Leak
Wrong or lapsed STAR plan billed
The denial it triggers
Managed-care denial or misroute
How we stop it
We verify the active STAR plan before the study
Radiology billing · Brownsville, TX
Radiology Billing Services in Brownsville, Texas
Radiology billing services in Brownsville serve the southern tip of the Rio Grande Valley, a border market where a large share of imaging patients are covered by Texas Medicaid managed care — so getting the right STAR plan and its authorization confirmed before the scan is the difference between a paid read and a write-off. 247MBS has billed radiology since 2005: a dedicated account manager, a free dashboard, HIPAA-compliant, SOC 2 Type II, and tuned to Texas STAR and Novitas LCDs.
HIPAACompliant
SOC 2Type II
Serving Since2005
Specialty-FocusedRCM
We bill Radiology for Brownsville practices
Diagnostic Imaging
CT & MRI
Ultrasound
Interventional
Mammography
And More
Best Radiology Billing Services in Brownsville, TX
Brownsville anchors the far south of the Rio Grande Valley, where Valley Baptist and Valley Regional lead a market that reads for a young, heavily Medicaid-covered, and largely bilingual population right on the Mexican border. Imaging volume here runs high, and so does the share of patients on managed Medicaid — which makes plan verification and advanced-imaging authorization the central billing problem, not an afterthought.
Texas routes Medicaid through managed care. Most Brownsville Medicaid members receive benefits through STAR managed-care plans contracted by the Texas Health and Human Services Commission (HHSC), so the plan responsible for a patient — and the radiology-benefit manager that authorizes their MRI, CT, or PET — varies by member. For Medicare Part B, Texas sits under Novitas Solutions (JH), whose Local Coverage Determinations set medical necessity. A read billed without the right STAR plan confirmed, or without an LCD-supporting diagnosis, will not pay on the strength of the interpretation alone.
0%
First-pass clean-claim rate
0%
Net collections
up to 0%
Fewer denials
<0
Days in A/R
~0 of 10
Worked denials overturned on appeal
0%
Client-retention rate
How radiology claims get paid
The read is only half the claim. These are the levers our team sets on each Brownsville study.
| Billing element | How it drives payment in Brownsville |
|---|---|
| Prior authorization | MRI/CT/PET cleared through the STAR plan's radiology-benefit manager before the scan |
| 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 |
| STAR plan verification | The member's active STAR managed-care plan confirmed pre-scan |
| Contrast and supervision | With/without-contrast codes and supervision level matched to the order |
| Modifiers | RT/LT laterality, 59 to unbundle, 76/77 for legitimate repeat reads |
Grounding all of it: a 99% clean-claim rate, roughly 99% net collections, A/R under 25 days, up to 40% fewer denials, and 90% of denials recovered on appeal, with claims submitted inside 24 hours.
Where Brownsville radiology practices lose revenue
Leak
No RBM prior auth on advanced imaging
The denial it triggers
Non-appealable denial
How we stop it
We secure the authorization before the scan
Leak
Wrong or missing 26/TC split
The denial it triggers
Recoupment or short-pay
How we stop it
We match the component to the actual site of service
Leak
LCD / medical-necessity mismatch
The denial it triggers
Novitas JH edit denies the study
How we stop it
We match the diagnosis to the covering LCD up front
Leak
Duplicate or bundled reads
The denial it triggers
Second read rejected or bundled
How we stop it
We apply 59, 76 and 77 correctly
Your revenue review shows which of these is costing your Brownsville practice the most right now.
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 Brownsville, 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
HIPAA & SOC 2
Back to you within one business day
No long-term lock-in
Request a Revenue Review
Tell us about your practice.
A radiology specialist will reach out within one business day.
Thanks — we’ve got it.
A radiology specialist will reach out within one business day.
Why Brownsville practices outsource radiology billing to 247MBS
Imaging groups here outsource because a high-Medicaid, high-authorization border market punishes a general billing company that treats every claim like a straightforward commercial visit. As a medical billing services company built around radiology, we already carry the STAR plan verification, the RBM authorizations, and the 26/TC logic in our workflow. We run the whole cycle:
- Eligibility and payer verification — the active STAR plan or commercial coverage and auth status confirmed pre-read
- Denial management and appeals — worked against the LCD and the plan's RBM policy, not simply resubmitted
- Insurance credentialing — radiologists paneled across the Texas STAR plans and commercial carriers serving the Valley
- A/R follow-up — aged Medicaid and commercial imaging balances pursued to resolution
It all runs inside our radiology revenue cycle practice — one team, one dashboard, a 98% retention rate.
Who we serve in Brownsville
We bill hospital-based radiology groups reading for the Valley systems, freestanding MRI and CT centers, outpatient and mobile imaging operators, interventional radiology practices, and teleradiology groups covering Cameron County and the lower Rio Grande Valley — from Harlingen and San Benito to Los Fresnos, Port Isabel, and the communities along the border. Whether you own the scanner, only the read, or both, we bill the professional and technical pieces to match.
Medical Billing for Radiology in Brownsville
Brownsville imaging groups convert more Medicaid volume to payment when medical billing for radiology in Brownsville is built around STAR-plan verification and advanced-imaging authorization. 247MBS confirms the member's active STAR managed-care plan through HHSC eligibility before the study, secures the radiology-benefit-manager authorization ahead of every MRI, CT, and PET, and sets the professional or technical component to match the site of service. Groups reading for Valley Baptist and Valley Regional across Cameron County rely on that front-loaded discipline to hold a 99% clean-claim rate and A/R under 25 days in a market where a missed authorization is usually an unappealable write-off. Request a revenue review and we'll show what your border-market claims can recover.
Choosing a Radiology Billing Services Provider in Brownsville
Let's get your Brownsville radiology claims paid faster
Start with a revenue review: we'll review your STAR plan verification, your advanced-imaging authorizations, your 26/TC splits, and your aging Medicaid A/R, then show you what professional radiology billing can recover.
Radiology billing across Texas
Brownsville practices are billed out of the same Texas desk. Statewide payer detail lives on the Texas page.
Statewide
Texas Radiology billing services — the payer programs, authorities and rules behind every Brownsville claim.
Specialty hub
Radiology Billing Services Outsourcing — the codes, unit rules and denials nationally, without the local layer.
FAQ
We verify the member's active STAR plan through HHSC eligibility before the study and secure any radiology-benefit-manager authorization for advanced imaging, so the read routes to the plan that will pay it and clears authorization before the scan.
Yes. In a high-Medicaid market that's the biggest single leak. We secure the RBM authorization before the scan runs, because advanced-imaging denials are frequently non-appealable once the study is complete.
Yes. Texas Medicare Part B claims run under Novitas JH, and its Local Coverage Determinations govern medical necessity. We check the diagnosis against the covering policy up front.
26 / TC split·place of service·prior authorization·laterality
Ready to get more Brownsville claims paid on the first pass?
From solo practices to multi-provider groups, we bill Radiology for Brownsville 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