Results-Driven IR Billing Solutions
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Interventional Radiology Billing Services
Getting paid for interventional radiology procedures shouldn’t feel like performing surgery on your own practice. Yet here we are, watching revenue slip through the cracks while insurance companies play their favorite game of “find the loophole.”
Core One Med gets it. We’ve spent years perfecting the art of interventional radiology billing, and frankly, we’re pretty good at it.
Why Interventional Radiology Billing Drives Everyone Crazy
Your procedures save lives. Your billing? Well, that’s another story entirely.
Interventional radiology sits at this weird intersection where every procedure tells a different story. One day you’re doing angioplasty, the next it’s embolization, then suddenly you’re placing stents. Each procedure has its own coding quirks, documentation requirements, and insurance hoops to jump through.
The real kicker? Insurance companies know this stuff is complicated. They’re counting on it.
Here’s what typically happens:
- Claims get denied for "insufficient documentation" (even when your notes are perfect)
- Modifiers get mixed up between diagnostic and therapeutic procedures
- Pre-authorization requirements change faster than you can keep track
- Appeal processes drag on for months
Sound familiar? You’re not alone.
What Makes Our Approach Different
We don’t just process your claims and hope for the best. Our team actually understands what happens in your procedure rooms.
Most billing companies treat interventional radiology like regular radiology with extra steps. That’s like saying brain surgery is just regular surgery with extra thinking involved.
Our specialists know the difference between:
- Diagnostic angiography vs therapeutic intervention
- When to use modifier 59 vs XS
- How to properly document conscious sedation
- Which procedures require separate facility fees
The result? Your claims get paid faster, denied less often, and when they do get denied, we know exactly how to fix them.
Quick Stats That Matter
- 98.2% first-pass claim acceptance rate
- Average 18-day payment cycle
- 40% reduction in claim denials
- Zero learning curve for your staff
Ready to stop losing money on procedures you’ve already performed? Call us at 949-507-3011 and let’s talk about getting your interventional radiology billing back on track.
How We Handle Your Most Frustrating Billing Challenges
Let’s be honest about what keeps you up at night. It’s not the complex procedures you perform every day. It’s wondering if you’ll actually get paid for them.
Insurance companies have turned interventional radiology billing into their personal obstacle course. They know your procedures are expensive, life-saving, and absolutely necessary. They also know that one tiny documentation error gives them an excuse to delay payment for months.
The Documentation Nightmare
Every interventional radiology procedure tells a story. Problem is, insurance companies want that story told in their very specific language, with their exact formatting, using their preferred coding combinations.
Here’s what we see practices struggling with:
Pre-procedure documentation that doesn't clearly establish medical necessity (even when it's obvious to anyone with medical training)
Intra-procedure notes missing specific details about contrast usage, fluoroscopy time, or catheter placement techniques
Post-procedure reports that don't adequately describe the technical success and clinical outcome
Modifier usage that's technically correct but doesn't match the payer's interpretation
We’ve built our entire process around getting these details right the first time. Our coders don’t just know the CPT codes. They understand what actually happens during your procedures.
The Prior Authorization Maze
Nothing kills momentum like waiting three weeks for authorization on an urgent procedure. We’ve cracked the code on getting faster approvals.
Our authorization team knows exactly:
- Which procedures need pre-auth with which payers
- What documentation each insurance company actually wants (not what they say they want)
- How to present cases for fastest approval
- When to escalate and who to contact
Clean Claims That Actually Stay Clean
Most billing companies celebrate a 85% clean claim rate. We think that’s embarrassing.
Our process ensures:
- Every claim gets reviewed by an interventional radiology specialist before submission
- Documentation matches exactly what the procedure codes require
- Modifiers are applied correctly for bundled vs. separate procedures
- Technical and professional components are properly split
The result? Claims that don’t come back with ridiculous denial reasons like “procedure not covered” when you’re treating a life-threatening condition.
Tired of fighting the same billing battles every month? Call 949-507-3011 and let’s discuss how we can eliminate the headaches that are stealing time from your practice. We’ll review your current denial patterns and show you exactly where money is being left on the table.
Your Next Step Is Simple
Stop leaving money on the table. Every month you delay optimizing your billing is revenue you’ll never recover.
The interventional radiologists seeing the biggest revenue increases aren’t necessarily doing more procedures. They’re just getting paid properly for everything they already do.
Ready to see what proper interventional radiology billing looks like? Call (949) 507-3011 today. We’ll analyze your current billing patterns, identify missed revenue opportunities, and show you exactly how much money you’re leaving on the table every month.
No long-term contracts. No setup fees. Just results.
Because at the end of the day, you didn’t spend years mastering complex interventional procedures to struggle with getting paid for them.