Industries / Radiology
Radiology
Prior-auth gauntlets, professional vs technical splits, high volume — radiology RCM at reading speed.
Where the revenue leaks.
Auth before the scanner
MRI and CT orders without authorization become expensive charity — and schedulers can't police every payer rule.
26/TC component confusion
Professional and technical splits billed wrong leak revenue in both directions.
Volume outruns follow-up
Thousands of modest claims mean denials that are individually ignorable and collectively brutal.
How GetMax runs it.
Imaging auth on autopilot
Orders checked against payer auth requirements at scheduling; requests filed and chased before the appointment.
Component billing precision
Professional, technical, and global billing applied correctly by setting and contract.
Denial patterns, not denial whack-a-mole
High-volume denials clustered by cause and killed at the source.
Questions, answered.
Do you manage imaging prior authorizations?+
Yes — auth requirements are detected from orders and payer rules, and requests are submitted and statused before the study happens.
Can you bill professional and technical components separately?+
Yes — 26/TC and global billing are applied per setting and contract, which is exactly where radiology revenue usually leaks.