Maximize revenue and minimize inefficiencies in your pathology billing and coding. Our lab pathology billing services are tailored to provide exceptional care to your revenue cycle. HIPAA-compliant RCM solutions, just a click away!
Running a pathology lab is like navigating the landmine field on a daily basis. It not only drains your staff’s energy, but also your resources that are used to train your team on constantly changing payer policies. Don’t worry! You’re not alone, almost all pathology laboratories in the US go through these phases every day.
Diagnostic labs face unique billing challenges that demand precision-based tailored laboratory RCM (Revenue Cycle Management) solutions that typical medical billing companies are not equipped to provide. Here’s how you’re losing money every day:
When your billing team mismatches or confuses the modifier used like 26 (Professional Component) and TC (Technical Component), you’re opening the door for payers to take away your earnings.
Constantly evolving anatomic pathology coding, ICD-10, CPT and G codes present new challenges everyday. Use of invalid or outdated diagnostic codes either result in underpayment or compliance audit by payers.
Diagnostic tests with high-level of complexity require prior authorization from payers. Lab’s teams overlook this issue, resulting in a spiral of denials for pathology billing and collections.
High-dollar diagnostic test delays collection from payers and patients, increasing the days in AR, eroding revenue for cash strapped laboratories. Mitigating all of these factors by outsourcing and increasing your RCM efficiency
Connecticut billing is ranked #1 among all pathology medical billing companies in the US. Our staff understand the workflow that keeps your revenue cycle uninterrupted and seamless. These are the lab pathology billing services we offer to diagnostic facilities:
Our molecular lab billing solutions let you flawlessly navigate and append the Proprietary Laboratory Analyses (PLA) codes and McKesson Z-code. Our lab billing staff obtains prior authorization for these advanced and complex tests 24-48 hours from payers to facilitate patients and cash flow.
Our coding team comprises Certified Professional Coders (CPC) and Radiology Certified Coders (RCC) having full expertise in surgical pathology levels, immunohistochemistry, molecular diagnostics, etc. Our professional team applies modifiers with precision -26, -TC, -90 and -91 to help payors understand the nature and medical necessity of the performed test.
Our Lab RCM staff understand how your healthcare facility can increase the Clinical Laboratory Improvement Amendments (CLIA) compliance. We maintain the clinical documentation meticulously by optimizing your front-desk verification and payment posting, ensuring complete prevention of CO-16 denials. We continuously update the LIS system by finding gaps in your billing to minimize AR days.
We assign a dedicated team to track all pathology billing claims and file appeals within 24-48 hours to recover unpaid balances. We implement a strict root-cause analysis methodology to find the gaps in front-end and back-end practices to minimize deviation from established norms of the industry.
Partnering with a generic billing company is a recipe for disaster. When you choose a reliable partner like Connecticut Billing Service, you choose a partner that exceeds your expectations and has served thousands of lab facilities for decades. Here’s why we are the one and the only company that offer laboratory billing solutions tailored for your specific needs.
Our AHIMA and AAPC certified coders have the expertise that you can count on. We stay updated on new laboratory medicine compliance guidelines to ensure every test you perform for the patient is paid on time.
With the industry moving to AI claim scrubbing tools, we maintain the precision with the same level. Our RCM staff keep your denial rate below 2%, far exceeding the industry’s standard of 5%.
Our seasoned billing and coding staff for laboratories keep your AR days below 25, ensuring your bottom line is financially strong. We track every claim from the clearinghouse to your bank account to minimize costly write-offs.
As a prestigious pathology billing company in Connecticut, we believe in transparency and integrate it in every service we provide. Our laboratory billing services contain no hidden administrative or set-up fees, ensuring low operating costs.
Let Connecticut Medical Billing do the billing and coding expertly while you focus on accuracy and precision of diagnostic tests.
Our award-winning laboratory billing solutions are available across all the major cities in Connecticut including:
Our medical billing staff professionally handle the TC and -26 component split with strict compliance. We have trained our RCM team on payer-specific rules and reimbursement policies, ensuring only clean claims submissions.
We proactively manage the high-dollar pathology tests like molecular diagnostic and genetic sequencing with a multi-step prior authorization. We collect all the clinical documentation from the providers and obtain pre-authorization from payors 24 hours before the commencement of the test.
Yes, absolutely. Our pathology coders hold specialized coding credentials like RCC (Radiology Certified Coder), CPC-I or RCCCO/CHONC. Our staff receives periodical training for understanding the surgical pathology levels (e.g., Level IV vs. Level V vs. Level VI specimens), etc.
