š¼ Switch to Our Pathology Billing Services in Just 7 Days
Pathology Billing Service
Running a pathology lab is complex ā your billing shouldn’t be. Our expert coders handle everything from specimen coding to modifier usage and claim tracking, so you can focus on diagnostics while we boost your revenue. Whether youāre in anatomic, clinical, or molecular pathology, our customized billing solutions reduce denials, ensure faster payments, and keep your lab fully compliant.
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Tailored billing for every pathology specialty
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Certified medical coders & real-time claim tracking
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Seamless LIS/EHR integration & reporting tools
š©ŗ Why Pathology Billing is Challenging
Pathology is one of the most intricate specialties in medical billing. Billing for pathology services involves a wide range of diagnostic tests, molecular studies, and specialized proceduresāeach with its own CPT and HCPCS codes. From anatomical and clinical pathology to genetic testing and immunohistochemistry, every procedure must be coded correctly and in compliance with payer rules.
Many laboratories struggle with:
Denials due to incorrect code bundling.
Missed reimbursements for molecular diagnostics.
Delayed payments due to poor documentation.
Compliance issues with Medicare and private insurers.
OurĀ custom pathology billing servicesĀ are designed to address these exact challenges, helping you get paid faster and more accurately.
š Services We Offer for Pathology Practices
We provide end-to-end billing services for both independent and hospital-based pathology labs, including:
| Billing Service Area | Description |
|---|---|
| Code Accuracy Review | Expert coding for CPT, ICD-10, and HCPCS tailored to pathology procedures. |
| Claim Submission | Clean, compliant claim filing via electronic and manual systems. |
| AR Follow-Up | Active accounts receivable management for faster payments. |
| Denial Resolution | Rapid response to rejected or underpaid claims. |
| Credentialing Assistance | Ensuring providers are enrolled and credentialed with all major payers. |
| Compliance Auditing | Internal checks to maintain billing compliance with current regulations. |
| Monthly Performance Reports | Easy-to-understand financial and operational analytics. |
š¬ Common Pathology CPT Codes
Understanding and applying correct pathology codes is essential. Below are a few common examples:
| CPT Code | Description |
|---|---|
| 88305 | Tissue exam by pathologist |
| 87624 | HPV testing |
| 88142 | Cytopathology, cervical or vaginal |
| 88312 | Special stains |
| 81479 | Molecular pathology (unlisted code) |
| 89235 | Cytogenetics; cell culture |
š” Key Benefits of Our Pathology Billing Services
ā Ā Customized Workflow Integration
Whether youāre using LIS, EHR, or paper documentationāwe work with your systems.
šĀ Reduced Denials
Our certified coders ensure accurate submissions, minimizing costly denials.
š°Ā Increased Reimbursements
No more missed opportunitiesāwe help you capture every dollar youāre owed.
ā±ļøĀ Faster Payment Turnaround
Our AR team ensures follow-up within days, not weeks.
šĀ 100% HIPAA-Compliant
All patient and billing data is handled securely and confidentially.
š Before & After Partnering with Us
| Metric | Before Billing Partner | After Our Billing Service |
|---|---|---|
| Clean Claims Rate | 78% | 96% |
| Denial Rate | 14% | 3% |
| Average Days in AR | 45 days | 20 days |
| Monthly Revenue (Avg. Lab) | $50,000 | $72,000 |
| Coding Accuracy | 85% | 99% |
š§© Who We Serve
Our pathology billing services are perfect for:
Independent pathology labs
Hospital-based pathology groups
Molecular and genetic testing labs
Cytopathology and histopathology practices
Dermatopathologists and forensic pathologists
Whether you operate a high-volume lab or a boutique diagnostic center, we customize the billing workflow to meet your needs.
š§ Understanding the Complexity of Pathology Billing
Pathology billing isnāt one-size-fits-all. It requires in-depth knowledge of lab-specific billing practices and payer rules. For instance, billing for a biopsy requires precise documentation about the specimen source, preparation method, and staining technique used. In molecular pathology, documentation must justify the medical necessity of genetic testing, often tied to evolving clinical guidelines.
Even small errors in these areas can lead to:
Delayed reimbursements
Prepayment audits
Denials that require time-consuming appeals
Our billing experts stay current with AMA guidelines, CMS updates, and payer-specific edits to protect your revenue.
The Revenue You Deserve
Every pathology test you process has a dollar tied to itābut only if billed and followed up correctly. With rising test volumes and increasing payer scrutiny, working with a billing partner who understands the nuances of pathology is no longer optionalāitās essential.
MyMedicalBillingService.com is a trusted medical billing company managing everything from coding to claims and payment follow-ups.Ā 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.
