Diagnostic Center Billing & RCM Services
Tailored RCM for Imaging, Radiology & Diagnostic Centers
Diagnostic centers face unique billing challenges: strict payer documentation rules, prior authorizations, medical necessity validations, and complex coding workflows for imaging services. These pain points often lead to high denial rates, delayed payments, and lost revenue.
Impact Innovations delivers specialized RCM solutions for diagnostic & imaging centers, ensuring complete accuracy—from front-end scheduling and authorizations to clean claim submission and AR recovery.
Whether you operate a standalone facility or a multi-location diagnostic group, our team supports your entire billing lifecycle with precision.
Why Diagnostic Billing Requires Specialized Expertise
Diagnostic billing differs significantly from standard physician billing due to:
Prior authorization requirements for CT, MRI, PET, ultrasound
Frequent denials for “lack of medical necessity”
Documentation gaps between ordering provider & diagnostic center
Modifiers & technical/professional component billing
High claim volume with strict timelines
Bundling/unbundling rules under payer policies
A generic billing workflow simply doesn’t work for diagnostic centers.
Our processes are customized for high-volume imaging and diagnostic workflows.
Our Diagnostic & Imaging RCM Services
1. Prior Authorization Management
We handle:
Authorization submission
Clinical documentation collection
Status tracking
Payer appeals
This reduces cancellations, no-shows, and unreimbursed services.
2. Diagnostic Coding Expertise
Our certified coders specialize in:
Radiology (X-ray, MRI, CT, Mammography)
Cardiology diagnostics
Nuclear medicine
Ultrasound
Vascular studies
Sleep studies
Neurological testing
We ensure:
Correct TC/PC modifiers
CPT/HCPCS accuracy
Medical necessity alignment
NCCI edits compliance
3. Clean Claim Workflow
We validate:
Ordering physician documentation
Diagnosis-to-test correlation
Prior authorization accuracy
Payer rules and LCD/NCD guidelines
This dramatically improves first-pass acceptance rates.
4. Denial Management for Diagnostic Centers
Denial hotspots for diagnostic centers include:
Medical necessity
Missing documentation
Incomplete prior authorization
Incorrect modifiers
We tackle these through rapid appeals, root-cause fixes, and payer-specific intelligence.
5. AR Recovery & Payment Posting
We maintain <30 days in AR through structured follow-up and complete reconciliation of payer payments.
Benefits for Diagnostic Centers
Fewer medical necessity denials
Reduced administrative workload
Higher reimbursement accuracy
Better scheduling-to-payment continuity
Transparent reporting and financial metrics
Strengthen Your Diagnostic Center Revenue Cycle
Your imaging and diagnostic workflows deserve billing precision.