We have been working with clinical and reference labs for the past 35 years and have developed one of the most effective lab billing, coding and financial management services on the market today to maximize revenue.
Medical billing for toxicology laboratory work is higher complex and periodically changed.
Our billing team is highly skilled in the subtlety of toxicology billing and will work hand-in-hand with your lab to identify the appropriate billing guidelines your payers follow and overcome problem areas, such as the correct use of medically unlikely edits (MUEs) and modifiers.
It is also known as genetics billing and one of the rapidly growing field for laboratories. It bring significant challenges for coding, billing and reimbursement.
Center of Medicare and Medicaid Services (CMS) reviews top most tested genes every year and rewrites CPT codes to give the top genes their own codes. Our Medical coders and billing experts work directly with the payers to maximize reimbursement for all established codes and new codes.
We understand the ever-growing, ever-changing challenges faced by today's clinical labs.
Billers and coders must have knowledge of the extensive types of services a clinical lab may provide (e.g. biological, hematological, cytological) and the rules for in and out of network billing. They must maintain familiarity with the latest medical technology, CPT and ICD-10 codes and understand what is required to ensure claims support medical necessity.
Market research says most of the health insurers are increasingly narrowing their provider networks, resulting in pathology labs being designated as non-participating providers and struggling to receive proper reimbursement for services delivered.
Labgen RCS team has extensive experience with pathology laboratory billing. We will work with your practice to identify and overcome problems, such as an out-of-network designation, that can result in slowed or lost payment, and educate your practice on best-in-class billing practices.
