Radiology Billing

Radiology Billing That Captures Every Dollar You've Earned

Modifier 26/TC accuracy, place-of-service optimization, and a dedicated OON negotiation layer — so every read is billed correctly and paid fully.

Up to 6×
OON Recovery
Medicare Rate
30–40%
POS Optimized
More Per Read
98%+
Clean Claims
First Pass
🔬 The Challenge

The Radiology
Billing Challenge

Radiology billing requires precise handling of professional/technical component splits using modifier 26 and TC. Place of service rules change reimbursement dramatically — the same read billed from a hospital vs. freestanding center can differ by 40%. Add frequent OON situations for hospital-based radiologists, and most groups are significantly underpaid without specialized billing support.

Our Approach

What REL1EF Does Differently

Modifier 26/TC split accuracy on every claim
POS-specific billing optimization for maximum reimbursement
OON negotiation for hospital-based radiology groups
OON Upside

The OON Opportunity
in Radiology

Hospital-based radiologists frequently find themselves out-of-network with patients' insurance plans. REL1EF's OON negotiation layer ensures these claims aren't auto-repriced to minimum allowable — we benchmark against UCR and Fair Health data to recover up to 6× Medicare.

Radiology OON Reimbursement — Same Read
Medicare Baseline
Unmanaged OON0.8–1.2×
REL1EF Negotiated OONUp to 6×
Based on UCR benchmarking & Fair Health data. Results vary by payer and geography.
Scope

Services Included

Modifier 26/TC Application Professional Component Billing Technical Component Billing POS Optimization OON Negotiation Contrast Enhancement Coding Denial Management A/R Recovery Weekly Reporting
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No-Win, No-Fee
Radiology Billing

Start with the free A/R recovery trial to see our work firsthand — or contact us directly about radiology billing services.

No-win, no-fee A/R recovery trial
HIPAA compliant · BAA signed before access
Modifier 26/TC accuracy guaranteed
Works with 50+ EHR systems
Request Your Free Radiology Billing Assessment
🔒 HIPAA compliant · BAA signed before any data access
Radiology FAQ

Radiology
Billing Questions

Common questions about radiology billing, modifier splits, and OON negotiation.

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Modifier 26 indicates the professional component (the radiologist's interpretation), while TC indicates the technical component (the equipment and technologist). Correct application determines who gets paid and how much — errors here are one of the most common causes of radiology claim denials.
The same radiology read can reimburse 30–40% differently depending on whether it's billed from a hospital outpatient department vs. a freestanding imaging center. REL1EF ensures every claim uses the optimal POS code for maximum reimbursement.
Hospital-based radiologists often treat patients with insurance plans they're not contracted with. Without active negotiation, these OON claims are repriced by vendors like Zelis and Multiplan to a fraction of their value. REL1EF's dedicated OON process recovers significantly more.
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