Leak
No RBM auth on advanced imaging
The denial it triggers
Non-appealable AHCCCS plan denial
How we stop it
We secure the authorization before the scan
Radiology billing · Chandler, AZ
Radiology billing services in Chandler have to keep pace with one of Arizona's fastest-growing imaging markets, where East Valley volume, advanced-imaging authorization, and the professional/technical split all have to be coded right the first time.
247MBS has billed radiology since 2005, giving Chandler groups a dedicated account manager, a free real-time dashboard, HIPAA-compliant workflows, and SOC 2 Type II controls alongside genuine AHCCCS and Noridian coverage knowledge.
Chandler sits at the tech-driven edge of the Phoenix East Valley, where semiconductor employers, new residential growth, and a wave of freestanding imaging centers have pushed diagnostic volume steadily upward. That growth brings a heavy mix of outpatient MRI, CT, and screening studies — and a payer environment that punishes sloppy coding on high-dollar advanced imaging.
Arizona's Medicaid program, AHCCCS, is delivered almost entirely through managed-care plans, so eligibility and the correct plan assignment change study to study and drive whether an advanced-imaging authorization will even be honored. Medicare Part B in Arizona is administered by Noridian Healthcare Solutions (JF), whose Local Coverage Determinations set medical necessity for the professional read. For a Chandler practice, getting paid means threading AHCCCS plan rules and Noridian LCDs on every claim — the kind of precision a generalist billing company rarely maintains for imaging.
Before a Chandler study ever reaches a payer, our team settles the decisions that determine payment.
| Billing element | How it drives payment in Chandler |
|---|---|
| Professional vs technical | Modifier 26 for the interpretation, TC for the equipment; global only when one entity owns both |
| Site of service | Hospital-based reads split the claim; office-owned imaging bills global |
| Prior authorization | MRI/CT/PET cleared through the AHCCCS plan's radiology-benefit manager first |
| Contrast and supervision | With/without/with-and-without-contrast codes tied to the order and supervision level |
| LCD / medical necessity | Ordering diagnosis matched to the covering Noridian JF policy |
| Modifiers | RT/LT laterality, 59 to unbundle, 76/77 for legitimate repeats |
That 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.
No RBM auth on advanced imaging
Non-appealable AHCCCS plan denial
We secure the authorization before the scan
Wrong or missing 26/TC split
Recoupment or short-pay
We bill the exact component the site of service requires
LCD / medical-necessity mismatch
Noridian JF edit denies the read
We match the diagnosis to the covering policy first
Contrast code mismatch
Denial or reduced payment
We tie the contrast code to the physician's order
NCCI bundling or duplicate reads
Component or second read rejected
We apply 59, 76 and 77 correctly
Your revenue review ranks these leaks by dollars lost, so the biggest hole in your Chandler revenue gets closed first.
Revenue review
A certified radiology billing specialist reviews your coding, unit counts, authorizations and aged A/R against the payers you actually bill in Chandler, AZ — and puts a number on what your current process is leaving on the table.
A radiology specialist will reach out within one business day.
A radiology specialist will reach out within one business day.
East Valley imaging groups outsource radiology billing because Arizona's managed-care AHCCCS structure, the RBM authorization gates on advanced imaging, and the 26/TC split together overwhelm a general billing company that treats every specialty alike. As a medical billing services company built around imaging, we carry the professional-component workflows and Arizona payer logic from day one. We run the full cycle:
It all lives inside our radiology revenue cycle practice — one team, one dashboard, a 98% retention rate.
We bill freestanding imaging and diagnostic centers across Chandler, hospital-based radiology groups reading for East Valley facilities, subspecialty and interventional radiologists, mobile MRI/CT operators, and teleradiology groups covering Chandler, Gilbert, Tempe, Mesa, and the greater Phoenix East Valley. Whether you interpret only, own the equipment, or both, we bill the professional and technical pieces to match.
Medical billing for radiology in Chandler moves fast enough to bury a general biller, so 247MBS front-loads the decisions that decide payment on East Valley imaging. We verify the active AHCCCS managed-care plan, secure the radiology-benefit-manager authorization on every MRI, CT, and PET, set the 26/TC split to the site of service, and match each ordering diagnosis to the covering Noridian JF coverage policy before the claim goes out. For the freestanding centers, hospital-based reads, and interventional groups riding Chandler's semiconductor-driven growth, that turns high-dollar advanced imaging into first-pass payment. A 99% clean-claim rate, A/R under 25 days, and 90% denial recovery back the work. Request a revenue review to find your biggest leak.
Start with a revenue review: we'll review your 26/TC splits, your AHCCCS authorizations, your Noridian LCD matches, and your aging A/R, then show you what professional radiology billing can recover.
Chandler practices are billed out of the same Arizona desk. Statewide payer detail lives on the Arizona page.
Arizona Radiology billing — the payer programs, authorities and rules behind every Chandler claim.
Outsource Radiology Billing — the codes, unit rules and denials nationally, without the local layer.
Because AHCCCS coverage runs through managed-care plans, the specific plan controls the advanced-imaging authorization and the fee schedule. We verify the active plan before every study and secure the radiology-benefit-manager approval so MRI, CT, and PET claims aren't lost to a non-appealable denial.
Yes. We match each ordering diagnosis to the covering Noridian Local Coverage Determination before submission, so the professional interpretation clears the LCD edit instead of denying.
We confirm state licensure and payer enrollment for every radiologist, including remote and after-hours coverage, then code the professional component to the correct policy so those reads pay cleanly.
From solo practices to multi-provider groups, we bill Radiology for Chandler 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