Leak
No CalViva authorization on advanced imaging
Denial it triggers
Non-appealable denial
Our fix
We secure it before the scan
Radiology billing · Fresno, CA
Radiology Billing Services in Fresno, California
Radiology billing services in Fresno serve the medical hub of the Central Valley, where UCSF Fresno's academic reads and CalViva Health Medi-Cal shape almost every imaging claim.
247MBS has billed radiology since 2005, pairing a dedicated account manager and a free dashboard with HIPAA-compliant, SOC 2 Type II workflows fluent in California Medi-Cal managed care and Noridian coverage.
HIPAACompliant
SOC 2Type II
Serving Since2005
Specialty-FocusedRCM
We bill Radiology for Fresno practices
Diagnostic Imaging
CT & MRI
Ultrasound
Interventional
Mammography
And More
Best Radiology Billing Help for Fresno, CA
Fresno is the healthcare hub of the Central Valley, where Community Regional Medical Center and the UCSF Fresno teaching program read for a vast agricultural region with one of the highest Medi-Cal shares in the state. Two things define billing here. First, Fresno County's Medi-Cal managed care runs largely through CalViva Health, the Local Health Authority plan administered in partnership with Health Net, with its own advanced-imaging authorization process. Second, academic and teaching settings add supervision and site-of-service nuances that a routine biller misses.
Medicare Part B in California is administered by Noridian Healthcare Solutions, whose Local Coverage Determinations govern necessity. A Fresno group that aligns CalViva authorization, supervision documentation, and Noridian necessity on each study captures revenue that a generic process leaves on the table.
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
Each Fresno study clears these before it bills:
| Billing element | What it controls |
|---|---|
| Prior authorization | MRI, CT, and PET cleared through CalViva Health or the commercial RBM |
| Professional vs technical | Modifier 26 for the interpretation, TC for the equipment; global under single ownership |
| Site of service and supervision | Teaching and hospital settings drive the split and supervision level |
| Medical necessity | Diagnosis matched to the governing Noridian LCD |
| Contrast and supervision | Contrast code and supervision level tied to the order |
| Modifiers | RT and LT for laterality, 59 to unbundle, 76 and 77 for repeats |
Clean claims file within 24 hours and are held to roughly 99% net collections.
Where Fresno radiology practices lose revenue
Leak
Supervision level undocumented in a teaching setting
Denial it triggers
Denial or short-pay
Our fix
We capture the supervision detail the code requires
Leak
Wrong 26/TC split for the setting
Denial it triggers
Overpayment recoupment
Our fix
We bill the component the site requires
Leak
Diagnosis misses the Noridian LCD
Denial it triggers
Medical-necessity denial
Our fix
We validate necessity before submission
Leak
Contrast code mismatched to the order
Denial it triggers
Short-pay
Our fix
We match contrast and supervision to the order
Leak
Bundled or duplicate reads
Denial it triggers
NCCI edit
Our fix
We apply 59, 76, and 77 correctly
A revenue review ranks these by dollars so your biggest Fresno leak is 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 Fresno, 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
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 Fresno practices outsource radiology billing to 247MBS
Central Valley groups outsource radiology billing because a very high Medi-Cal share through CalViva, plus academic supervision and site-of-service rules, is more than a general billing company can absorb. As a medical billing services company built around imaging, we already run the CalViva authorization and teaching-setting logic these claims require. Our cycle covers:
- Eligibility and payer verification — CalViva, another Medi-Cal plan, or commercial coverage and its auth rule confirmed pre-scan
- Denial management and appeals — reworked against the LCD and the authorization record
- Insurance credentialing — radiologists and fellows paneled across Medi-Cal and commercial carriers
- A/R follow-up — aged Medi-Cal and commercial imaging balances pursued to resolution
It all runs inside our radiology revenue cycle practice, with denial recovery near 90%.
Fresno is the medical hub of the Central Valley, where Community Medical Centers and the UCSF Fresno academic program read for a vast agricultural region covered heavily by CalViva Health Medi-Cal. Academic and hospital-based reads lean on the professional-component split, while rural referrals arrive from clinics across the valley — each with its own eligibility and authorization status to confirm. We verify CalViva and Medicare coverage up front, keep teleradiology reads matched to the correct rendering radiologist, and work Central Valley denials to root cause so Fresno practices collect the full value of every read.
Who we serve in Fresno
We bill hospital-based and academic radiology groups reading for the Central Valley systems, freestanding imaging and diagnostic centers, outpatient MRI and CT operators, interventional radiology practices, and teleradiology groups covering Fresno, Clovis, Madera, Selma, and the surrounding region. Interpret only or own the equipment — we bill the professional and technical components to match.
Medical Billing for Radiology in Fresno
Medical billing for radiology in Fresno rewards a team fluent in the two forces that shape almost every claim here: a very high CalViva Health Medi-Cal share and the supervision rules of academic teaching reads. 247MBS collects the full value of a Central Valley imaging book — clearing advanced imaging through the CalViva authorization path before the scan, capturing the supervision detail a teaching setting requires, splitting the professional and technical components to match the site of service, and matching Medicare studies to the governing Noridian policy. Groups reading for the Community Medical Centers and UCSF Fresno programs see fewer denials and faster cash, backed by roughly 99% net collections and claims filed inside 24 hours. Request a revenue review and we will show your Fresno practice where revenue is leaking.
Choosing a Radiology Billing Services Provider in Fresno
Let's get your Fresno radiology claims paid faster
Start with a revenue review: we'll review your CalViva authorizations, your supervision documentation, your 26/TC splits, and your aging A/R, then show what professional radiology billing can recover.
Radiology billing across California
Fresno practices are billed out of the same California desk. Statewide payer detail lives on the California page.
Statewide
Medical billing for Radiology practices in California — the payer programs, authorities and rules behind every Fresno claim.
Specialty hub
Radiology Billing Services Outsourcing — the codes, unit rules and denials nationally, without the local layer.
FAQ
CalViva Health runs advanced imaging through its own authorization process. We clear each MRI, CT, and PET through that path before the scan, which prevents one of the most common Medi-Cal denials in Fresno County.
Yes. Teaching reads carry supervision and site-of-service rules that affect the professional/technical split and the code selected. We capture the supervision detail and bill the component the setting requires.
We match the ordering diagnosis to the covering Noridian LCD before the study bills, so it isn't denied on necessity after the read.
26 / TC split·place of service·prior authorization·laterality
Ready to get more Fresno claims paid on the first pass?
From solo practices to multi-provider groups, we bill Radiology for Fresno 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