Accurate. Compliant. Revenue-Driven.
Laboratory Medical Billing Service
Laboratory billing requires precision, speed, and adherence to strict compliance standards. Our Laboratory Billing Services are designed to handle complex coding, high test volumes, and payer-specific regulations with ease. From claim submission to denial management, we streamline your revenue cycle—so you can focus on delivering critical diagnostic results.
✅ Fast & Accurate Claim Submissions
✅ Reduced Denials and Rejections
✅ Seamless Integration with LIS
✅ Full Compliance with Medicare & Payer Guidelines
✅ Transparent Reporting & Real-Time Analytics
🔬 Why Specialized Laboratory Billing Matters
Billing for lab services isn’t just about submitting claims—it involves in-depth knowledge of:
Complex Coding Requirements: Laboratories process a wide range of diagnostic tests, each requiring accurate CPT, HCPCS, and ICD-10 coding.
High Test Volume: Daily transactions can run into the thousands, demanding automated systems and precise workflows.
Compliance with Regulations: Labs must comply with Medicare, Medicaid, and commercial payer policies to avoid delays and denials.
Integration with LIS: Accurate billing depends on seamless data transfer between Laboratory Information Systems and billing software.
🧾 Common Laboratory CPT Codes
| Test Name | CPT Code | Description |
|---|---|---|
| Basic Metabolic Panel | 80048 | Evaluates kidney function, electrolytes, and glucose |
| Complete Metabolic Panel | 80053 | Assesses liver function, kidney function, and other organ systems |
| CBC with Auto Diff | 85025 | Evaluates red and white blood cells, platelets |
| Urinalysis (non-automated) | 81002 | Tests urine for abnormalities |
| Vitamin D Test | 82306 | Measures levels of 25-Hydroxy Vitamin D |
| COVID-19 PCR Test | 87635 | Nucleic acid detection of SARS-CoV-2 |
| Rapid Strep Test | 87880 | Detects Group A Streptococcus antigens |
⚙️ Our End-to-End Laboratory Billing Services
We provide fully managed billing solutions tailored to laboratories:
Insurance Verification: Confirm coverage before services are rendered to minimize denials.
Medical Coding: Assign accurate CPT, ICD-10, and HCPCS codes for every test performed.
Claim Submission: Ensure clean claims go out quickly through electronic submission platforms.
Denial Management: Track, analyze, and resolve rejected or underpaid claims.
Payment Posting: Log EOBs, payments, and remittance data in real time.
Patient Billing: Send clear, compliant patient statements and provide support for inquiries.
Financial Reporting: Generate custom reports on A/R, collections, reimbursements, and productivity.
📊 Performance Metrics Comparison
| Metric | Industry Average | Our Results |
|---|---|---|
| First-Pass Claim Acceptance | 85% | 98% |
| Average Days in A/R | 35 | 20 |
| Denial Rate | 15% | 5% |
| Revenue Growth After Onboarding | — | Up to 25% |
💡 Benefits of Our Laboratory Billing Services
✅ 98% Clean Claim Rate
✅ 30% Average Reduction in A/R Days
✅ 24/7 Billing Support and Onboarding Assistance
✅ Dedicated Team Trained in Urgent Care Reimbursement Models
✅ Transparent Reporting and Compliance with HIPAA Standards
🧬 We Serve All Types of Labs
We offer billing services for a wide range of laboratory types:
Clinical and Diagnostic Labs
Molecular and Genetic Testing Labs
Toxicology Laboratories
Pathology Labs
Hospital-Based Labs
Independent Reference Laboratories
MyMedicalBillingService.com is a trusted medical billing company managing everything from coding to claims and payment follow-ups. We specialize in resolving billing challenges for practices of all sizes and specialties, letting you focus on exceptional patient care while we handle the complexities of your revenue cycle.
