PATHOLOGY BILLING SERVICES
OUR SERVICES INCLUDE EVERYTHING REQUIRED TO OPTIMIZE YOUR REVENUE
For Streamlined Pathology Billing Process, it is important to have a knowledgeable billing team that has hands-on experience in claims recovery. The professionals at Medcare MSO provide full-featured, simple and intuitive billing services that leverage your financial performance & growth trajectory.
Advantages of Our Innovative Pathology Medical Billing Solution
You Need To Have In-Depth Knowledge
Unique billing requirements create challenges for pathology practices, groups and labs. In order to successfully submit and collect on claims, billers and coders need to have in-depth knowledge of the sub-specialties in pathology, and they must have a current working knowledge of billing guidelines and updates about CPT codes for pathology services. With increasing scrutiny and tightening restrictions on laboratory billing practice management, it is imperative that clinical pathology labs implement stringent compliance procedures in accordance with changing laws and regulations.
Merit-Based Incentive Payment System
Perhaps an even greater challenge than federal and commercial guidelines, however, is the Merit-Based Incentive Payment System (MIPS), which determines Medicare payments according to scores in four performance categories: Quality, Cost, Improvement Activities (IA), and Promoting Interoperability (PI). To prevent payment cuts in 2020, and to earn the maximum incentive, pathology labs must report on six Quality measures and up to two IA measures.
It is critical to manage Documentation And Reporting
The future revenue cycle management of your lab depends on accurate documentation and proper reporting. It is critical to adjust front-office and back-office procedures to ensure maximum reimbursement from all payers. Many insurance companies have narrowed their provider networks, and pathology labs are increasingly deemed, out-of-network providers. Adding to the challenge is the fact that health insurers are placing greater limitations on benefits. It’s becoming more and more difficult to collect payments from insurers and patients alike. You may not be able to do anything about coverage, but you can avoid these types of denied claims and collection accounts by verifying eligibility before providing services.
Successful Medical Claims & Increasing Reimbursement
As if all of these challenges aren’t enough, timely sample processing and reporting are integral to filing successful medical claims and increasing reimbursement rates. Altogether, the regulations and reporting requirements are confusing and time-consuming, resulting in delayed or lost payments. For many pathology labs, these challenges can make or break your business, but with assistance from a dedicated team of laboratory billing experts and analysts, you can take control back.
We Keep Your Lab Profitable
Medcare MSO provides comprehensive pathology billing services that identify and address potential compliance, regulatory, and reporting issues before they occur to keep your lab profitable and less operational costs. We do aggressive claims follow up and effectively collect on old A/R accounts to recover lost revenue, and we submit accurate, timely claims for consistent revenue streams and cash flow. Our certified medical billing professionals have specialized expertise in pathology medical billing services which results in a shortened reimbursement cycle and maximized profitability.