Radiology billing · Birmingham, AL
Radiology Billing Services in Birmingham, Alabama
Radiology billing services in Birmingham have to keep pace with one of the South's busiest academic imaging markets — and 247MBS has billed that kind of volume since 2005.
A dedicated account manager, a free real-time dashboard, HIPAA-compliant and SOC 2 Type II workflows, and a team that bills every UAB-adjacent CT, MRI, and PET against Alabama Medicaid rules and Palmetto GBA LCDs.
Best Radiology Billing Services in Birmingham, AL
Birmingham is Alabama's medical capital. UAB Medicine anchors the metro, Grandview and St. Vincent's fill out the hospital map, and around them sits a deep bench of freestanding imaging centers and interventional groups. That academic gravity means high hospital-based read volume — and hospital-based reads live or die on a correct professional/technical split. Interpret only, and the claim must carry modifier 26; own the scanner and the read, and it bills global. Get the component wrong in a provider-based department and the payer recoups.
Alabama's payer setup is its own puzzle. Alabama Medicaid still pays most claims fee-for-service, with care coordination layered on through the Alabama Coordinated Health Network (ACHN) rather than full risk-based managed care. For Medicare Part B, Alabama sits under Palmetto GBA, Jurisdiction J (JJ) — the successor to the old Cahaba book — whose Local Coverage Determinations decide which diagnoses make a study medically necessary. A read that skips the LCD match, or the ACHN care-coordination flag, does not pay on the quality of the interpretation alone.
How radiology claims get paid
Every Birmingham study is a chain of billing decisions our team owns from order to remittance.
| Billing element | How it drives payment in Birmingham |
|---|---|
| Professional vs technical | Modifier 26 for the read, TC for equipment; global only when one entity owns both |
| Site of service | Hospital-based read splits the claim; office ownership bills global |
| Prior authorization | MRI/CT/PET cleared through the plan's radiology-benefit manager before the scan |
| LCD / medical necessity | Diagnosis matched to the covering Palmetto JJ policy |
| Contrast and supervision | With/without-contrast codes and supervision level tied to the order |
| Modifiers | RT/LT laterality, 59 to unbundle, 76/77 for legitimate repeat reads |
Behind those decisions sit the numbers that matter: a 99% clean-claim rate, roughly 99% net collections, under-25-day A/R, up to 40% fewer denials, and 90% of denials recovered on appeal, with claims out the door inside 24 hours.
Where Birmingham radiology practices lose revenue
Revenue here rarely leaves through the front door — it drains through preventable edits:
Your revenue review ranks these by dollars lost across your Birmingham sites, so the biggest leak gets fixed first.
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 Birmingham, AL — 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 Birmingham practices outsource radiology billing to 247MBS
Groups here outsource radiology billing because a general billing company treats an imaging claim like any office visit — and radiology is nothing like an office visit. As a medical billing services company built specifically around imaging, we carry the RBM workflows, the Palmetto LCD map, and the component-split logic before your first claim goes out. We run the full cycle:
- Eligibility and payer verification — the exact Alabama Medicaid or commercial plan and its auth requirement confirmed pre-scan
- Denial management and appeals — worked against the LCD and the plan's RBM policy, not just resubmitted
- Insurance credentialing — radiologists paneled across Alabama Medicaid and commercial carriers
- Revenue cycle management — the whole imaging cycle owned end to end
All of it lives inside our radiology revenue cycle practice — one accountable team and a free dashboard, backed by a 98% retention rate.
Who we serve in Birmingham
We bill hospital-based radiology groups reading for the Birmingham systems, freestanding MRI and CT centers, outpatient and mobile imaging operators, interventional radiology practices, and teleradiology groups covering Jefferson and Shelby counties — from Hoover and Vestavia Hills to Bessemer, Trussville, and Homewood. Own the equipment, only the read, or both, and we bill the professional and technical pieces to match.
Medical Billing for Radiology in Birmingham
Medical billing for radiology in Birmingham stands or falls on the professional/technical split, and 247MBS gets it right at every provider-based site around UAB, Grandview, and St. Vincent's. We assign modifier-driven components to match the site of service, clear advanced imaging through the plan's radiology-benefit manager before the scanner runs, and match each diagnosis to the covering Palmetto JJ policy — while confirming the Alabama Medicaid fee-for-service and ACHN care-coordination flags up front. That is how a busy academic imaging book turns into a 99% clean-claim rate with A/R under 25 days. Request a revenue review and we will show which component and LCD edits are quietly draining your Jefferson County collections.
Choosing a Radiology Billing Services Provider in Birmingham
Let's get your Birmingham radiology claims paid faster
Start with a revenue review: we'll review your 26/TC splits, your advanced-imaging authorizations, your Palmetto LCD matches, and your aging Alabama Medicaid A/R, then show you what professional radiology billing can recover.
Radiology billing across Alabama
Birmingham practices are billed out of the same Alabama desk. Statewide payer detail lives on the Alabama page.
Alabama Radiology billing — the payer programs, authorities and rules behind every Birmingham claim.
Radiology Billing company — the codes, unit rules and denials nationally, without the local layer.
FAQ
Because most Alabama Medicaid benefits still pay fee-for-service with ACHN care coordination rather than full managed care, we verify eligibility and any care-coordination requirement up front, then bill the read to the right payer the first time instead of chasing a rejection.
Yes. Alabama's Medicare Part B claims run under Palmetto GBA JJ, and its Local Coverage Determinations govern medical necessity. We check the ordering diagnosis against the covering policy before the read goes out.
Yes. We set the professional/technical split per 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 Birmingham claims paid on the first pass?
From solo practices to multi-provider groups, we bill Radiology for Birmingham 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