AI Radiology Billing Faces Payer Pushback: What Imaging Practices Should Know
BCBSA flagged $942M in AI coding cost increases. Learn how payer audits on AI-assisted billing affect radiology practices and what to do to stay compliant.
Discover tips and insights to revolutionize radiology medical billing for improved efficiency and profitability.
BCBSA flagged $942M in AI coding cost increases. Learn how payer audits on AI-assisted billing affect radiology practices and what to do to stay compliant.
CPT code 76856 is the complete nonobstetric pelvic ultrasound. Learn 76856 vs 76857, documentation requirements, modifier 26 TC/PC split, and how to avoid common billing errors.
New 2026 research shows mid-size radiology practices lose over $2.6 million a year to billing gaps. Learn where the revenue leaks and how to recover it.
CPT 74176 covers CT of the abdomen and pelvis without contrast. Learn 74176 vs 74177, component modifiers, documentation rules, and the denials to avoid.
CPT code 76700 covers a complete abdominal ultrasound. Learn required organs, modifiers, reimbursement rates, 76700 vs 76705, and how to avoid denials.
Aetna now cuts radiology TC payments 15% on CT claims billed with modifier CT. Learn what NEMA XR-29 requires, which codes are affected, and how to protect your revenue.
The 72100 CPT code covers a 2 to 3 view lumbosacral spine X-ray. See the modifiers, reimbursement, the 72100 vs 72110 bundling rule, and 2026 denials.
CPT 77063 is the add-on code for screening 3D breast tomosynthesis, billed with 77067. Learn the pairing rule, components, Medicare coverage, and common denials.
CMS proposes cutting noncontrast imaging payments 60% in off-campus hospital departments for 2027. See which codes are hit, the revenue impact, and what to do now.
Modifier 26 bills the professional component of a radiology service, the interpretation and report. Learn 26 vs TC, the PC/TC indicator, POS rules, and denials.
UnitedHealthcare requires radiology prior authorization for Surest plans starting October 1, 2026. Learn which imaging codes are affected and what your practice must do now.
CMS updated Medicare enrollment rules for teleradiology providers in August 2026. Learn what changed, who must act, and how to verify your PECOS enrollment now.
Bill CPT 76942 for ultrasound guidance of needle placement. Learn the permanent-image rule, the one-unit MUE limit, NCCI bundling, and 26 vs TC.
Bill CPT 74177 for a CT of the abdomen and pelvis with contrast. Learn 74176 vs 74177 vs 74178, the modifier requirement, NCCI bundling, and necessity.
CMS issued an RFI on duplicate imaging exams in the CY 2027 PFS proposed rule. Learn what this signals for radiology billing and how to prepare before new requirements land.
CPT 73721 is an MRI of a lower extremity joint without contrast. Learn 73721 vs 73722 vs 73723, per-joint billing, laterality, and modifier 59.
The CMS 2027 OPPS proposed rule would reduce noncontrast imaging payments in off-campus hospital departments to PFS rates. Here is what radiology practices need to know.
Bill CPT 72148 for an MRI of the lumbar spine without contrast. Learn 72148 vs 72149 vs 72158, prior auth, the conservative-care rule, and modifiers.
The 2027 PFS proposed rule cuts the conversion factor, applies a 2.5% efficiency adjustment to imaging codes, and revises PE methodology. Here is the radiology impact.
CPT 71250 is a chest CT without contrast. Get the descriptor, 71260 and 71270 differences, modifier 26 vs TC, and what the 2026 efficiency cut changes.
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