Leak
Wrong or missing 26/TC split
The denial it triggers
Recoupment or short-pay on facility reads
How we stop it
We bill the exact component the site of service requires
Radiology billing · Tulsa, OK
Radiology billing services in Tulsa serve a three-system hospital market that draws imaging volume from across northeastern Oklahoma, with a payer landscape reshaped by the state's recent shift to Medicaid managed care.
247MBS has billed radiology since 2005, giving Tulsa groups a dedicated account manager, a free real-time dashboard, HIPAA-compliant workflows, and SOC 2 Type II controls, plus current command of SoonerCare and Novitas coverage rules.
Tulsa is the medical hub of northeastern Oklahoma, and its imaging demand runs through three major systems — Saint Francis Health System, Ascension St. John, and Hillcrest HealthCare System — along with a spread of freestanding centers. That concentration of hospital-based reading means the professional/technical split is the everyday reality of Tulsa radiology billing: most interpretations happen inside facilities the radiology group does not own, so each claim has to be divided precisely between the read and the equipment.
Oklahoma's Medicaid program, SoonerCare, now delivers much of its coverage through SoonerSelect managed-care plans, a transition that changed how eligibility, advanced-imaging authorization, and fee schedules work for a Tulsa claim. Knowing which SoonerSelect plan a patient holds — and its radiology-benefit rules — is now part of getting paid. Medicare Part B in Oklahoma is administered by Novitas Solutions (JH), whose Local Coverage Determinations define medical necessity for the professional interpretation. A Tulsa imaging claim clears only when the SoonerCare/SoonerSelect authorization and the Novitas LCD are both handled right — coordination a generalist billing company rarely keeps current for radiology.
Every Tulsa study carries decisions we resolve before the claim is released. Codes appear only in this table.
| Billing element | How it drives payment in Tulsa |
|---|---|
| Professional vs technical | Modifier 26 for the read, TC for the equipment; global only when one entity owns both |
| Site of service | Reads at Saint Francis, Ascension St. John, or Hillcrest split the claim; office-owned imaging bills global |
| Prior authorization | MRI, CT, and PET cleared through the SoonerSelect 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 Novitas JH 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.
With three large systems dominating the market, the split path is the norm in Tulsa: a group reading at Saint Francis, Ascension St. John, or Hillcrest bills the professional component under modifier 26 while the facility bills the technical component on its own claim. Only the imaging center that owns its equipment and reads its own studies bills globally. The costly error is applying a global charge to a facility read, which the payer later reconciles against the hospital's technical claim and recoups. Contrast studies require matching precision, because with-contrast, without-contrast, and with-and-without-contrast are separate services that must reflect the physician's order and the supervision level recorded during the exam.
Oklahoma's move to SoonerSelect changed the prior-authorization landscape, and that is where practices new to managed care lose the most. Advanced imaging — MRI, CT, PET — now runs through the plan's radiology-benefit manager, and an authorization obtained after the scan seldom saves the claim. We confirm the active SoonerSelect plan and secure the approval before imaging, then keep it attached to the claim. Laterality modifiers, 59 to separate distinct services, and 76 or 77 for legitimate repeats close out a clean Tulsa submission.
With so much reading done inside the three systems, Tulsa's biggest leaks cluster around split-billing and the newer SoonerSelect authorization gates.
Wrong or missing 26/TC split
Recoupment or short-pay on facility reads
We bill the exact component the site of service requires
No plan auth on advanced imaging
Non-appealable SoonerSelect denial
We secure the authorization before the scan
LCD / medical-necessity mismatch
Novitas JH edit denies the interpretation
We match the diagnosis to the covering policy first
Contrast code mismatch
Reduced payment or denial
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 largest hole in your Tulsa revenue closes 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 Tulsa, OK — 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.
Tulsa imaging groups outsource radiology billing because facility-based reading, Oklahoma's shift to SoonerSelect managed care, and the professional/technical split together overwhelm a general billing company that treats every specialty the same. Outsourcing to an imaging-focused partner solves it directly: as a medical billing services company built around the professional component, we bring current Oklahoma payer logic and radiology workflows on day one rather than learning them on your claims. A broad-line billing company misses the new managed-care authorization rules; a dedicated billing services company already tracks them. We run the full radiology revenue cycle:
It all lives inside our radiology revenue cycle practice — one team, one dashboard, a 98% client retention rate, and the professional rigor a three-system market demands.
The payoff from radiology billing services in Tulsa is clearest during a payer transition like SoonerSelect, when authorization rules shift and denials spike for practices that keep billing the old way. We track those managed-care changes as they happen and adjust the pre-service workflow immediately, so your MRI, CT, and PET claims stay clean through the transition instead of piling up in A/R while a generalist billing company catches up months later.
We bill hospital-based radiology groups reading for Saint Francis, Ascension St. John, and Hillcrest facilities, freestanding imaging and diagnostic centers across Tulsa, subspecialty and interventional radiologists, mobile MRI and CT operators, and teleradiology groups covering Tulsa, Owasso, Bixby, and the wider northeastern Oklahoma region. Whether you interpret only, own the equipment, or both, we bill the professional and technical pieces to match your arrangement. Groups consolidating hospital contracts across the three systems and smaller centers serving Tulsa's suburbs get the same imaging-specific workflow, from the first eligibility check through final payment posting and denial follow-up.
Medical billing for radiology in Tulsa keeps a three-system hospital book clean through Oklahoma's shift to managed care. 247MBS splits every facility read at Saint Francis, Ascension St. John, and Hillcrest between the interpretation and the equipment, confirms the active SoonerSelect plan and secures radiology-benefit-manager approval on advanced imaging before the scan, and matches each read to the covering Novitas JH policy. When authorization rules change mid-transition, we adjust the pre-service workflow immediately so claims stay clean instead of aging. Northeastern Oklahoma groups see a 99% clean-claim rate, A/R under 25 days, and up to 40% fewer denials. Request a revenue review and see what focused radiology billing recovers.
Start with a revenue review: we'll review your 26/TC splits, your SoonerSelect authorizations, your Novitas LCD matches, and your aging A/R, then show you what focused radiology billing can recover.
Tulsa practices are billed out of the same Oklahoma desk. Statewide payer detail lives on the Oklahoma page.
Radiology billing in Oklahoma — the payer programs, authorities and rules behind every Tulsa claim.
Radiology Billing Services — the codes, unit rules and denials nationally, without the local layer.
Oklahoma now delivers much of SoonerCare through SoonerSelect plans, so 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. Facility-based reads mean the professional component bills separately from the technical component, and we split every claim to match the exact site of service so nothing is short-paid or recouped.
We match each ordering diagnosis to the covering Novitas Local Coverage Determination before submission, so the professional interpretation clears the LCD edit instead of denying.
From solo practices to multi-provider groups, we bill Radiology for Tulsa 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