Specialized Radiology Billing Services in New York for Maximum Revenue
We Improve Your Revenue With These Radiology Medical Billing Services:
- Adhere to New York Medicaid APG and SPARCS reporting guidelines
- Deliver fully automated radiology billing, from eligibility verification to AR recovery
- Handle all radiology procedures, including diagnostic and interventional radiology
- Skilled in high-volume radiology CPT Codes, including 71045 and 71260
- Maintain the New York Medicaid 90-day timely filing compliance
|
|
Thank you for Signing Up |
What Common Billing Challenges Do Radiology Practices Face in New York?
Radiology practices in NY face multiple medical billing challenges, as follows:
- Frequent Denials from Component Errors: Radiology practices often struggle to separate professional (-26) and technical (-TC) charges, leading to costly claim denials and delayed reimbursements.
- SPARCS and eMedNY Compliance Risks: Misalignment between eMedNY claims and missing or inaccurate SPARCS submissions can trigger state audits, penalties, and payment reductions.
- High Coding Complexity: Radiology uses many CPT codes and modifiers, increasing the risk of claim rejections, underpayments, and frequent payer pushback.
- Prior Authorization Delays: Required authorizations for diagnostic and interventional radiology procedures can cause significant reimbursement delays and administrative burden.
What Radiology Billing Services Do Transcure Provide in New York?
Transcure provides radiology billing services in New York to help practices overcome every billing-related challenge. We offer the following services to NY radiology centers:
Insurance Verification and Eligibility Checks
We instantly verify patient coverage for all radiological procedures, preventing claim denials and reducing administrative burden.
Prior Authorization and Pre-Certification
Transcure secures approvals for advanced imaging and interventional procedures, ensuring timely reimbursement and compliance with Medicaid and commercial payer requirements.
Radiology Coding and Charge Capture
With our expert billing team, we handle accurate CPT coding, including professional (-26) and technical (-TC) components, for high-volume codes such as 71045, 71260, and 72148.
Denial Prevention and Rapid Appeals
We proactively identify and fix denials caused by missing reports, incorrect modifiers, or NY-specific compliance issues, recovering revenue and speeding up collections.
New York Regulatory Compliance
Our experts strictly follow NY Medicaid APG rules, SPARCS reporting, eMedNY fee schedules, POS codes, and surprise-billing regulations to reduce audit risk and penalties.
High First-Pass Claim Success and Financial Insights
We automate claim scrubbing, submission, and AR tracking to boost first-pass approvals, while detailed dashboards help optimize New York radiology revenue.
Our Success in Numbers
In Which New York Cities Does Transcure Deliver Expert Radiology Billing Services?
New York City
Buffalo
Rochester
Yonkers
Syracuse
Albany
View All Cities
New Rochelle
Mount Vernon
Schenectady
How Much Can NY Radiology Practices Save by Partnering with Transcure?
According to ZipRecruiter, a medical billing specialist in New York earns about $46,675 per year. When you outsource your radiology billing to Transcure, you pay just 5% of the revenue you collect, eliminating the need for full-time salaries, hiring costs, and administrative overhead.
For a radiology practice earning $500,000 annually, Transcure’s billing services would cost $25,000. That’s significantly lower than the $46,675 spent on an in-house biller, helping your practice save around $21,675 per year, while remaining compliant with NY Medicaid, SPARCS reporting, and eMedNY billing rules.
Which New York Counties Can Benefit Most from Transcure’s Radiology Billing Services?
Kings County (Brooklyn)
Queens County
New York County (Manhattan)
Suffolk County
Bronx County
Nassau County
Westchester County
Erie County
Monroe County
What Radiology Procedures Does Transcure Handle with Their NY Billing Services?
Transcure provides radiology billing support for high-value procedures with strict New York policies. Our NY radiology billing experts handle every procedure, including but not limited to:
MRI Billing
We manage detailed coding for advanced MRI imaging procedures, including neuro and musculoskeletal imaging, with and without contrast. Our radiology billing team handles accurate CPT selection, contrast modifiers, and documentation required by NY payers.
CT and CT Angiography Billing
Our New York radiology billing team handles comprehensive cross-sectional imaging, including CT angiography (CTA). We handle accurate modifier usage, contrast reporting, bundling rules, and prior-authorization documentation to prevent denials and underpayments.
PET and Nuclear Medicine Billing
Transcure supports billing for PET, PET/CT, bone scans, thyroid scans, and cardiac nuclear imaging. We apply correct coding, radiotracer reporting, supervision documentation, and NY payer requirements to secure full reimbursement.
Interventional Radiology Billing
Our NY radiology billing experts handle angioplasty, vascular stent placement, embolization, and thrombectomy. We use correct CPT add-on codes, bundled service rules, and strict documentation standards enforced by NY Medicaid plans.
Tumor Ablation and Oncology IR Billing
We manage billing for radiofrequency ablation, cryoablation, and chemoembolization procedures. We ensure proper imaging guidance coding, device HCPCS reporting, modifier usage, and oncology documentation for high-cost interventional cases.
Breast Imaging and Biopsy Billing
Transcure supports billing for mammography, 3D tomosynthesis, breast MRI, and image-guided biopsies. We also attach radiology reports, pathology documentation, and NY Medicaid compliance forms to minimize denials and maximize collections.
Why Should You Outsource New York Radiology Billing Services to Transcure?
With multiple radiology billing companies in New York available, you should choose Transcure to get these clear advantages:
Dedicated NY Radiology Billing Manager
You’ll be assigned a billing manager experienced in NY Medicaid APG rules, SPARCS reporting, eMedNY fee schedules, and radiology-specific documentation requirements.
Radiology Coding for All Imaging Levels
Transcure’s certified coders ensure accurate use of CPT, ICD-10, HCPCS, and modifiers for CT, MRI, PET, X-ray, ultrasound, and interventional radiology procedures.
New York–Focused Denial Prevention
Our AI agent, DEXA, identifies payer-specific denial patterns in NY radiology claims and generates structured appeals to recover lost revenue and expedite reimbursements.
NY Medicaid and Payer Compliance Assurance
Transcure ensures strict adherence to NY Medicaid APG billing rules, prior authorization policies, POS guidelines, and surprise billing regulations to reduce audit risk.
How Can Transcure’s -26/-TC Expertise Improve Your New York Radiology Revenue?
Many radiology billing teams struggle to correctly split professional (-26) and technical (-TC) charges, resulting in denied claims and payment delays, especially under New York Medicaid and eMedNY rules. Even minor modifier errors on CT, MRI, PET, or interventional radiology claims can lead payers to reduce or reject payments.
Transcure’s New York radiology billing services go beyond basic coding by applying the appropriate modifiers and validating every imaging study. With our focused approach, your practice can reduce denials. Partner with Transcure to maximize collections with a radiology billing team built for New York’s complex payer requirements.
What Radiology EHR Systems Are Supported by Transcure?
We work confidently across leading radiology EHRs to optimize documentation flow.
How Radiology Practices Benefit from Our NY Medical Billing Services?
Read our partners’ success stories to recognize the worth of our radiology billing services in New York for financial growth.
Jackie Judd
Practice Manager
Wilson Creek Internal Medicine
As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found Transcure. They excel in tailoring solutions to fit my requirements.
Amber Vaughan
Office Manager
Idaho Kidney & Hypertension Institute
We are a large practice with 15 providers. Transcure has been working with us for the last 5 years. This billing company has been a great asset to us. I work with Transcure and they provide everything I ask for. The team is friendly and very pleasant to work with.
Ashlee Rose
Practice Manager
Harding Memorial Healthcare
We’ve been working with Transcure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.
Frequently Asked Questions (FAQs)
Why is radiology billing so complex in New York?
Radiology billing is complex in New York due to technical-professional splits, strict coding rules, and New York compliance requirements that can easily lead to denials.
What is Transcure’s pricing model for radiology billing services in New York?
Transcure offers percentage-based radiology billing in New York, typically 3%-5%, customized to practice size and monthly claim volume. Reach out to our radiology billing team to receive a personalized quote for New York based practice.
What is the surprise medical bill law in NY?
The New York surprise medical bill law protects patients from unexpected out-of-network charges, limits their financial exposure, and establishes an independent dispute-resolution process for providers and payers.
What are the most common reasons for radiology claim denials in New York?
Radiology claims are commonly denied due to missing modifiers, incorrect codes, and incomplete documentation in New York.