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AI-Powered Revenue Optimization

AI-Powered Billing for Diagnostic Imaging – Faster Claims, Higher Collections

Improve your imaging center’s financial performance with AI-powered billing built for the complexity of diagnostic services. Our intelligent automation ensures accurate coding for MRI, CT, ultrasound, X-ray, and other imaging procedures, helping reduce errors, prevent denials, and accelerate claim processing. From eligibility verification and charge capture to denial management and real-time reporting, we optimize every step of your revenue cycle—so you get paid faster, increase collections, and focus on delivering quality patient care.

  • Trusted by hospitals, diagnostic imaging specialist and diagnostic imaging groups nationwide
  • HIPAA-compliant + Fully U.S.-based billing oversight
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Why Diagnostic Imaging Medical Billing Requires Specialized Expertise

Diagnostic Imaging requires expert handling of complex coding, prior authorizations, and payer rules to ensure accurate claims and faster reimbursements.

Modality-Specific Coding Complexity

MRI, CT, PET, ultrasound, and X-ray services each require precise CPT selection, contrast indicators, and correct modifiers. Coding errors can lead to denials or reduced reimbursements.

Prior Authorization Requirements

Many advanced imaging procedures require payer pre-authorization. Missing or incorrect approvals often result in claim rejections or non-payment.

Strict Medical Necessity Documentation

Payers closely review diagnosis-to-procedure matching. Inadequate clinical justification or incorrect ICD-10 linkage can trigger medical necessity denials.

Professional vs. Technical Billing (Split Billing)

Radiology services often require separate billing for professional (physician interpretation) and technical (equipment/facility) components, increasing claim complexity.

High Volume & Fast Turnaround Demands

Diagnostic centers handle large daily imaging volumes. Delays in charge capture or claim submission can negatively impact cash flow.

Payer-Specific Imaging Policies

Coverage rules, frequency limits, bundling edits, and reimbursement rates vary widely by payer, requiring continuous monitoring to ensure compliance and optimal payment.

Due to these challenges, many imaging centers rely on experts to improve revenue and reduce workload.

Our Services

AI-Powered Billing Solutions Built for Diagnostic Imaging Providers

Combining AI automation and expert oversight to increase accuracy and financial performance.

Accurate Imaging Coding & Charge Capture

We ensure precise CPT and ICD-10 coding for MRI, CT, PET, ultrasound, X-ray, and interventional procedures, including correct modifiers and contrast details to maximize clean claims and reduce denials.

Prior Authorization & Eligibility Verification

Our team verifies patient eligibility and secures required pre-authorizations for advanced imaging services to prevent rejections and ensure smooth reimbursement.

Claims Submission & Payment Follow-Up

We submit claims promptly, monitor their status through payment, and manage rejections, appeals, and resubmissions to accelerate reimbursement.

Professional & Technical (Split) Billing Management

Proactively monitor unpaid claims, perform timely follow-ups, resolve denials quickly, and keep your revenue cycle moving to maintain consistent cash flow.

Accounts Receivable (AR) & Denial Management

We proactively track unpaid claims, perform timely follow-ups, resolve denials, and reduce aging A/R to maintain steady cash flow.

Reporting, Compliance & Performance Analytics

Receive detailed reports on collections, denial trends, days in A/R, and payer performance—while we ensure compliance with radiology guidelines, payer policies, and HIPAA standards.

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Our Services

Better Billing Performance Backed by Data

Increase in Net Collections
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First-Pass Clean Claim Rate
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Reduction in AR Days
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I have been using 5 Star Billing Services, Inc. for over two years now. I am impressed with the detail and thoroughness that they consistently demonstrate. The team assigned to us is very familiar with the coding necessary for our specialty (chronic pain), and they excel at preventing rejections.

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Gary L. Child, D.O.

Medical Director

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Our Process

A Smarter Workflow Built for Diagnostic Imaging

Our AI-Enhanced Billing Process

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Data Intake & Verification

Seamless integration with your EHR, practice management, and diagnostic imaging documentation systems for efficient and accurate data flow.

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AI-Assisted Coding + Expert Review

AI-driven machine learning validates coding accuracy, while certified billing specialists review and ensure full compliance with payer and regulatory requirements.

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Claim Submission With Automated Follow-Up

Clean claims are submitted promptly with AI-enabled tracking and proactive follow-ups to accelerate payments and reduce delays.

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Payment Posting + Revenue Insights

Access a real-time dashboard with actionable insights on collections, denials, A/R, and payer trends—empowering smarter decisions and driving practice growth.

Continuous Expert Oversight

Every step is monitored by senior billing analysts specializing in diagnostic imaging

Seamless EHR & Diagnostic Imaging Software Integration​

No workflow disruptions. Our team adapts to your clinical system and billing tools, supporting efficiency from day one.

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Commonly Used  CPT and ICD Codes in Diagnostic Imaging

Diagnostic Imaging CPT Codes

X-Ray

  • 71045–71048 – Chest X-ray (single to multiple views)

  • 73030 – Shoulder X-ray

  • 73560–73564 – Knee X-ray

CT Scan

  • 70450–70470 – CT Head/Brain (without/with contrast)

  • 71250–71270 – CT Chest

  • 74150–74178 – CT Abdomen and Pelvis

MRI

  • 70551–70553 – MRI Brain

  • 72141–72158 – MRI Spine (cervical, thoracic, lumbar)

  • 73721–73723 – MRI Lower Extremity

Ultrasound

  • 76700 – Complete abdominal ultrasound

  • 76856 – Pelvic ultrasound

  • 93970 – Venous duplex scan (extremities)

Mammography

  • 77067 – Screening mammography (bilateral)

  • 77065–77066 – Diagnostic mammography

General Symptoms (Often Used for Initial Imaging)

  • R51.9 – Headache, unspecified

  • R42 – Dizziness and giddiness

  • R55 – Syncope and collapse

  • R50.9 – Fever, unspecified


Chest & Respiratory Symptoms

  • R07.9 – Chest pain, unspecified

  • R06.02 – Shortness of breath

  • R05.9 – Cough, unspecified

  • J18.9 – Pneumonia, unspecified


Abdominal & Pelvic Symptoms

  • R10.9 – Abdominal pain, unspecified

  • R11.2 – Nausea with vomiting

  • K80.20 – Gallstones without obstruction

  • N20.0 – Kidney stone


Musculoskeletal Conditions

  • M54.5 – Low back pain

  • M25.561 – Pain in right knee

  • M25.562 – Pain in left knee

  • S83.519A – Sprain of knee ligament (initial encounter)


Neurological Conditions

  • I63.9 – Cerebral infarction (stroke), unspecified

  • G43.909 – Migraine, unspecified

  • G93.40 – Encephalopathy, unspecified


Screening & Preventive Imaging

  • Z12.31 – Screening mammogram for breast cancer

  • Z13.6 – Screening for cardiovascular disorders

  • Z87.891 – Personal history of nicotine dependence (lung screening support)


Why Diagnostic Imaging Providers Trust 5 Star Billing Services

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AI-powered claim validation reduces coding errors, imaging denials, and reimbursement delays.

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Certified diagnostic imaging coding experts ensure accurate, compliant CPT, ICD-10, and modifier usage.

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End-to-end revenue cycle management improves collections and accelerates cash flow for imaging centers.

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Proactive denial management and payer follow-ups help secure faster payments for imaging services.

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Real-time reporting and analytics give full visibility into imaging revenue, denials, and financial performance.

Frequently Asked Questions

Diagnostic imaging medical billing involves coding, submitting, and managing claims for radiology services such as MRI, CT scans, X-rays, ultrasound, and other imaging procedures to ensure accurate reimbursement from insurance payers.

Imaging services require modality-specific CPT codes, correct use of modifiers, medical necessity validation, and prior authorizations. Specialized billing helps reduce denials, ensure compliance, and maximize reimbursements.

Yes, many advanced imaging services such as MRI, CT, and PET scans require prior authorization from insurance providers. Proper authorization helps prevent claim rejections and payment delays.

Professional billing covers the radiologist’s interpretation of the images, while technical billing includes the use of equipment, facility, and staff. Accurate handling of both components ensures correct reimbursement.

AI-powered billing automates claim validation, detects coding errors, identifies missing information, and flags denial risks—helping imaging centers reduce errors, speed up payments, and improve overall revenue performance.

Maximize Revenue with Outsourced Diagnostic Imaging Billing

Expert management of coding, authorizations, and denials helps imaging providers achieve consistent financial growth.

Focus on Imaging Services, Not Billing Tasks

Free your staff from complex coding, authorizations, and claim management so they can focus on patient care and operational efficiency.

Fewer Denials & Faster Reimbursements

Accurate modality-specific coding, medical necessity checks, and proactive follow-ups reduce claim rejections and speed up payments.

Improved Cash Flow & Revenue Performance

Consistent claim submission, AR management, and denial resolution help maintain predictable and steady cash flow.

Expert Handling of Authorizations & Compliance

Stay compliant with evolving payer rules, prior authorization requirements, and radiology-specific billing guidelines to avoid revenue loss.

Scalable Support for Growing Imaging Centers

Our services adapt to your volume and service expansion—no need to hire, train, or manage additional billing staff.

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Our Tailored Diagnostic Imaging Billing Service is ideal for

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Solo behavioral health specialist in private practice

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Multi-specialty group practices that offer Behavioral Health services

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Surgical centers, hospital units, and ambulatory surgical centers (ASCs)

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Practices operating across multiple states or with complex payer mixes

AI-powered anesthesia coding services

AI-Powered Compliance & Precision: Why 5 Star Billing Leads in Diagnostic Imaging

  • Proven expertise in medical billing and revenue cycle management across 40+ healthcare specialties.
  • Certified diagnostic imaging coding specialists trained in psychotherapy, psychiatry, and payer-specific compliance requirements.
  • AI-powered workflows that improve coding accuracy, reduce denials, and accelerate reimbursements.
  • Nationwide support for providers in all 50 U.S. states, regardless of location or payer mix.
  • A results-driven approach focused on compliance, clean claims, and maximizing your practice’s financial performance.

Simplify Your Diagnostic Imaging Billing Today

Contact us today to learn how we can tailor our diagnostic imaging Billing Service across any state.

Contact Information

Phone

+1-480-999-0180

Email

info@drbillingservice.com

Service Area

Nationwide Service

CPC Certificate
HIPAA certificate
BBB A+-01

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