May 2026

If your imaging center or radiology practice feels like it’s being run by RadMD (Evolent) or NIA (National Imaging Associates) rather than your own clinical team, you are not alone.  Payer-driven Radiology Benefit Managers (RBMs) are designed to do one thing: act as gatekeepers to reduce utilization. But in reality, they often create an administrative

In the world of Ambulatory Surgery Center (ASC) billing, the smallest administrative detail can mean the difference between a clean payment and a standard “claim rejected” notification. For many commercial and state-level payers, that detail is the SG modifier. The SG modifier (Ambulatory Surgical Center Facility Service) is the universal signal to the payer that

Out-of-network (OON) billing is often viewed as a “necessary evil” in healthcare—a way to maintain fair market rates that often ends in a PR nightmare of patient disputes and “surprise” bills. But it doesn’t have to be a choice between your revenue and your reputation.  At Healthcare Logic, we believe that transparency is the ultimate