25 Must-Ask Questions for Radiology Revenue Cycle Optimization
Radiology practices face unique challenges in revenue cycle management (RCM), including declining reimbursements, increasing workload demands and compliance risks.
The article highlights key operational risks such as improper coding, poor denial management and misconfigured RCM systems that lead to lost revenue. It provides real-world examples of financial mismanagement and a structured approach to evaluating RCM performance.

At the core of the article is a list of 25 essential questions radiology leaders should ask to assess revenue cycle performance. These cover:
- Performance Benchmarks – Evaluating denial rates, collections, and financial oversight.
- In-House vs. Outsourced Billing – Measuring RCM team and vendor effectiveness.
- Financial Leakage – Identifying revenue loss through poor demographic verification and coding errors.
- Contract Compliance – Ensuring payers adhere to reimbursement agreements.
- Risk Management – Addressing compliance risks and claim accuracy.
The article emphasizes the need for proactive oversight. With the right questions and processes, radiology groups can improve financial performance, reduce risks and secure long-term revenue stability.