Specialty billing
Laboratory medical billing
Laboratory billing is high-volume and thin-margin, so screening for medical necessity before submission matters far more than appealing afterwards.
Book a Free ConsultationWhat we handle for laboratory practices
Panels, medical necessity checks and high-volume claim submission.
Panel coding
Panels billed as panels where a panel code exists.
Medical necessity
Orders checked against coverage policy before the claim goes out.
Patient notices
Advance beneficiary notices issued where coverage is unlikely.
Volume processing
High-volume electronic submission with reconciliation.
Common pitfalls
Where laboratory claims go wrong
These are the errors we look for first when reviewing a practice in this specialty. If any sound familiar, a billing review will tell you what they are costing.
- Component tests billed individually where a panel code exists, which payers treat as unbundling.
- Tests performed without a diagnosis on the order that supports them.
- Repeat or distinct specimens billed without the modifiers that distinguish them.
Other specialties we support
Not sure where your revenue is leaking?
Book a free review. We will look at your recent claims, denial patterns and A/R aging, and tell you what we find — whether or not you work with us.