Pathology

Although pathology billing uses relatively fewer codes compared to other medical fields, they are unique and include multiple code types – ICD, CPT & HCPCS. HCPCS codes are especially common in pathology and laboratory services, due to the equipment and sample transportation services involved, which may not be a code set many billing teams are familiar with. Not only is it important to understand the nuances of the code sets for pathology services, but it is also vital to remain updated with the ever-changing industry requirements to ensure laboratories bill accurately and in compliance. The complexity of pathology billing services can thus hinder your organization’s growth if not done correctly. No matter the type of laboratory, our team is here to take the burden off your organization, mitigate the risk of non-compliance and maximize your revenue. We understand that each laboratory is unique and has different billing needs, which is why our solutions are tailored to not only meet those needs, but also exceed your expectations by getting your claims submitted faster and getting you paid quicker.

Our Pathology Revenue Cycle Management Solutions

Eligibility Verification & Prior Authorization

Patient Demographics & Charge Entry

ICD, CPT & HCPCS Coding & Coding Audits

Payment
Posting

Accounts Receivable Management

Denial
Management

Credit Balance Resolution

Clinical Documentation Improvement

Whether You’re An Independent Laboratory Or Hospital Based,
We Have The Pathology Billing Expertise To Get The Job Done!

Laboratory Type Experience

Independent Laboratories

Hospital Laboratories

Physician Office Laboratories

Reference Laboratories

Pathology Sub-Specialty Experience

  • Molecular Diagnostics
  • Anatomic Pathology
  • Surgical Pathology
  • Cytopathology
  • Hematology
  • Immunology
  • Toxicology
  • Infusion & Transfusion
  • Dermatopathology
  • Chemical Pathology
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