No Surprises Act IDR Batching Changes: What Radiology Groups Must Do
New federal IDR batching rules start November 1, 2026. See how the 50 line item cap affects radiology disputes and what to change before you file.
Discover tips and insights to revolutionize radiology medical billing for improved efficiency and profitability.
New federal IDR batching rules start November 1, 2026. See how the 50 line item cap affects radiology disputes and what to change before you file.
CPT 77067 covers bilateral screening mammography with CAD. Learn Medicare frequency rules, GG and 52 modifiers, 77063 pairing, and how to stop denials.
UnitedHealthcare drops prior authorization on select pediatric radiology codes December 1, 2026. Learn which imaging codes are affected and how to update your billing workflow.
CPT 72141 covers MRI of the cervical spine without contrast. Learn when to use it, how it compares to 72142 and 72156, modifier rules, and how to avoid denials.
CPT 71045 covers a single-view chest X-ray. Learn modifier 26 vs TC splits, 2026 reimbursement rates, frequency rules, and how to prevent the denials that cost radiology practices.
CMS released NCCI Q4 2026 edits effective October 1. ACR urges radiology practices to update billing systems. Learn which edits affect imaging claims and how to avoid denials.
Complete radiology billing cheat sheet with CPT codes for CT, MRI, X-ray, ultrasound, and mammography. Modifier 26/TC rules, MPPR, prior auth, and FY 2027 ICD-10 updates effective October 2026.
The FY2027 ICD-10-CM code set took effect October 1, 2026. Learn which deleted and new codes affect radiology claims, and how to update your billing workflow before denials start.
BCBSA flagged $942M in AI coding cost increases. Learn how payer audits on AI-assisted billing affect radiology practices and what to do to stay compliant.
CPT code 76856 is the complete nonobstetric pelvic ultrasound. Learn 76856 vs 76857, documentation requirements, modifier 26 TC/PC split, and how to avoid common billing errors.
New 2026 research shows mid-size radiology practices lose over $2.6 million a year to billing gaps. Learn where the revenue leaks and how to recover it.
CPT 74176 covers CT of the abdomen and pelvis without contrast. Learn 74176 vs 74177, component modifiers, documentation rules, and the denials to avoid.
CPT code 76700 covers a complete abdominal ultrasound. Learn required organs, modifiers, reimbursement rates, 76700 vs 76705, and how to avoid denials.
Aetna now cuts radiology TC payments 15% on CT claims billed with modifier CT. Learn what NEMA XR-29 requires, which codes are affected, and how to protect your revenue.
The 72100 CPT code covers a 2 to 3 view lumbosacral spine X-ray. See the modifiers, reimbursement, the 72100 vs 72110 bundling rule, and 2026 denials.
CPT 77063 is the add-on code for screening 3D breast tomosynthesis, billed with 77067. Learn the pairing rule, components, Medicare coverage, and common denials.
CMS proposes cutting noncontrast imaging payments 60% in off-campus hospital departments for 2027. See which codes are hit, the revenue impact, and what to do now.
Modifier 26 bills the professional component of a radiology service, the interpretation and report. Learn 26 vs TC, the PC/TC indicator, POS rules, and denials.
UnitedHealthcare requires radiology prior authorization for Surest plans starting October 1, 2026. Learn which imaging codes are affected and what your practice must do now.
CMS updated Medicare enrollment rules for teleradiology providers in August 2026. Learn what changed, who must act, and how to verify your PECOS enrollment now.
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