Pathology Billing Services

Pathology Medical Billing

Optimize Your Pathology Billing Services with MediBill RCM

MediBill RCM understands the complexities and challenges of pathology medical billing. Our focus on lab billing ensures that we deliver outstanding core competency for our clients. By leveraging advanced technology and building strong relationships, we help pathology labs achieve financial independence and success.

Benefits of Outsourcing MediBill RCM

Outsourcing your pathology billing to MediBill RCM offers numerous benefits, including:

  • Increased Revenue
  • Decreased Days in AR (Accounts Receivable)
  • Reduced Denials
  • Accelerated Cash Flow
  • Improved Understanding of RCM Processes and Outcomes

Process of Pathology Medical Billing

At MediBill RCM, we provide comprehensive pathology medical billing services designed to optimize your revenue cycle management. Here’s our complete billing process:

  1. Patient Registration and Check-in
    • Collect and enter patient demographic and insurance information into our system.
  2. Order Entry
    • Enter pathology service orders into our billing system along with patient information.
  3. Performing the Pathology Service
    • Pathology service (tissue biopsy, blood test, cytology test) performed by lab technician or pathologist.
  4. Documentation and Coding
    • Certified coders review results and assign accurate medical codes (CPT for procedures, ICD-10 for diagnoses).
  5. Claim Preparation
    • Prepare a claim form using coded information for submission to insurance company or payer.
  6. Claim Submission
    • Submit the claim electronically or by mail to the patient’s insurance company or payer.
  7. Adjudication
    • Insurance company processes the claim to determine reimbursement amount.
  8. Payment Posting
    • Post approved payment to the patient’s account in our billing system.
  9. Denial Management
    • Review denied claims, identify reasons, correct errors, provide additional documentation, or appeal denials.
  10. Patient Billing
    • Generate and send bills to patients for copayments, deductibles, or coinsurance.
  11. Follow-up
    • Follow up on unpaid or denied claims, resubmit claims, appeal denials, or contact insurance companies for clarification.
  12. Reporting and Analysis
    • Generate reports to track billing and reimbursement activity, identify trends, and monitor financial health of your pathology practice.

Comprehensive Solutions for Pathology Labs

Our exclusive pathology medical billing service and coding review software significantly improve your first-pass rate. By identifying billing trends, we avoid future denials and ensure your laboratory collects every dollar quickly. We also address workflow issues affecting reimbursements, including:

  • Specimen Collection
  • Medical Coding
  • Practice Management (PM) System Optimization
  • Extensive Denials Management

Why Choose MediBill RCM?

By outsourcing your pathology billing to MediBill RCM, you benefit from:

  • Specialized Expertise: Focused exclusively on pathology billing, ensuring accuracy and compliance.
  • Advanced Technology: Utilize cutting-edge software to track claim status and improve first-pass rates.
  • Professional Team: Experts who identify and fix workflow issues, improving overall revenue cycle management.

Comprehensive Support: From patient registration to reporting and analysis, every aspect of your billing process is handled.

Maximize Your Financial Success

Partner with MediBill RCM to ensure your pathology billing process is in expert hands. Our specialized services are designed to optimize your revenue cycle management and maximize your income. Contact us today to learn more about how we can support your pathology practice.