Leak
Wrong or missing 26/TC split
The denial it triggers
High-volume recoupment across studies
How we stop it
We bill the exact component the site of service requires
Radiology billing · Charlotte, NC
Radiology billing services in Charlotte have to move at the speed of a major-metro imaging market, where large hospital systems, high outpatient volume, and North Carolina's still-maturing Medicaid managed care make correct coding and authorization non-negotiable. 247MBS has billed radiology since 2005, equipping Charlotte practices with a dedicated account manager, a free live dashboard, HIPAA-compliant workflows, SOC 2 Type II controls, and hands-on North Carolina payer and Palmetto GBA knowledge.
Charlotte is one of the Southeast's largest and fastest-growing metros, and its imaging demand reflects that scale. Big integrated hospital systems, expanding freestanding imaging networks, and busy interventional and subspecialty groups generate enormous cross-sectional and advanced-imaging volume across Mecklenburg County and the surrounding region. High volume magnifies every coding error — a single systemic 26/TC mistake can echo across thousands of studies.
North Carolina moved Medicaid to managed care relatively recently, and most beneficiaries now receive coverage through NC Medicaid Standard Plans run by prepaid health plans. Each plan carries its own advanced-imaging authorization rules, so the covering plan determines whether an MRI or CT will be paid. Medicare Part B in North Carolina is administered by Palmetto GBA (JM), whose Local Coverage Determinations set medical necessity for the professional read. In a metro this large, the practices that win are the ones billing every Standard Plan and Palmetto policy precisely.
Every Charlotte study pays on decisions our team settles before the claim goes out.
| Billing element | How it drives payment in Charlotte |
|---|---|
| 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 NC Medicaid Standard 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 Palmetto JM 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.
Wrong or missing 26/TC split
High-volume recoupment across studies
We bill the exact component the site of service requires
No RBM prior auth on advanced imaging
Non-appealable Standard Plan denial
We secure the authorization before the scan
LCD / medical-necessity mismatch
Palmetto JM edit denies the read
We match the diagnosis to the covering policy first
Contrast code mismatch
Denial or short-pay
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 Charlotte revenue hole 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 Charlotte, NC — 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.
High-volume Charlotte groups outsource radiology billing because managing every NC Medicaid Standard Plan's authorization rules, the RBM gates on advanced imaging, and the 26/TC split at scale overwhelms a general billing company that isn't built for imaging. As a medical billing services company organized around radiology, we carry the professional-component workflows and North Carolina payer logic from the first claim. We run the full cycle:
It all lives inside our radiology revenue cycle practice — one team, one dashboard, a 98% retention rate.
We bill hospital-based radiology groups reading for the large Charlotte health systems, freestanding imaging and diagnostic center networks, subspecialty and interventional radiology practices, mobile MRI/CT operators, and teleradiology groups covering Charlotte, Concord, Gastonia, Huntersville, and the wider Mecklenburg region. Interpret only, own the equipment, or both — we bill the professional and technical pieces to match.
Medical billing for radiology in Charlotte lives or dies on precision at scale, because one systemic error echoes across thousands of Mecklenburg County studies. 247MBS protects that volume by confirming the covering NC Medicaid Standard Plan, clearing the radiology-benefit-manager authorization before each MRI, CT, or PET, and applying the professional or technical component by site of service automatically so a large group never repeats the same split mistake. Every ordering diagnosis is matched to the Palmetto JM coverage policy before submission. For the big integrated systems, freestanding networks, and interventional groups across the metro, that discipline turns high outpatient volume into a 99% clean-claim rate and A/R under 25 days. Request a revenue review to see the recovery.
Start with a revenue review: we'll review your 26/TC splits, your Standard Plan authorizations, your Palmetto LCD matches, and your aging A/R, then show you what professional radiology billing can recover.
Charlotte practices are billed out of the same North Carolina desk. Statewide payer detail lives on the North Carolina page.
Radiology billing services in North Carolina — the payer programs, authorities and rules behind every Charlotte claim.
Radiology Billing Services — the codes, unit rules and denials nationally, without the local layer.
Because coverage runs through prepaid health plans, the covering Standard Plan sets the advanced-imaging authorization and payment rules. We confirm the plan before each study and obtain the radiology-benefit-manager approval for MRI, CT, and PET so those claims aren't lost to a non-appealable denial.
Yes. Our imaging workflows apply the correct professional or technical component by site of service automatically, so a large Charlotte practice doesn't repeat the same split error across thousands of claims.
We confirm licensure and payer enrollment for every radiologist, including remote and after-hours coverage, and code the professional component to the covering Palmetto JM policy so those reads pay cleanly.
From solo practices to multi-provider groups, we bill Radiology for Charlotte 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