Palmetto JJ LCDs deny advanced imaging when the ICD-10 diagnosis does not support it; screening indications on diagnostic orders fail.
Radiology billing · Mobile, AL, AL
Radiology Billing Services in Mobile, AL
For imaging groups that need radiology billing services in Mobile to fit Alabama's payer rules, 247 Medical Billing Services codes each read to the payer that will actually adjudicate it.
We have handled professional and technical imaging claims since 2005, we understand how Alabama Medicaid's fee-for-service and ACHN care-coordination model and Palmetto GBA's Jurisdiction J rules treat a study on the Gulf Coast, and every client gets a dedicated account manager plus a free live dashboard. Our operations are HIPAA-compliant and SOC 2 Type II-audited throughout.
HIPAACompliant
SOC 2Type II
Serving Since2005
Specialty-FocusedRCM
We bill Radiology for Mobile, AL practices
Diagnostic Imaging
CT & MRI
Ultrasound
Interventional
Mammography
And More
Best Radiology Billing Services in Mobile, AL
Mobile is Alabama's Gulf Coast port city, and its imaging market centers on USA Health — the University of South Alabama's academic system with its University Hospital and Children's & Women's Hospital — alongside Infirmary Health, the region's large community system. That pairing of an academic teaching hospital and a broad community network means Mobile radiologists read everything from trauma and pediatric studies to routine outpatient films, and nearly all of the hospital volume must split into a professional-component claim for the physician and a technical-component claim for the facility.
Alabama is unusual among states in that it never moved Medicaid to full managed care; it runs a primarily fee-for-service program supported by the Alabama Coordinated Health Network (ACHN) for care coordination. So a Medicaid imaging claim in Mobile is billed to the state rather than to a commercial MCO, but advanced imaging still carries authorization and medical-necessity requirements. On Medicare, Palmetto GBA administers Jurisdiction J, covering Alabama, and its Local Coverage Determinations set the standard for which diagnoses support advanced studies. A billing company working Mobile has to keep the fee-for-service Medicaid path and the Palmetto JJ rules straight on every claim.
The port and its industrial base add a wrinkle other markets do not have. Shipyard, refinery, and offshore workers generate a steady stream of occupational imaging — spine films, extremity studies, and CT after workplace injuries — that often falls under workers' compensation rather than health insurance. Workers' comp imaging follows its own fee schedule and documentation rules, and a study billed to a health plan when it should have gone to a comp carrier will deny and then age past filing while the error is untangled. Sorting the right payer at intake, before the read is coded, keeps that occupational volume from stalling in accounts receivable.
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
Where Mobile radiology practices lose revenue
Gulf Coast imaging groups lose revenue on a familiar set of denials, and we work each before the claim is filed:
a global charge at a USA Health or Infirmary provider-based site, or a professional read without modifier 26, draws overpayment recoupment.
commercial payers and Medicare Advantage plans route CT, MRI, PET, and nuclear studies through radiology benefit managers; unauthorized advanced imaging denies.
distinct procedures reported without modifier 59 collapse into the primary code.
a preliminary and a final interpretation billed without modifier 77 for the second physician post as duplicates.
How radiology claims get paid
Reimbursement depends on component, contrast, supervision, and laterality. Codes stay in this table only.
| Element | How it applies in Mobile | Example |
|---|---|---|
| Professional (26) | Radiologist interpretation at USA Health, Infirmary sites | 71046-26 two-view chest, read only |
| Technical (TC) | Facility equipment, technologist, supplies | 74176-TC CT abdomen/pelvis without contrast |
| Global | Independent center owning equipment and interpretation | 73721 MRI lower extremity without contrast |
| Contrast / supervision | With-contrast codes require documented agent and supervision | 74178 CT abdomen/pelvis with and without contrast |
| Laterality | RT/LT keep paired-anatomy studies from bundling | 73562-RT knee, three views |
| Repeat / distinct | 76 same physician, 77 different physician, 59 distinct | 71046-76 repeat portable chest, same reader |
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 Mobile, AL, AL — 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 Mobile practices outsource radiology billing to 247MBS
Because Alabama's fee-for-service Medicaid and Palmetto JJ rules are their own dialect, outsourcing to a specialized billing services company protects revenue a general vendor would misroute. As a radiology-focused medical billing services company, 247MBS staffs AAPC- and AHIMA-credentialed coders who read the dictation, apply the correct Palmetto JJ LCD, and confirm radiology-benefit-manager authorization before the claim goes out. That professional rigor is why our clients keep a 99% clean-claim rate, near-99% net collection, A/R under 25 days, up to a 40% reduction in denials, and 24-hour claim submission.
Choosing to outsource to a complete billing company also delivers the whole revenue cycle: front-end eligibility and benefits verification, relentless denial management and appeals, and disciplined accounts receivable follow-up that recovers underpaid Gulf Coast claims. See our national radiology billing services hub for the wider methodology.
Radiology billing in Mobile for every practice
An academic radiology group at USA Health, an Infirmary-affiliated outpatient imaging center, and an independent MRI facility along Airport Boulevard all bill by the same principle: report only the component you performed at the site where you performed it. Hospital reads split 26/TC; a center you own bills globally. Teleradiology groups reading Alabama studies from out of state get licensure-aware credentialing so each remote interpretation is billable where the patient sits.
Who we serve in Mobile
Academic and hospital-contracted radiology groups, health-system outpatient imaging centers, independent MRI and CT facilities, interventional radiology practices, mobile X-ray and ultrasound providers, and teleradiology and nighthawk services across Mobile and the surrounding Baldwin County, Daphne, Saraland, and Gulf Coast communities. Groups reading for facilities across the Alabama and Mississippi line get licensure-aware credentialing so each remote interpretation bills where the patient sits. Whether you read a handful of studies a day or staff a busy hospital rotation, our team scales the workflow to your volume and reports every dollar back to you through the free dashboard, so you always know exactly where a Mobile claim stands in the cycle.
Medical Billing for Radiology in Mobile
Medical billing for radiology in Mobile keeps Gulf Coast imaging revenue moving by coding each read to the payer that will actually adjudicate it. 247MBS ties every advanced study to a supporting Palmetto Jurisdiction J coverage determination, bills Alabama Medicaid through its fee-for-service and ACHN pathway rather than a commercial MCO, and splits the professional read from the technical component at USA Health and Infirmary provider-based sites. We also flag suspected workplace injuries at intake so shipyard and refinery studies route to the correct workers' compensation carrier instead of aging in A/R. Clients hold a 99% clean-claim rate, near-99% net collection, and 24-hour claim submission. Request a revenue review to see your own denial pattern.
Choosing a Radiology Billing Services Provider in Mobile
Radiology billing across Alabama
Mobile, AL practices are billed out of the same Alabama desk. Statewide payer detail lives on the Alabama page.
Statewide
Alabama Radiology billing services — the payer programs, authorities and rules behind every Mobile, AL claim.
Specialty hub
Radiology Billing Services Outsourcing — the codes, unit rules and denials nationally, without the local layer.
Frequently asked questions
Palmetto GBA administers Jurisdiction J, which includes Alabama. Its Local Coverage Determinations decide which diagnoses justify advanced imaging, so we tie every study to a supporting ICD-10 code before we submit.
Alabama Medicaid remains largely fee-for-service, coordinated through the ACHN networks, so most Medicaid imaging claims bill to the state rather than to an MCO. Advanced imaging still carries medical-necessity and authorization requirements, which we verify before billing.
No. At those provider-based hospital sites the radiologist bills the professional component with modifier 26 and the facility bills the technical component. Global billing applies only where one entity owns both the equipment and the read.
Occupational studies tied to a workplace injury usually belong to a workers' compensation carrier, not the patient's health plan, and comp claims follow their own fee schedule and documentation requirements. Our intake flags a suspected work injury before the read is coded, routes the study to the correct comp payer, and attaches the required documentation, so Mobile's industrial imaging volume gets paid on the first submission instead of aging while a misrouted claim is corrected.
26 / TC split·place of service·prior authorization·laterality
Ready to get more Mobile, AL claims paid on the first pass?
From solo practices to multi-provider groups, we bill Radiology for Mobile, AL 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