Part of the Defensible Healthcare Billing Series
Radiology reimbursement is uniquely measurable, structurally divided, and heavily scrutinized through automated payer analytics. Payment depends not simply on image acquisition, but on the alignment of clinical indication, supervision compliance, professional interpretation, component billing structure, and medical necessity logic. When these elements misalign, claims become vulnerable to denial, recoupment, and expanded audit review.
Defensible Healthcare Billing: Radiology Services provides a structured, code-agnostic framework for constructing radiology claims that are accurate, aligned, and defensible. Rather than focusing on proprietary coding manuals, this book explains how radiology reimbursement actually functions under review and why documentation structure determines payment eligibility.
Section I establishes the structural foundation of radiology billing, including professional and technical component distinctions, supervision standards, split versus global billing methodology, bundling logic, anatomical overlap risk, frequency controls, diagnosis-to-modality alignment, and documentation standards for defensible interpretation. Readers learn why the written report-not the image itself-represents the true billable event and how minimal documentation invites audit scrutiny.
Section II examines audit reality. It analyzes how radiology audits originate, common denial triggers, utilization analytics, documentation requests, extrapolation risk, appeal strategy, prepayment review, and compliance program development. Emphasis is placed on pattern recognition, structural governance, and preventive controls rather than reactive correction.
Written for radiologists, coders, auditors, compliance officers, revenue integrity leaders, imaging center administrators, and healthcare executives, this volume bridges the gap between technical billing knowledge and real-world audit exposure.
As part of the Defensible Healthcare Billing Series, this book applies a consistent specialty-focused methodology designed to help healthcare professionals construct, evaluate, and defend claims with clarity, discipline, and long-term compliance strategy.
Radiology is measurable by design. Defensibility must be intentional.
外文書商品之書封，為出版社提供之樣本。實際出貨商品，以出版社所提供之現有版本為主。部份書籍，因出版社供應狀況特殊，匯率將依實際狀況做調整。
無庫存之商品，在您完成訂單程序之後，將以空運的方式為你下單調貨。為了縮短等待的時間，建議您將外文書與其他商品分開下單，以獲得最快的取貨速度，平均調貨時間為1~2個月。
為了保護您的權益，「三民網路書店」提供會員七日商品鑑賞期(收到商品為起始日)。
若要辦理退貨，請在商品鑑賞期內寄回，且商品必須是全新狀態與完整包裝(商品、附件、發票、隨貨贈品等)否則恕不接受退貨。
