Radiology Billing and Practice Software

Radiology depends on clean orders and approvals before the scan. XEHR connects the order, the authorization, the report and the claim.

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Includes Interventional Radiology Nuclear Radiology

Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Lumbar spine MRI ordered for back pain.

M54.50 Low back pain, unspecified

ReviewSign note

Diagnosis carried to the claimM54.50

THE HARD PARTS

What makes radiology billing hard

Imaging that needs approval

Advanced imaging often needs prior authorization, and scanning without it means no payment.

Reading versus performing

Professional and technical parts are billed separately, often by different organizations.

Order details that do not match

The study done must match the study ordered, or the claim is questioned.

WHERE THE WORK HAPPENS

How radiology care is delivered and billed

Radiologists interpret imaging for hospitals, imaging centers and practices, often remotely. When the radiologist only reads, they bill the professional part and the facility bills the technical part; an imaging center that owns its equipment bills globally. Advanced imaging such as CT, MRI and nuclear studies usually needs prior authorization before the scan, which the ordering provider or the imaging center must obtain.

What payers check on radiology claims

The professional part is billed by the reading radiologist; the technical part by whoever owns the equipment.
Advanced imaging usually needs prior authorization, and a scan without it is often unpaid.
The diagnosis comes from the order and the report; a normal study is coded from the reason for the order.
Screening and diagnostic mammograms are billed differently, and the reason must be clear.
Comparison with prior studies and contrast use must be documented when they affect billing.

Common radiology diagnoses ICD-10-CM

R91.1	Solitary pulmonary nodule
R10.9	Unspecified abdominal pain
Z12.31	Encounter for screening mammogram for malignant neoplasm of breast
S06.0X0A	Concussion without loss of consciousness, initial encounter
M54.50	Low back pain, unspecified
N20.0	Calculus of kidney

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A radiology visit, start to payment

1
Check the order and approval

The order, reason and any prior authorization are confirmed before the scan.
2
Read and report

The radiologist’s report is filed to the patient with findings and impression.
3
Flag what needs follow-up

Incidental findings that need follow-up are recorded so they are not lost.
4
Bill the right part

The claim shows the professional, technical or global service with the diagnosis from the order and report.

How XEHR helps

From the radiology visit to the payment

Authorization before the scanRequests are prepared from the order for staff to review and send.
Split billing kept straightEach claim shows the part of the service you performed.
Reports with the orderReports are stored with the order and shared with the referrer.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for radiology

AI medical billing for radiology practices

XEHR is an agentic EHR: AI agents do the administrative work around every radiology visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

The professional part is billed by the reading radiologist; the technical part by whoever owns the equipment.
Advanced imaging usually needs prior authorization, and a scan without it is often unpaid.
The diagnosis comes from the order and the report; a normal study is coded from the reason for the order.
Screening and diagnostic mammograms are billed differently, and the reason must be clear.

Around the visit

Agents run on their own

Coverage checked before each radiology visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a radiology EHR

Ask every vendor, including us. The answers show whether a system was built for radiology work or only adapted to it.

Ask us on a demo

Is approval status visible before the scan?
Is the professional part billed separately when we only read?
Are incidental findings recorded for follow-up?
Are screening and diagnostic mammograms billed differently?
Is contrast use documented when it affects billing?

QUESTIONS

Radiology practices ask us

Does XEHR support radiology prior authorization?

Yes. Requests are prepared from the order and tracked to a decision.

Can XEHR bill reading-only radiology services?

Yes. Claims distinguish professional, technical and complete services.

Does XEHR support reading-only radiology billing?

Yes. The professional part is billed separately when the facility bills the technical part.

Can XEHR track follow-up for incidental findings?

Yes. Findings needing follow-up are recorded and visible on the patient chart.

Does XEHR support teleradiology groups?

Yes. Remote reads are billed as professional services.

Can reports reach the ordering provider quickly?

Yes. Reports are filed to the patient chart when signed.

How much does XEHR cost for a radiology practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a radiology practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

SUBSPECIALTIES

Radiology subspecialties on XEHR

Related specialties

See all specialties

See XEHR set up for radiology

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

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