Clientele automates radiology revenue cycle management end to end: imaging orders, modality-specific CPT validation, documentation completeness, medical necessity for advanced imaging, and global versus technical/professional split billing.
Each modality carries its own documentation, coding, authorization and claim logic. Select one to open its profile.
Advanced imaging with the heaviest authorization and medical-necessity burden. Contrast status and body region drive the code.
Order intake to revenue, stepped in two passes. The clinical half above, the revenue half below, sharing one spine.
Seven validation layers run on every study: modality-specific CPT selection, modifier logic, global versus component billing, medical necessity and bundling edits, scored as one operational ledger.
One console instead of eight reports. Queues on the left, revenue trend in the middle, exceptions on the right.
Eight passes over one study: the order, the report, the modality and the components, resolved into a single submission-ready claim.
Where imaging groups see movement: fewer modality-related denials, cleaner split billing, faster charge capture and fewer payer audits.
Modality-specific code selection correct at first submission, measured against post-payment audit results across imaging sites.
Select a service to open its workflow, coding, billing and automation profile.
Contrast status and body region drive code selection; authorization tracked to approval.
Split billing was where we quietly lost money for years. Global versus TC/PC is now decided by the account, not by whoever touched the claim.
Contrast documentation gaps reach the radiologist while the study is open, not as a downcode months later.
Advanced imaging authorizations stopped being a scramble. Approvals land before the study is billed.
Each study is routed by site of service, equipment ownership and contract: global where the practice owns both components, TC/PC split where it does not. Modifier 26 and TC assignment is derived from the account configuration rather than entered per claim, which removes the most common radiology billing error.
Code selection reads the report, not the order. Contrast status, body region, view counts, complete-versus-limited anatomy and combination-study rules are applied per modality, so the billed code reflects the study that was actually performed and documented.
Missing elements such as contrast administration, laterality, view counts, structures visualized and indication are flagged to the reading physician while the study is still open, instead of surfacing later as a downcode or an audit finding.
MRI, CT, PET and interventional procedures are tracked from criteria assembly through submission to confirmed approval, with expiring authorizations surfaced before they lapse and retro-authorization pursued where payer policy allows it.
Yes. The submitted diagnosis must support the study under the governing coverage policy for that payer and jurisdiction. Studies without policy support are surfaced ahead of submission with the specific criterion that is unmet.
Multi-study sessions are evaluated against NCCI and payer-specific edits: what bundles, what needs a modifier, and what is genuinely separate. Each decision keeps the report excerpt that justifies it for audit response.
Yes. Reading location, performing site and billing entity are tracked per study, which is what makes teleradiology and multi-location split billing accurate, including differing contracts across sites.
Study-level auditability plus operational reporting on modality coding accuracy, medical necessity success, split-billing accuracy, authorization efficiency, clean claim rate and days to payment, segmented by modality, site, radiologist and payer.
No contracts that favor the vendor. No reporting that obscures the truth. Just a team that shows up, delivers, and proves it with numbers.