Radiology & Imaging

Imaging revenue,
resolved at
full precision.

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.

HIPAA compliant
Certified radiology coders
Teleradiology ready
Enterprise SOC 2
Radiology Revenue
Intelligence Hub
Study MR-2291
Imaging Order
verified
Documentation Review
complete
Modality Validation
MRI w/ contrast
Medical Necessity
policy met
Split Billing
TC / PC
Claim Validation
0 edits
Submission
released
Payment
posted
Split billing
TC · PC resolved
Necessity
MRI 70553supported
Bundling
2 editscleared
Modalities

Imaging Ecosystem

Each modality carries its own documentation, coding, authorization and claim logic. Select one to open its profile.

Modality

MRI

Advanced imaging with the heaviest authorization and medical-necessity burden. Contrast status and body region drive the code.

Clean claim
98.1%
Auth required
High
Documentation
Contrast administration, body region, sequences performed and clinical indication.
Coding
With, without, or with-and-without contrast selected from the report, not the order.
Authorization
Advanced imaging prior auth tracked to approval before the study is billed.
Claims
Bundling against same-session studies and unilateral/bilateral logic resolved.
Workflow

Imaging Workflow

Order intake to revenue, stepped in two passes. The clinical half above, the revenue half below, sharing one spine.

Order Intake
Order verified against indication, modality and ordering provider validity.
Verified
Scheduling
Protocol confirmed and authorization requirements identified before the visit.
Scheduled
Imaging Study
Study performed; technical detail and contrast status captured at the source.
Acquired
Documentation
Report completeness checked against the elements the code will require.
Documented
Coding Validation
Modality-specific CPT, modifiers and bundling edits validated together.
Coded
Split Billing
Global or technical/professional routing applied by site and contract.
Routed
Claim Submission
Clean claim released with the documentation package attached.
Submitted
Revenue
Payment posted, variance reconciled, denials routed to appeal.
Reconciled
Engine

Modality Intelligence Engine

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.

Validation layer Compliance Risk Status 30-day trend
CPT Validation
Modality-specific code selected from the report, not the order.
98.2%
Low Live
Modifier Intelligence
26, TC, 59 and laterality applied from documented facts.
96.4%
Medium Live
Global Billing
Global routing where the practice owns both components.
98.9%
Low Live
Professional Component
Interpretation billing verified against reading radiologist.
97.8%
Low Live
Technical Component
Equipment and site ownership mapped per account.
97.1%
Low Live
Medical Necessity
Diagnosis-to-study support tested against coverage policy.
95.6%
Medium Live
Claim Readiness
Final gate. Every layer cleared before release.
98.5%
Low Live
Live

Radiology Operations Center

One console instead of eight reports. Queues on the left, revenue trend in the middle, exceptions on the right.

Live console · 4 imaging sites
Studies today
1,284
Auth pending
74
Denial rate
2.1%
Queues
Today's imaging orders 1284
Pending authorizations 74
Documentation queue 38
Split billing review 52
Claim queue 611
Revenue forecast
$7.6M +9% MTD
Global Split
Collected Projected
Exceptions
Denials -24%
Appeals 14 open
Bundling edits 9 held
Auth expiring 6 · 72h
Platform

Clientele AI

Eight passes over one study: the order, the report, the modality and the components, resolved into a single submission-ready claim.

Imaging Order
Order, indication and ordering provider read as the starting record.
AI Documentation Audit
Report audited for the elements the modality's code set requires.
Modality Recognition
Modality, contrast status and anatomic extent identified from the text.
CPT Recommendation
Code selection proposed with the report excerpt that supports it.
Split Billing Intelligence
Global versus TC/PC determined by site, equipment and contract.
Claim Scrubbing
Bundling, frequency and modifier edits resolved before release.
Denial Prediction
Studies scored for denial likelihood and routed for human review.
Revenue Optimization
Recovered charges and documentation feedback returned to the reading team.
Performance

Performance Dashboard

Where imaging groups see movement: fewer modality-related denials, cleaner split billing, faster charge capture and fewer payer audits.

Modality Coding Accuracy
98.3 %

Modality-specific code selection correct at first submission, measured against post-payment audit results across imaging sites.

Medical Necessity Success
96.4 %
Studies supported by coverage policy at first pass.
Split Billing Accuracy
98.7 %
Global and TC/PC routing correct by site and contract.
Authorization Efficiency
95.2 %
Advanced imaging approved before the study is billed.
Clean Claim Rate
98.1 %
Claims accepted without coding rework.
Revenue Cycle Speed
22 days
Average days from study to payment posted.
Network

Radiology Service Network

Select a service to open its workflow, coding, billing and automation profile.

Center Radiology
Selected service
MRI

Contrast status and body region drive code selection; authorization tracked to approval.

Workflow
Order verified against clinical indication
Coding
Contrast-specific code from the report
Billing
Global or TC/PC by site of service
Automation
Auth status monitored to expiry
Field notes

From the imaging centers we work with

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.
Metro Diagnostic Imaging
Revenue Cycle Director · North Carolina
Contrast documentation gaps reach the radiologist while the study is open, not as a downcode months later.
Coastal Imaging Partners
Practice Administrator · Oregon
Advanced imaging authorizations stopped being a scramble. Approvals land before the study is billed.
Teleradiology Network Group
Director of Billing · Colorado
FAQ

Questions from radiology leadership

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.

A partnership built on performance.

No contracts that favor the vendor. No reporting that obscures the truth. Just a team that shows up, delivers, and proves it with numbers.