the plan replies "not our member" and the advanced study denies.
Radiology billing · Burbank, CA
Radiology Billing Services in Burbank, California
Radiology billing services in Burbank sit at the crossroads of the entertainment economy and Los Angeles County's managed-care Medicaid, and 247MBS bills both fluently.
Since 2005 we have split every study into its professional and technical parts, cleared advanced-imaging authorizations before the scan, and routed each claim to the right LA payer — backed by a dedicated account manager, a free performance dashboard, HIPAA compliance, and SOC 2 Type II controls.
Best Radiology Billing Services in Burbank, CA
Burbank's imaging demand is shaped by its media district as much as its medicine. Studio-adjacent occupational health, orthopedic and MSK reads for a physically demanding workforce, and the outpatient centers serving the Providence Saint Joseph footprint all generate a steady advanced-imaging volume — and every MRI, CT, or PET runs through radiology-benefit-manager prior authorization first.
In Los Angeles County, California's Medicaid program (Medi-Cal) is delivered through managed care, where L.A. Care and Health Net anchor the plans and often delegate authorization to medical groups and IPAs. The entity that clears a scan is frequently not the plan printed on the card. Layer that on Medicare Part B under Noridian (JE), whose Local Coverage Determinations set medical necessity, and Burbank radiology rewards a billing team that verifies the true payer of record before the study — never one that assumes.
How radiology claims get paid
Codes below only illustrate the mechanics our team runs on each Burbank study.
| Study or element | How it's billed | What drives payment |
|---|---|---|
| MRI knee w/o contrast (73721) | Prior auth, then 26 / TC or global | RBM authorization before the scan |
| Read on studio-referred outpatient study (26) | Professional component, modifier 26 | Radiologist interprets; facility bills TC |
| CT chest (71260) | Global, split by ownership | Who owns the scanner vs the read |
| PET oncologic imaging (78815) | Advanced imaging, LCD-governed | Medical necessity per Noridian JE policy |
| Contrast-enhanced study | Supervision documented | Contrast and supervision rules met |
| Bilateral or repeat read | Modifiers RT / LT, 76 / 77 | Laterality or genuine re-read documented |
The workflow carries a 99% clean-claim rate, roughly 99% net collections, A/R under 25 days, up to 40% fewer denials, and 90% denial recovery, with 24-hour submission.
Where Burbank radiology practices lose revenue
a professional read billed globally, or a technical charge duplicated against it.
the ordering diagnosis fails the covering Noridian policy and the read denies.
components billed together the edits pay separately, or a re-read filed without modifier 76 or 77.
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 Burbank, CA — 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
Tell us about your practice.
A radiology specialist will reach out within one business day.
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A radiology specialist will reach out within one business day.
Why Burbank practices outsource radiology billing to 247MBS
Practices here outsource radiology billing because the L.A. Care and delegated-group authorization map, stacked on the 26/TC split and Noridian LCDs, is more than a general billing company absorbs. As a medical billing services company built around imaging, we already carry the delegated-payer logic and the RBM workflow. When you outsource to us, the queue runs before submission, not after a denial:
- Eligibility and payer verification — the true Medi-Cal plan, delegated group, or commercial carrier and its auth requirement confirmed pre-scan
- Denial management and appeals — worked against the LCD and authorization record, not blindly resubmitted
- A/R follow-up — aged Medi-Cal and commercial imaging balances pursued to resolution
It all runs inside our radiology revenue cycle practice — one professional team, one dashboard, a 98% retention rate.
Who we serve in Burbank
We bill hospital-based radiology groups reading for the Burbank-area facilities, freestanding imaging and diagnostic centers, orthopedic and occupational-medicine practices running in-office X-ray and MRI, outpatient CT operators, and teleradiology groups covering Burbank, Glendale, North Hollywood, and the wider San Fernando Valley. Own the equipment, only the read, or both — we bill the professional and technical components to match, and reconcile every studio-referred occupational-health study to the correct workers' compensation or commercial payer before it goes out.
Medical Billing for Radiology in Burbank
Faster imaging reimbursement starts with medical billing for radiology in Burbank that treats every study as two claims — one for the read, one for the equipment. 247MBS separates the professional and technical components on each scan, clears radiology-benefit-manager authorizations before an MRI, CT, or PET leaves the schedule, and routes each claim to the plan that actually pays — whether that is L.A. Care, Health Net, or a delegated medical group standing behind the card. For studio-adjacent occupational and MSK imaging around the Providence Saint Joseph footprint, that discipline means cleaner first-pass submission and up to 40% fewer denials. Request a revenue review and we will show you where the leakage sits.
Choosing a Radiology Billing Services Provider in Burbank
Let's get your Burbank radiology claims paid faster
Start with a revenue review: we'll review your Medi-Cal and delegated-group authorizations, your 26/TC splits, your Noridian LCD matches, and your aging A/R, then show what professional radiology billing can recover.
Radiology billing across California
Burbank practices are billed out of the same California desk. Statewide payer detail lives on the California page.
Radiology billing services in California — the payer programs, authorities and rules behind every Burbank claim.
Outsourcing Radiology Billing Services — the codes, unit rules and denials nationally, without the local layer.
FAQ
We find the true payer of record before the study — the managed-care plan, its delegated medical group, or the IPA that actually authorizes and pays. Misrouting an advanced-imaging auth is a leading Medi-Cal denial in Los Angeles County, and our eligibility step exists to prevent it.
Yes. 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.
Yes — we confirm the reading radiologist's multi-state licensure and payer enrollment, and apply repeat-read modifiers 76 and 77 when a study is re-read.
Ready to get more Burbank claims paid on the first pass?
From solo practices to multi-provider groups, we bill Radiology for Burbank 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