2025 AI Billing Trends in Radiology, Patient Portals, and AI Faxing

Artificial intelligence (AI) continues to transform the healthcare industry, with radiology, patient
portals, and AI faxing seeing significant advancements in 2025.

These technologies are not only optimizing billing processes but also improving patient
engagement, reducing administrative burdens, and enhancing the overall patient experience.
Here’s a closer look at the major AI billing trends shaping radiology and patient communications
this year.

Radiology: AI-Driven Efficiency and Accuracy

• AI in Image Interpretation: AI algorithms are enhancing the speed and accuracy of image interpretation, assisting radiologists in detecting anomalies, reducing turnaround times, and supporting better clinical outcomes. This technology is particularly valuable in high-volume settings, where rapid analysis is essential.
• AI-Driven RCM: AI tools are optimizing revenue cycle management (RCM) by
  automating claims processing, tracking and avoiding denials, and improving overall
  financial performance. This includes automating the assignment of CPT® and ICD-10
  codes, reducing errors, and enhancing cash flow for radiology practices.
• AI for Prior Authorization: AI-driven systems are streamlining prior authorization
  processes, reducing administrative delays, and accelerating patient access to critical
  imaging services. These tools analyze clinical documentation in real-time, ensuring
  faster approvals and fewer denials.
• Tele-Radiology: AI is playing a critical role in tele-radiology, allowing remote
  radiologists to access and interpret images more efficiently. This is particularly important
  for underserved areas where access to specialists is limited.

Patient Portals: Personalized Engagement and Billing

Patient portals are evolving into more powerful communication tools, integrating AI to improve
patient experience and streamline billing processes. 2025 trends include:

• AI-Powered Chatbots: Patient portals are incorporating AI chatbots to handle routine
  billing inquiries, appointment scheduling, and patient support, reducing the burden on
  front-office staff and improving response times.
• Personalized Messaging: AI is enabling patient portals to deliver personalized
  messages based on patient history, preferences, and clinical needs, increasing patient
  satisfaction and engagement.
• Data Analytics for Patient Engagement: AI tools are analyzing patient portal data to
  uncover trends, predict patient needs, and optimize communication strategies, leading to
  more effective patient interactions.

AI Faxing: Modernizing a Legacy Technology

Despite the digital shift in healthcare, faxing remains a critical communication tool for many
practices. AI is modernizing this technology in 2025 with features like:

• Automated Faxing: AI systems are automating the sending and receiving of faxes,
  reducing errors and speeding up document processing. These tools can integrate
  directly with EHRs and RCM systems, eliminating manual data entry.
• Secure Faxing: AI-powered fax solutions are enhancing the security of transmitted data, protecting sensitive patient information from unauthorized access and ensuring HIPAA compliance.
• AI for Fax Processing: Advanced AI can analyze incoming faxes to extract relevant data, automatically populate billing systems, and reduce administrative overhead.

Understanding the 2025 Medicare Fee Schedule Changes

For radiology practices, the 2025 Medicare Physician Fee Schedule (MPFS) introduces significant reimbursement changes that impact both professional and technical services. This year, the conversion factor (CF) has been reduced by 2.83% to $32.3465 per Relative Value Unit (RVU), down from $33.2875 in 2024. While some individual procedures have seen minor RVU increases, the overall trend is a net reduction in reimbursement. Key impacts include:

• Global (Non-Facility) Reimbursement: Many common imaging procedures have experienced larger-than-average cuts, including:
  • CT abdomen & pelvis w/contrast (CPT 74177): -4.39%
  • MRI cervical spine, w/o (CPT 72141): -4.15%
  • MRI lumbar spine, w/o (CPT 72148): -4.14%
  • CT chest, w/o (CPT 71250): -3.78%
  • Ultrasound abdomen, complete (CPT 76700): -3.66%
• Professional Component Reimbursement: Although professional component reimbursements fared slightly better, many high-volume procedures still saw cuts, including:
  • Duplex Doppler scan (CPT 93979): -4.22%
  • Duplex Doppler scan (CPT 93970): -3.83%
  • Single-view chest x-ray (CPT 71045): +1.06%

What Radiology Centers Can Do to Prepare

At Advanced Data Systems (ADS), we support radiology practices in optimizing their billing and revenue cycle management processes. Our AI-driven MedicsRIS platform helps practices navigate these changes by streamlining workflows, improving cash flow, and reducing administrative burdens.

Ready to optimize your radiology billing and improve patient engagement in 2025? Discover
how ADS RCM and MedicsRIS can help streamline your operations and maximize your
revenue. Schedule a demo today to see the power of AI-driven billing firsthand. Visit ADS RCM
for Radiology to learn more.