As a clinical laboratory, you probably feel like you’ve been under siege lately. Increased oversight and audits, rising operating costs, and falling reimbursement rates have created an uphill financial battle for clinical labs. And many are struggling to survive, especially in a highly competitive market with a lot of client turnover. Now, more than ever, it’s critical to tighten up the documentation and clinical lab billing processes to ensure you are recovering costs.
As a clinical laboratory, you probably feel like you’ve been under siege lately. Specimens play a crucial role in clinical laboratory testing and billing, as they are the basis for all diagnostic procedures. Increased oversight and audits, rising operating costs, and falling reimbursement rates have created an uphill financial battle for clinical labs, which must have a physician order tests and manage patient care. And many are struggling to survive, especially in a highly competitive market with a lot of client turnover. Now, more than ever, it’s critical to tighten up the documentation and clinical lab billing processes to ensure you are recovering costs.
Medcare MSO offers tailored billing solutions for clinical labs. Our certified medical billing specialists stay up to date on regulatory and medical lab billing standards and our professional clinical laboratories billing services ensure increased revenue stream and maximizes profitability. With accurate coding, timely submission of completed claims, and aggressive follow-up on denials, clinical lab billing specialists help you shape a long-term plan to succeed amidst all of the changes in store for laboratories.
However, for the majority of clinical laboratories, the outlook doesn’t have to be so dismal. Making efficient and timely adjustments to both back-office and front-office procedures can make all the difference. Submitting complete and accurate claims has never been more important to the success of your lab.
Not only is it imperative that CPT and ICD-10 codes be correct, but claims must also be coded to the highest level of specificity to prove medical necessity. And time is of the essence – the limited window for reporting clinical diagnoses and submitting claims means you may have to adjust the pace of your administrative and clinical lab billing processes. This can especially be challenging when the ordering provider sends a requisition with missing, incomplete, or incorrect information.
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