 and brings a dedicated account manager, a free real-time dashboard, HIPAA-compliant workflows, and SOC 2 Type II controls to every Central Texas group we serve — with fluency in Texas Medicaid and Novitas coverage rules.
Best Radiology Billing Services in Austin, TX
Austin's imaging demand tracks its population curve: a booming metro anchored by Ascension Seton, St. David's HealthCare, and the academic pull of Dell Medical School at UT Austin, ringed by a fast-expanding belt of freestanding centers in Round Rock, Cedar Park, and southwest Travis County. High growth means high volume — and high volume magnifies every small coding error across thousands of studies a month.
Texas payers frame the work. Medicaid runs through STAR and STAR+PLUS managed-care plans administered by HHSC, so the authorizing plan and eligibility have to be confirmed before an advanced study rather than reconstructed after the denial arrives. Medicare Part B claims in Central Texas fall under Novitas Solutions (JH), whose Local Coverage Determinations decide medical necessity. A contrast CT with a mismatched code — or without the LCD-supporting diagnosis — denies no matter how sharp the interpretation.
How radiology claims get paid
Every Austin study pays on the details we settle before the claim goes out.
| Billing element | How it drives payment in Austin |
|---|---|
| Professional vs technical | Modifier 26 for the read, TC for the equipment; global only when one entity owns both |
| Prior authorization | MRI/CT/PET cleared through the plan's radiology-benefit manager first |
| Contrast and supervision | With, without, or with-and-without-contrast codes matched to the order and supervision level |
| Site of service | Hospital-based read splits the claim; office ownership bills global |
| LCD / medical necessity | Ordering diagnosis matched to the covering Novitas JH policy |
| Modifiers | RT/LT laterality, 59 to unbundle, 76/77 for legitimate repeats |
The workflow is backed by a 99% clean-claim rate, roughly 99% net collections, A/R under 25 days, up to 40% fewer denials, and 90% denial recovery, with claims submitted inside 24 hours.
Where Austin radiology practices lose revenue
Your revenue review ranks these by dollars lost so the biggest Austin leak gets closed first.
with-contrast billed as without → denial or short-pay. We tie the code to the order every time.
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 Austin, TX — 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
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Why Austin practices outsource radiology billing to 247MBS
Fast-scaling imaging groups here outsource radiology billing because rapid growth exposes a general billing company's weak spots — the 26/TC split, contrast supervision rules, and RBM authorization all break at volume. As a medical billing services company built around radiology, we already carry those workflows before your first claim clears. We run the full cycle:
- Eligibility and payer verification — the exact STAR or STAR+PLUS plan or commercial coverage and its auth status confirmed pre-scan
- Denial management and appeals — worked against the LCD and the contrast/supervision record, not blindly resubmitted
- Insurance credentialing — radiologists paneled across Texas Medicaid plans and commercial carriers as you add locations
- Revenue cycle management — charge capture through payment posting, reported on one dashboard
It all lives inside our radiology revenue cycle practice — one team, one dashboard, a 98% retention rate.
Who we serve in Austin
We bill hospital-based radiology groups reading for the Austin systems, freestanding imaging and diagnostic centers, outpatient and mobile MRI/CT operators, interventional radiology practices, and teleradiology groups covering Austin, Round Rock, Cedar Park, Pflugerville, and the wider Travis and Williamson County market. Own the scanner, only the read, or both — we bill the professional and technical pieces to match.
Medical Billing for Radiology in Austin
Scale your Austin imaging footprint without letting revenue slip through the cracks — medical billing for radiology in Austin from 247MBS keeps clean claims moving as fast as you open centers in Round Rock, Cedar Park, and southwest Travis County. We confirm the STAR or STAR+PLUS plan and its authorization before the scanner runs, match every contrast CT and advanced study to the Novitas JH coverage policy, and set the 26/TC split by site of service so hospital reads and freestanding studies both bill exactly right. The result for high-volume groups is a 99% clean-claim rate and A/R under 25 days. Request a revenue review and see the recoverable revenue ranked by dollars.
Choosing a Radiology Billing Services Provider in Austin
Let's get your Austin radiology claims paid faster
Start with a revenue review: we'll review your contrast coding, your 26/TC splits, your advanced-imaging authorizations, and your aging Texas Medicaid A/R, then show you what professional radiology billing can recover.
Radiology billing across Texas
Austin practices are billed out of the same Texas desk. Statewide payer detail lives on the Texas page.
Radiology billing services in Texas — the payer programs, authorities and rules behind every Austin claim.
Medical Billing for Radiology — the codes, unit rules and denials nationally, without the local layer.
FAQ
Yes. We onboard each new site with its own credentialing and payer enrollment track, so reads at a new Cedar Park or Round Rock center bill clean from day one instead of stacking in a hold queue.
We verify the active STAR or STAR+PLUS plan through HHSC eligibility and secure the radiology-benefit-manager authorization before the scan, because those denials are usually non-appealable after the fact.
We set the professional/technical split by site of service — modifier 26 where you only interpret, global where you own the equipment and the read — so neither claim is over- or under-billed.
Ready to get more Austin claims paid on the first pass?
From solo practices to multi-provider groups, we bill Radiology for Austin practices with a dedicated account manager, certified coders and a live dashboard — so the units, authorizations and appeals that decide your month stop being the thing nobody has time for.
Prefer email? sales@247medicalbillingservices.com