Outsource Laboratory Medical Billing
Laboratory billing involves converting diagnostic and clinical test services into standardized codes (ICD-10, CPT, HCPCS) for accurate claims submission and compliance. Choosing to outsource laboratory medical billing will help your practice streamline operations, reduce overhead costs, and improve reimbursement cycles, allowing your lab to focus on what matters most – patient care.
At CLICKVISIONBPO, a leading provider of laboratory billing services, we specialize in customized solutions for laboratories. Our experienced team ensures accurate coding, prompt claims submissions, and strict adherence to industry regulations such as CLIA and HIPAA, improving billing accuracy and speeding up revenue recovery.
Our Laboratory Billing Services
Insurance Verification & Eligibility Checks
We perform thorough insurance verification and eligibility checks for laboratory services, ensuring accurate patient coverage for tests like imaging, pathology, and lab panels. This minimizes claim rejections and delays by confirming patient benefits before service delivery.
Patient Registration & Pre-Authorizations
We streamline patient intake and pre-authorization processes for laboratory tests, including pathology, genetic testing, and toxicology screenings. This reduces delays and ensures compliance with payer requirements.
Accurate Coding & Claims Processing
Our team manages CPT, ICD-10, and HCPCS codes for lab tests, such as blood panels, biopsies, and molecular diagnostics. We ensure precise coding, minimizing denials and expediting reimbursements.
Payment Processing & Reimbursements
We optimize revenue by verifying medical necessity documentation and tracking underpayments. Our approach ensures accurate claim submissions and faster reimbursements for laboratory services.
Denial Management & AR Recovery
We address claim denials for lab services like pathology and clinical testing through proactive strategies, timely appeals, and continuous follow-ups to maintain a steady cash flow.
Why Outsource Laboratory Medical Billing With Us?
Expert Code Handling
We manage CPT, ICD-10, and HCPCS codes for laboratory services with precision. Our expertise ensures accurate claims and faster reimbursements, all while complying with CLIA, HIPAA, and CMS standards.
Complete Laboratory RCM
Our full revenue cycle management covers every step, from patient intake to final payment. We optimize cash flow and ensure compliance with HIPAA, OCR, and CMS guidelines, reducing inefficiencies in your practice.
Denial Management & AR Recovery
We proactively address denials for lab services and use efficient follow-ups to recover lost revenue. With adherence to CMS and HIPAA, we minimize disruptions and maximize reimbursements.
Insurance Compliance Protection
We ensure your laboratory services meet insurance carrier requirements, minimizing underpayments. Our process follows HIPAA, CMS, and CLIA guidelines to protect your revenue.
Reduced Overhead Costs
Outsourcing billing allows you to focus on patient care. We handle the entire process, cutting costs and eliminating the need for extra staff while ensuring FDA and CMS compliance.
Improved Operational Efficiency
We streamline billing tasks, reduce errors, and speed up claims processing. By adhering to FDA, OCR, and CMS guidelines, we improve your lab's efficiency and enhance overall performance.
Challenges in Laboratory Billing
Complex Test Coding
Laboratory services require accurate coding for a variety of tests, such as blood work, urinalysis, and specialized diagnostic panels. Incorrect use of ICD-10, CPT, and HCPCS codes can lead to denied claims and delayed reimbursements.
Regulatory Compliance
Laboratories must comply with evolving healthcare regulations, including HIPAA and payer-specific rules. Staying up-to-date on coding changes and industry guidelines is essential to avoid errors and ensure timely reimbursements.
Insurance Verification and Preauthorization Delays
Certain lab tests, especially high-cost diagnostic screenings, often require insurance verification and preauthorization. Delays in this process can disrupt cash flow and increase operational costs.
Managing Claim Denials
Claims denials are frequent in laboratory billing, often due to coding errors or incomplete documentation. Identifying the root cause of denials and efficiently handling appeals is necessary to recover lost revenue.
Timely Claim Submission
Delays in submitting claims for laboratory tests can lead to payment delays. The billing process for routine and specialized tests, including genetics and pathology, must be swift and accurate to ensure consistent cash flow.
Volume and Complexity of Laboratory Services
With the wide variety of tests laboratories conduct, from routine blood work to complex diagnostic panels, handling the volume and intricacy of billing can overwhelm in-house teams. Outsourcing billing to experts can help streamline the process.
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Specialties We Excel In
Pathology Billing Services
Laboratory services are integral to pathology, especially in diagnostic testing like biopsies and blood work. Our Pathology Billing Services streamline claims for lab results used in the diagnosis of diseases, ensuring seamless coordination with laboratory services for accurate and timely patient care.
Radiology Billing Services
Radiology often works alongside laboratory services for diagnostic purposes, such as imaging tests used to detect and monitor diseases. Our Radiology Billing Services simplify claims for imaging procedures like MRIs, CT scans, and X-rays, complementing laboratory diagnostics to provide a comprehensive approach to patient care.
Oncology Billing Services
Oncology frequently relies on laboratory services for cancer screenings and diagnostic tests, such as biopsies and blood work. Our Oncology Billing Services ensure efficient billing for cancer treatments like chemotherapy and radiation, working in tandem with laboratory services to manage diagnostic and treatment stages effectively.
Leadership Team
Dimitar Talevski
Dimitar is a seasoned marketing specialist and the visionary behind CLICKVISION. With over 10 years in digital marketing, he excels in crafting marketing strategies that boost rankings, which in return increase leads, conversions, sales, profits, and ROI.
Filip Dimitrijevski
With a strong background in the marketing industry and healthcare leadership roles, Filip is responsible for CLICKVISIONBPO's sales strategies and onboarding new clients. With a passion for sharing insights gained from his experience, he also shares valuable knowledge through industry related articles.
Locations We Serve for Laboratory Billing
Common ICD-10 & CPT Codes in our Laboratory Billing Services
In our laboratory billing services, we frequently use the following ICD-10 and CPT codes to ensure accurate claims and proper reimbursements:
| ICD-10 Code | Description | CPT Code | Procedure |
|---|---|---|---|
| R50.9 | Fever, unspecified | 890.0 | Complete blood count (CBC) |
| E11.9 | Type 2 diabetes | 82947 | Hemoglobin A1c test |
| N39.0 | Urinary tract infection | 81001 | Urinalysis (automated) |
| I10 | Hypertension | 93000 | Electrocardiogram (ECG) |
| D64.9 | Anemia | 85025 | Hemoglobin and hematocrit |
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Laboratory medical billing involves converting services such as diagnostic tests into standardized codes (ICD-10, CPT, HCPCS) for accurate claims submission to insurance providers, ensuring compliance and timely reimbursement.
By choosing to outsource laboratory medical billing you reduce operational costs, improve efficiency, and ensure accurate claims submission. It also frees up internal resources to focus on core laboratory functions while improving cash flow through quicker reimbursements.
We specialize in identifying the root causes of denied claims, such as coding errors or missing information, and take the necessary steps to resubmit them accurately, ensuring the recovery of lost revenue.
We handle billing for a wide range of laboratory tests, including blood tests, urinalysis, pathology, specialized diagnostic panels, and preventative screenings, ensuring proper coding and compliance with payer-specific guidelines.
We stay up-to-date with all relevant regulations, including HIPAA and CLIA, ensuring all coding, claims submission, and documentation meet regulatory standards to avoid compliance issues.