RamSoft billing services for radiology and imaging groups
RamSoft makes radiology information system (RIS) and PACS software, not a full billing system, so we work from your RamSoft exam data and in the billing system your claims run from. We check each completed exam for the right charge, component and place of service, send claims through your clearinghouse, post remittances and work denials.
Written by Salman Saeed, CEO and Co-Founder · Reviewed by a Certified Medical Coder · Last reviewed October 2026In short: we use named, two-step accounts in RamSoft and in your billing system, under a signed BAA, and we report from your own data. We claim no partnership with the vendor. Radiology billing rules here come from the CMS Claims Processing Manual, chapter 13, and the eCFR.
What is RamSoft and who uses it?
RamSoft is a radiology software company. Its site describes "AI-powered cloud-based RIS/PACS solutions for imaging centers, hospitals, and teleradiology groups worldwide since 1994." A RIS handles orders and reports; PACS stores the images.
PowerServer is a cloud-based RIS/PACS, also available on premises, sold as RIS/PACS, PACS, TELE PLUS for teleradiology and LITE PACS. OmegaAI is a cloud-native RIS/PACS/VNA built on Microsoft Azure.
Blume is its patient portal, and Stana is a mammography tracking module inside PowerServer. The site lists imaging centers, hospitals, mobile imaging and teleradiology among its customers. For billing, RamSoft holds the record of what exam was done and who read it.
How does an outside billing team get access around RamSoft?
No shared logins. See our security page for data protection.
Where does billing happen when a practice uses RamSoft?
The vendor pages describe imaging workflow software, with no built-in claim form, remittance posting or A/R module. Its partner integrations page lists billing and coding products from independent partners, including one described as offering RIS-PACS-billing integration with claims processing, and says partner products are optional and sold separately.
Its site says its hospital offering integrates with "HIS, EMR, and billing systems" using HL7, DICOM and IHE. So the charge leaves RamSoft for a separate billing or practice management system.
We check RamSoft for signed exams and do the billing work in the system you use for claims. We confirm which system that is, and how charges reach it, at setup. If a hospital EHR does the billing, see Epic or MEDITECH.
What does Medicare require on a radiology claim from imaging data?
Many radiology services have a technical component (TC) for equipment and staff, and a professional component (PC) for the physician's interpretation. The Medicare Claims Processing Manual, chapter 13, says A/B MACs must pay the PC of a physician's radiology services in all settings under the physician fee schedule. Our radiology billing page explains the split in full.
For hospital patients, chapter 13, section 20.2.1, says the A/B MAC (B) may not pay the TC of radiology services furnished to hospital patients, and that hospital inpatient TC is included in the hospital's prospective payment.
Section 20.2.2 says Medicare pays under the fee schedule for the TC for beneficiaries who are not patients of any hospital and who receive services in a physician's office or a freestanding imaging center. A group that only reads bills the PC with modifier 26.
Place of service follows the technical component. Chapter 13 says the POS code for the PC is generally the setting where the patient received the TC, entered in item 24B of the paper CMS-1500 or in the X12 837 professional claim.
Duplicate reads cause denials. In a chapter 13, section 100, example, an ER physician bills a chest x-ray interpretation (71010-26) and the radiologist later bills the same one; Medicare pays the first claim and denies the later one as quality control. Modifier 77 on a read with a new finding gets both claims paid.
What are the common billing mistakes with RamSoft exams?
RamSoft does not produce claims, so these are the checks we run on any exam feed, each tied to a Medicare rule.
| Check | Rule and source |
|---|---|
| Component billed fits the patient's status | Chapter 13, sections 20.2.1 and 20.2.2: TC is not payable to a supplier for hospital patients, but is for non-hospital patients |
| Modifier 26 or TC on every split code | Chapter 13 shows code pairs such as 71555, 71555-26 and 71555-TC, so each component has its own status |
| Film x-rays carry modifier FX | Chapter 13, section 20.2.5: from January 1, 2017, X-rays taken using film must carry FX, which cuts the TC payment by 20 percent |
| CT on non-NEMA XR-29-2013 equipment carries modifier CT | Chapter 13, section 20.2.4: the TC payment is reduced 15 percent from 2017 on; the CT codes are listed in that section |
| Exam site on the order | Chapter 13 puts POS at the TC setting, so a wrong site in the exam record is a wrong POS |
Appropriate use criteria (AUC) are a separate question. The eCFR shows 42 CFR 414.94, the AUC program section, as [Reserved] on October 1, 2026, though it had full text on December 1, 2023. We check payer prior authorization rules for each plan instead.
How do claims move from RamSoft data to the clearinghouse and payer?
A signed report in RamSoft triggers the charge. We review it in your billing system, and the claim goes to your clearinghouse as an X12 837 file: 837P for professional claims on the CMS-1500 and 837I for institutional claims on the UB-04.
Remittances come back the same way. The payer's electronic remittance advice (ERA) arrives through the clearinghouse as an X12 835 and is posted in your billing system, not in RamSoft. We post it, match it to the claim and route denials to a work queue.
The vendor describes Stana as capturing BI-RADS, breast density and follow-up recommendations. Those are clinical fields; billing codes still come from the report and order.
What do we do for a RamSoft-based imaging group?
- Check that every finalized exam has a charge, and list exams with no charge entered
- Review procedure code, modifier 26 or TC, reader, exam site and place of service
- Send claims through your clearinghouse, within 24 hours of charge entry
- Post ERA 835 remittances and reconcile them to the claim
- Work denials within 48 hours, with appeals prepared and tracked
- Follow up on aging A/R by payer and send patient statements
Which reports matter for denial and A/R tracking?
We describe reports by purpose, pulled from your billing system and checked against RamSoft exam lists.
| Purpose | What we look for |
|---|---|
| Exams without charges | Signed exams in RamSoft with no matching charge, by site and reader |
| Charge lag | Days from final report to charge entry, by site and payer |
| Claim status | Sent, rejected or unpaid claims, by payer and age |
| A/R aging by payer | Balances in 0 to 30, 31 to 60, 61 to 90 and over 90 days |
| Denial trends | Top denial reasons by CARC and RARC, by payer and period |
| Payment variance | Paid against expected amounts, split by component |
Scope and reporting are agreed with you at setup.
How we handle billing in RamSoft
We work from your RamSoft exam data, then in your billing system, through named accounts, your clearinghouse and your payer portals, and we report from your own data. We claim no partnership with the vendor. For the rules on global, professional and technical claims, see our radiology billing page. See also hospital and facility billing, medical coding, ESO and the EHR hub.
Book a call to talk through your setup.
- RamSoft home page · RamSoft
- RamSoft PowerServer · RamSoft
- RamSoft OmegaAI · RamSoft
- RamSoft Blume · RamSoft
- RamSoft Stana mammography tracking · RamSoft
- RamSoft DICOM image routing · RamSoft
- RamSoft partner integrations · RamSoft
- RamSoft solutions for hospitals · RamSoft
- Medicare Claims Processing Manual, chapter 13 · CMS
- 42 CFR 414.94 · eCFR
We check every rule, code and deadline against the official source. See our editorial policy.
Common questions
Straight answers from the team that does the work.
Ask a billing lead directly. A 20-minute call, Monday to Friday, 9am to 5pm Eastern.
01Can an outside billing company work inside RamSoft?
Yes, if your organization gives it access. Your administrator creates a named user for each person on our team after a BAA is signed, with role-based access and two-step login. We never use shared logins. Claims are usually built in a separate billing system, which we confirm at setup.
02What access does a billing partner need in RamSoft?
Usually read access to exam, order and report status, plus the billing system your claims run from. Your administrator sets the roles, and we ask for the least access that lets us match signed exams to charges. Each person on our team has a named login with two-step sign-in.
03Which RamSoft reports matter for denial and A/R tracking?
We describe reports by purpose: signed exams without charges, charge lag, claim status, A/R aging by payer, denial trends by CARC and RARC, and payment variance. Most come from your billing system, checked against RamSoft exam lists, and we agree the set with you at setup.
04How do claims move from RamSoft to the clearinghouse and payer?
The signed report triggers a charge that goes to your billing system. There we review it, build the claim and send it to your clearinghouse as an X12 837, professional or institutional. We send claims within 24 hours of charge entry.
05How does RamSoft post ERA and 835 remittances?
The vendor pages describe imaging workflow software, not remittance posting. The payer's 835 ERA normally arrives through the clearinghouse into your billing system, where we post and reconcile it. If you post elsewhere, we confirm that at setup and match the process.
06What billing mistakes are common with radiology exams (charge capture, modifiers, demographics)?
The common ones are a signed exam with no charge, a missing 26 or TC modifier on a split code, the wrong place of service, and film x-ray or CT claims without the FX or CT modifier. Wrong demographics cause rejections. We check each against Medicare chapter 13 and the payer's rules.
07Who bills the technical component when the patient is in a hospital?
The hospital does. Medicare Claims Processing Manual chapter 13, section 20.2.1, says the A/B MAC (B) may not pay the TC of radiology services to hospital patients. The radiologist bills the professional component, with modifier 26.
08What happens if two physicians bill the same imaging interpretation?
Medicare pays the first claim received. Chapter 13, section 100, says a later claim for the same interpretation is denied as a quality control service to the hospital. Modifier 77 on a read with a new finding gets both claims paid.
09Is there a billing company for radiology practices on RamSoft?
Yes. Nucleus Align supports radiology groups that run RamSoft. We work with access you grant, checking exam-to-charge matches, splitting claims into professional (26) and technical (TC) components, posting remittances and working denials within 48 hours. Scope and reporting are agreed with you at setup.
10Medical billing service for radiology groups using RamSoft RIS and PACS
Nucleus Align provides radiology billing for RamSoft users: charge checks from completed exams, modifier 26 and TC claim handling, claims sent within 24 hours of charge entry, ERA posting and denial work. Scope is agreed with you at setup. You can book a call on our contact page to walk through your setup.
Running RamSoft? Talk to us.
A 20-minute call about your payers, volume and setup. Monday to Friday, 9am to 5pm Eastern.