Interventional Radiology Billing Services
Interventional Radiology (IR) combines advanced imaging with minimally invasive treatment. That clinical complexity creates unique billing challenges: multiple CPT components, supply and device charges, contrast/drug billing, physician vs. facility split-pay rules, and tight documentation standards. At Sirius Solutions Global, we specialize in IR billing so your practice can focus on patients while we maximize clean claims, accurate reimbursement, and fast cash flow.
Our Interventional Radiology billing services
We offer an end-to-end solution tailored to IR practices and departments:
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Comprehensive coding & charge capture — Angiography, embolization, biopsies, ablations, venous procedures, dialysis access technologies, and thrombolysis, among other treatments, have well-defined CPT/HCPCS mapping.
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Procedure component separation — Avoiding mix-up mistakes depends on accurate process, imaging, supplies, and drug reporting.
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Modifier expertise — Prevent denials and maintain income by means of proper usage of modifiers (e.g., -26, -TC, laterality, service-specific modifiers).
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Pre-authorization & eligibility — Before approval processing and insurance verification help to lower unanticipated patient expenses as well as rejection of claims.
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Denial prevention & appeals — Targeted appeals: root-cause denials analysis next to revenue recovery follow-up; clinical proof and coding logic.
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Clinical documentation improvement (CDI) — Among other variables, medical necessity, surgical details, and more affect coders in their procedure records; training and templates also help coders.
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Revenue cycle analytics & reporting — KPIs, AR aging, denial trends, and actionable dashboards to improve cash flow.
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Compliance & payer policy monitoring — Frequent payer letters, CPT changes, Medicare/NCCI corrections affecting IR.
Benefits of Choosing Sirius Solutions Global for IR Billing
Partnering with us provides measurable advantages:
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Improved Revenue – better reimbursements follow from optimized coding and fewer denials.
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Reduced Compliance Risks – close observance of payer, NCCI, and CMS standards.
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Faster Payments – clear claims and proactive AR management.
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Specialty Expertise – billing specialists educated expressly in interventional radiology.
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Scalable Services – solutions created especially for hospital IR units, private clinics, and imaging centers.
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24/7 Support – dedicated billing team is always there to help.
Why IR Billing is Complex
IR methods call for certain modifications and documentation of medical need that usually encompass a few billable elements: surgical treatment, imaging guidance, supplies/devices, anesthesia, and pharmaceuticals/contrast. Generally resulting in underpayments or denials are sequencing errors, modifiers, or paperwork errors. Our team follows CPT changes, CMS/NCCI regulations, and specialized guidance to ensure your initial claims are properly done the first time. Among the obstacles:
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Using modifiers such as 26, TC, 59, and XU to distinguish professional and technical elements.
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Rules for bundling and unbundling under NCCI edits.
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Multiple procedure rules when physicians perform several interventions in one session.
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Use of advanced ICD-10 codes to support medical necessity.
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Frequent payer audits due to high-cost procedures.
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Billing variations in outpatient vs. inpatient settings.
Without skilled management, even a minor mistake might cost thousands of dollars in lost income.
How we reduce denials
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Pre-bill checklists: We verify documentation, matching CPT choices to clinical indications before a claim goes out.
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Procedure mapping: Each IR procedure is broken into billable elements so nothing is missed or misreported.
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Evidence-based appeals: When a claim is denied, we submit clinical notes, imaging reports, and peer-reviewed justification tailored to the payer.
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Root-cause fixes: We log denial patterns by payer, fix recurring documentation or coding gaps, and train staff to prevent reoccurrence.
Common IR
coding & billing
challenges we solve
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Hospital-based IR departments needing cleaner claims and faster collections.
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Independent IR practices and clinics that want to outsource RCM while retaining clinical control.
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Multi-site groups that need centralized coding consistency and consolidated reporting.
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New IR programs that need setup support: charge master alignment, code bundles, and payer negotiations.
AI-Powered Solutions for Interventional Radiology Billing
To provide quicker, more accurate results, Sirius Solutions Global includes automation systems and Artificial Intelligence (AI) in our interventional radiology invoicing processes.
How AI Helps IR Billing:
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To avoid coding mistakes, artificial intelligence checks CPT, HCPCS, and
ICD-10 codes against documentation. -
Machine learning alerts billing personnel before submission, identifying claims likely to be rejected and therefore supporting denial prevention.
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Eligibility and prior authorization automation using AI speeds high-cost IR treatments by lowering delays.
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Real-time dashboards driven by AI identify revenue leaks, denial patterns, and underpayments using claims analytics.
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Automatic payment posting and reconciliation help to expedite the cash flow cycle by means of faster payments.
We guarantees your clinic not only prevents income loss but also always achieves maximum reimbursement with very few mistakes by fusing human knowledge with artificial intelligence inventiveness.
Why Outsource Interventional Radiology Billing?
Because of the intricacy of coding rules and payer-specific requirements, handling IR billing in-house might be expensive and prone to mistakes. Outsourcing to Sirius Solutions Global ensures:
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Less operating expenses.
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Certified IR billing specialists' access.
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Fewer denials and appeals.
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Workflows with advanced RCM tools that have been simplified.
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More time for doctors to concentrate on patient care instead of documentation.
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