Leak
Scan performed before RBM auth posts
The denial it triggers
Non-appealable advanced-imaging denial
How we stop it
We secure the authorization before the scanner runs
Radiology billing · Concord, NH
Radiology Billing Services in Concord, New Hampshire
Radiology billing services in Concord have to satisfy two very different masters — New Hampshire's Medicaid Care Management plans and a single, unforgiving Medicare contractor — and 247MBS has reconciled both since 2005.
You get a dedicated account manager, a free real-time dashboard, HIPAA-compliant and SOC 2 Type II handling, and a team that bills every Concord MRI, CT, and PET against the state capital's actual payer rules.
HIPAACompliant
SOC 2Type II
Serving Since2005
Specialty-FocusedRCM
We bill Radiology for Concord practices
Diagnostic Imaging
CT & MRI
Ultrasound
Interventional
Mammography
And More
Best Radiology Billing Services in Concord, NH
As the state capital, Concord anchors an imaging market centered on Concord Hospital and a ring of independent and hospital-affiliated diagnostic centers serving central New Hampshire. It is not a huge metro, but the payer complexity is outsized for its size. New Hampshire runs its Medicaid program through Medicaid Care Management — managed-care organizations contracted by the state Department of Health and Human Services — so the plan authorizing an advanced study, and the edits it applies, shift from patient to patient.
On the Medicare side, New Hampshire falls under National Government Services (Jurisdiction JK), and its Local Coverage Determinations decide which diagnoses justify a scan. A Concord radiology group therefore has to clear an MCO's prior-authorization requirement on the front end and satisfy an NGS medical-necessity policy on the back end — two checkpoints, one claim.
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
Every Concord study is a chain of billing decisions we make before the claim ever leaves the building.
| Billing element | How it drives payment in Concord |
|---|---|
| Prior authorization | MRI/CT/PET cleared through the plan's radiology-benefit manager first |
| Professional vs technical | Modifier 26 for the interpretation, TC for the equipment; global only when one entity owns both |
| Site of service | Hospital-based read splits the claim; office ownership bills global |
| LCD / medical necessity | Diagnosis matched to the covering NGS JK 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 |
That workflow sits on 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.
Where Concord radiology practices lose revenue
Leak
Wrong 26/TC split in a provider-based site
The denial it triggers
Overpayment recoupment
How we stop it
We bill the component that matches the site of service
Leak
LCD / medical-necessity mismatch
The denial it triggers
NGS JK necessity denial
How we stop it
We match the diagnosis to the covering policy up front
Leak
NCCI bundling
The denial it triggers
Professional read denied as included
How we stop it
We unbundle with modifier 59 only where genuinely distinct
Leak
Duplicate same-day reads
The denial it triggers
Second interpretation rejected
How we stop it
We defend real repeats with 76/77
Your revenue review ranks these leaks by dollars lost across your Concord sites so the largest one 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 Concord, NH — 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 Concord practices outsource radiology billing to 247MBS
Practices here outsource radiology billing because a general billing company treats an imaging claim like any office encounter — and imaging is nothing like an office encounter. As a medical billing services company built specifically around radiology, we already carry the MCO authorization logic, the NGS LCD map, and the component-split rules before your first claim goes out. We run the whole cycle:
- Eligibility and payer verification — the active New Hampshire Medicaid Care Management plan or commercial payer and its auth requirement confirmed pre-scan
- Denial management and appeals — worked against the LCD and the plan's RBM policy, not blindly resubmitted
- Insurance credentialing — radiologists paneled across the state's MCOs and commercial carriers
- A/R follow-up — aged Medicaid and commercial imaging balances pursued to resolution
All of it runs inside our radiology revenue cycle practice — one accountable team, one dashboard, a 98% retention rate.
Who we serve in Concord
We bill hospital-based radiology groups reading for the Concord facilities, freestanding MRI and CT centers, outpatient and mobile imaging operators, interventional radiology practices, and teleradiology groups covering Concord and the surrounding central-New Hampshire towns of Bow, Hooksett, Pembroke, and Penacook. Whether you own the equipment, only the read, or both, we bill the professional and technical pieces to match.
Medical Billing for Radiology in Concord
Medical billing for radiology in Concord means clearing two checkpoints on every claim — the Medicaid Care Management plan's authorization up front and the National Government Services necessity policy on the back end — and 247MBS handles both before the claim ships. We confirm the patient's active MCO, secure the benefit-manager approval, and set the professional/technical split for Concord Hospital reads and freestanding center studies alike, so advanced imaging isn't lost to an unappealable denial. Since 2005 our imaging desk has run a 99% clean-claim rate with A/R under 25 days, keeping a small central-New-Hampshire book paying like a much larger one. Request a revenue review and we'll show what your Concord claims can recover.
Choosing a Radiology Billing Services Provider in Concord
Let's get your Concord radiology claims paid faster
Start with a revenue review: we'll review your MCO authorizations, your 26/TC splits, your NGS LCD matches, and your aging A/R, then show you what professional radiology billing can recover.
Radiology billing across New Hampshire
Concord practices are billed out of the same New Hampshire desk. Statewide payer detail lives on the New Hampshire page.
Statewide
New Hampshire Radiology billing services — the payer programs, authorities and rules behind every Concord claim.
Specialty hub
Outsourcing Radiology Billing Services — the codes, unit rules and denials nationally, without the local layer.
FAQ
We confirm the patient's active MCO before the study and secure the radiology-benefit-manager authorization it requires. Because those advanced-imaging denials are usually unappealable once the scan is done, that pre-scan verification is the single most valuable step in a Concord claim.
Yes. New Hampshire's Medicare Part B claims run under National Government Services JK, whose Local Coverage Determinations govern necessity. We check the ordering diagnosis against the covering policy first, so the read isn't denied on necessity after the fact.
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.
26 / TC split·place of service·prior authorization·laterality
Ready to get more Concord claims paid on the first pass?
From solo practices to multi-provider groups, we bill Radiology for Concord 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