Adapting Cutting-Edge Technology in Laboratory Billing
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We handle billing for clinical laboratory tests including biological, microbiological, and hematological examinations, ensuring accurate coding (CPT, HCPCS) for diagnosis-driven treatment plans.
Specializing in Ophthalmology CPT Codes (92002-92499), we ensure accurate billing for procedures like cataract surgery, LASIK, and glaucoma surgeries.
With a deep understanding of CMS guidelines, we manage Medicare and Medicaid billing, ensuring full compliance with government regulations and proper DRG and HCPCS coding.
Prior to testing, we verify insurance coverage meticulously, using advanced tools to confirm eligibility and prevent post-test billing discrepancies.
Our efficient claim processing, leveraging electronic claims submission (EDI) and real-time tracking, ensures swift reimbursements with reduced denials and underpayments.
Utilizing sophisticated analytics, we provide comprehensive financial reports and performance metrics, aiding laboratories in strategic decision-making and financial planning.
We optimize your lab’s financial health through streamlined RCM processes, providing you with a comprehensive Laboratory Revenue Cycle Management to improve the billing cycle and cash flow.
Keeping pace with the latest regulatory changes, we offer robust compliance support, mitigating risks of audits and ensuring adherence to healthcare laws and HIPAA regulations.
01.
We deliver specialized billing for physician-affiliated labs, handling the unique blend of office and laboratory codes, including CPT-4 and HCPCS Level II, with detailed attention to payer requirements.
Our expertise in health diagnostic billing encompasses complex testing scenarios, ensuring precise application of Molecular Pathology Tier 2 codes and Genomic Sequencing Procedures for accurate reimbursement.
03.
Our team of AAPC-certified professionals is dedicated to your lab's success, staying current with the latest coding updates, including AMA's annual CPT code set revisions, ensuring expert handling of your billing needs.
04.
We ensure strict adherence to CLIA guidelines and state-specific billing regulations, offering peace of mind in an evolving regulatory landscape, particularly in compliance with state-level Medicaid policies and private payer rules.
05.
Prioritizing the confidentiality of patient and laboratory data, we implement robust security protocols compliant with HIPAA standards, ensuring the integrity and privacy of your sensitive information.
06.
Our approach to laboratory billing is not one-size-fits-all. We offer personalized billing services, tailored to the unique operational rhythms and requirements of your laboratory, ensuring solutions that fit your specific needs.