Leak
Missing RBM auth on advanced imaging
The denial it triggers
Non-appealable AHCCCS ACC plan denial
How we stop it
We secure the authorization before the scan
Radiology billing · Tempe, AZ
Radiology Billing Services in Tempe, Arizona
Radiology billing services in Tempe have to move at the speed of a college town that never really empties out — Arizona State University students, young professionals, and a dense tech corridor all generating imaging volume across a compact urban footprint.
247MBS has billed radiology since 2005, pairing Tempe groups with a dedicated account manager, a free real-time dashboard, HIPAA-compliant workflows, and SOC 2 Type II controls, plus working knowledge of AHCCCS managed care and Noridian coverage.
HIPAACompliant
SOC 2Type II
Serving Since2005
Specialty-FocusedRCM
We bill Radiology for Tempe practices
Diagnostic Imaging
CT & MRI
Ultrasound
Interventional
Mammography
And More
Radiology Billing in Tempe for Every Practice
Tempe is unusual among Phoenix-metro cities: it is landlocked, built out, and organized around a single enormous demand driver. ASU's tenants and the surrounding tech employers along the Loop 202 skew the patient mix younger and more transient than neighboring suburbs, which means eligibility churns constantly as students cycle on and off parent plans, campus coverage, and short-term commercial policies. For the imaging groups reading at Tempe St. Luke's Hospital and the freestanding centers scattered along Mill Avenue and Rural Road, that churn is a billing problem before it is anything else — the wrong plan on file turns a clean interpretation into a preventable write-off.
Arizona delivers its Medicaid program, AHCCCS, almost entirely through Complete Care (ACC) managed-care plans, so the specific plan assigned to a patient controls both the advanced-imaging authorization and the fee schedule. Two Tempe patients with AHCCCS coverage can sit under different ACC plans with different radiology-benefit rules. Medicare Part B in Arizona runs through Noridian Healthcare Solutions (JF), whose Local Coverage Determinations define medical necessity for the professional read. A Tempe radiology claim only pays cleanly when the ACC plan assignment and the Noridian JF policy are both threaded correctly — precision a generalist billing company rarely sustains for high-dollar imaging.
How radiology claims get paid
Every Tempe study carries a series of coding decisions that are settled before the claim leaves our queue. Codes live only in this table.
| Billing element | How it drives payment in Tempe |
|---|---|
| Professional vs technical | Modifier 26 for the read, TC for the equipment; global billing only when one entity owns both |
| Site of service | Reads at Tempe St. Luke's split the claim; office-owned imaging bills global |
| Prior authorization | MRI, CT, and PET cleared through the AHCCCS ACC plan's radiology-benefit manager first |
| Contrast and supervision | With, without, and 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 and LT laterality, 59 to unbundle NCCI pairs, 76 and 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.
The single decision that shapes a Tempe claim is global versus split, and it turns entirely on site of service. When a group both owns the imaging equipment and provides the interpretation — common at the office-based centers along Rural Road — the study bills globally under one line. When the read happens inside Tempe St. Luke's or another facility the group does not own, the claim splits: the technical component follows the equipment and the professional component follows the radiologist, each on its own claim. Get that division wrong and the payer either recoups the overlap or short-pays the read. Contrast studies add a second layer, because with-contrast, without-contrast, and with-and-without-contrast are distinct services tied to the physician's order and the supervision level documented at the time of the scan. We reconcile all of it against the order before submission rather than after a denial.
Advanced imaging carries its own gate. MRI, CT, and PET almost always require prior authorization through the AHCCCS ACC plan's radiology-benefit manager, and an authorization obtained after the scan is usually worthless — the denial is non-appealable. Because Tempe's eligibility churns so quickly, we treat the RBM check as a pre-service step, confirming the active plan and clearing the authorization before the patient is imaged, not after.
Where Tempe radiology practices lose revenue
Because Tempe's payer mix shifts so quickly, most lost dollars trace back to eligibility gaps and split-billing errors rather than exotic coding.
Leak
Wrong or missing 26/TC split
The denial it triggers
Recoupment or short-pay on hospital reads
How we stop it
We bill the exact component the site of service requires
Leak
LCD / medical-necessity mismatch
The denial it triggers
Noridian JF edit denies the interpretation
How we stop it
We match the diagnosis to the covering policy first
Leak
Contrast code mismatch
The denial it triggers
Reduced payment or outright denial
How we stop it
We tie the contrast code to the physician's order
Leak
NCCI bundling or duplicate reads
The denial it triggers
Component or second read rejected
How we stop it
We apply 59, 76, and 77 correctly
Your revenue review ranks these leaks by dollars lost, so the largest hole in your Tempe revenue closes 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 Tempe, AZ — 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 Tempe practices outsource radiology billing to 247MBS
Tempe imaging groups outsource radiology billing because the combination of constant eligibility churn, AHCCCS ACC authorization gates, and the professional/technical split overwhelms a general billing company that treats every specialty alike. Outsourcing to a team built around imaging changes the math: as a medical billing services company organized around the professional component, we carry Arizona payer logic and radiology-specific workflows from day one rather than learning them on your claims. A billing company that also handles primary care and dermatology on the side will miss the RBM gate; a focused billing services company will not. We run the full radiology revenue cycle:
- Eligibility and payer verification — the active AHCCCS ACC plan or commercial coverage and its authorization status confirmed before the scan
- Denial management and appeals — worked against the LCD and the authorization record, never blindly resubmitted
- Insurance credentialing — radiologists paneled across Arizona Medicaid plans and commercial carriers
- Accounts receivable follow-up — aged imaging claims chased to resolution, not written off
It all lives inside our radiology revenue cycle practice — one team, one dashboard, a 98% client retention rate. That is why professional radiology billing services in Tempe belong with a partner that reads imaging every day.
Who we serve in Tempe
We bill freestanding imaging and diagnostic centers across Tempe, hospital-based radiology groups reading for Tempe St. Luke's and nearby East Valley facilities, subspecialty and interventional radiologists, mobile MRI and CT operators, and teleradiology groups covering Tempe, ASU-area clinics, and the surrounding corridor toward Scottsdale and Mesa. Whether you interpret only, own the equipment, or both, we bill the professional and technical pieces to match your arrangement. New groups launching near campus and established practices scaling with the corridor get the same imaging-specific workflow, from the first eligibility check through final payment posting.
Medical Billing for Radiology in Tempe
Medical billing for radiology in Tempe pays off when the payer logic behind ASU's transient patient base is handled before the scan, not after a denial. 247MBS confirms the active AHCCCS Complete Care plan and clears the radiology-benefit-manager gate on advanced imaging, then separates the professional read from the technical component exactly as each Tempe St. Luke's or Mill Avenue site of service requires. Our imaging-focused team matches every interpretation to the covering Noridian JF coverage policy, holding a 99% clean-claim rate and A/R under 25 days across East Valley groups. If eligibility churn is quietly draining your Rural Road center, request a revenue review and we will show you the dollars in play.
Choosing a Radiology Billing Services Provider in Tempe
Let's get your Tempe radiology claims paid faster
Start with a revenue review: we'll review your 26/TC splits, your AHCCCS ACC authorizations, your Noridian LCD matches, and your aging A/R, then show you what focused radiology billing can recover.
Radiology billing across Arizona
Tempe practices are billed out of the same Arizona desk. Statewide payer detail lives on the Arizona page.
Statewide
Arizona Radiology billing — the payer programs, authorities and rules behind every Tempe claim.
Specialty hub
Radiology Billing Services — the codes, unit rules and denials nationally, without the local layer.
FAQ
Because AHCCCS coverage runs through ACC 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. A transient, younger patient base means coverage changes far more often than in a settled suburb, so we re-verify eligibility aggressively rather than trusting last visit's plan — that alone prevents a large share of Tempe write-offs.
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.
26 / TC split·place of service·prior authorization·laterality
Ready to get more Tempe claims paid on the first pass?
From solo practices to multi-provider groups, we bill Radiology for Tempe 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