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Yes — routine blood work, pathology, toxicology, molecular diagnostics, genetic testing, and microbiology.
Reduce claim denials, accelerate payer payments, and maintain compliance with our specialized laboratory billing solutions. We handle complex coding, medical necessity checks, and payer-specific rules for independent labs, hospital outreach labs, and pathology groups.
We verify patient coverage, diagnosis requirements, and ABN (Advance Beneficiary Notice) compliance before testing.
Certified coders apply CPT®, LOINC, and ICD-10 codes, then submit clean claims to Medicare, Medicaid, and commercial payers.
We post payments, manage partial pays, appeal denied lab claims, and recover revenue from secondary payers.
Lab billing is uniquely challenging with medical necessity rules, multiple test panels, and frequent code updates. Our team ensures you get paid for every covered test.
Laboratory billing is the process of submitting claims for clinical, pathology, or molecular diagnostic tests performed by a laboratory. It includes coding, medical necessity checks, ABN compliance, and payer follow-up.
Lab billing often requires diagnosis linking to prove medical necessity, uses different code sets (e.g., LOINC), and follows unique payer policies for reflex testing and panels.
We review medical necessity, correct diagnosis codes, add documentation, and resubmit with appropriate modifiers or appeals.
Yes — encrypted claims submission, secure data storage, and signed BAA agreements.