Radiology Split-Billing TC/PC Reconciler
$395.00 in unbilled radiologist professional interpretation fees recovered across across 3 items.
Hospital billed technical component but radiologist reading was never submitted. $148.00 recoverable interpreting fee under CMS Schedule.
Method1Matched hospital PACS completed study accessions against professional billing claims.
2Generated CMS-1500 professional component claims with Modifier 26 for immediate adjudication.
| Reference | Description | Recoverable_Reading_Fee |
|---|---|---|
| ACC-702 | Unbilled Interpretation MRI Brain (CPT 70553) | $148.00 |
| ACC-704 | Unbilled Reading CT Chest Angio (CPT 71275) | $132.00 |
| ACC-701 | Unbilled Reading CT Abdomen (CPT 74177) | $115.00 |
Hospital PACS imaging order logs and physician professional interpretation billing files
Unbilled professional interpretation worklist and modifier 26/TC split-billing correction file (Resolution Dossier, Findings Schedule)
Run Radiology Split-Billing TC/PC Reconciler free on the last 12 months of files. If it finds money, the fee is 15 percent of what is actually recovered, nothing on what is not. After that, ongoing monitoring is $1,500 a month. 30% goes to the referring partner.
Read in memory for the session, never stored, never used to train a model.
Outputs are computed from your inputs and the tool's rules. Check them before you rely on them.
Free scan. Pay only on cash recovered.
Run Radiology Split-Billing TC/PC Reconciler free on the last 12 months of files. If it finds money, the fee is 15 percent of what is actually recovered, nothing on what is not. After that, ongoing monitoring is $1,500 a month.
On a sample file: $395.00 in unbilled radiologist professional interpretation fees recovered across across 3 items.
Why not just use ChatGPT?
Rules that stay current: the rate cards, tariffs, code sets and regulations it checks against are kept up to date for you; a one-off prompt starts from nothing each time. Evidence that stands up: every finding cites the line, the file and the rule, so it holds up with a vendor, a payer or an auditor. The same answer every time: the checks are written rules, not a fresh guess, so this month's result can be compared with last month's. Nobody has to own it: no one inside has to build, test and maintain a home-made tool, and files are not pasted into a public chatbot.
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If you would rather talk it through, write to dev.sathya@baseloom.app; that reaches Dev Sathya, founder.