Pathology Billing Services
iSolve RCM supports pathology practices with billing precision, helping healthcare providers focus on patients while revenue flows smoothly through the entire revenue cycle.
- Medical Coding
- Claims Processing
- Medical Billing Audit
- Accounts Receivable Follow-ups
When Pathology Billing Gets Complicated, Proficiency Matters
Pathology billing services involve far more than submitting claims. Precise coding, suitable documentation, and payer-specific compliance are needed for each specimen, test, and interpretation. Even tiny errors in billing may trigger reimbursements to be late, revenue to drop, or both patients and providers to become upset.
Outsourcing pathology medical billing services helps healthcare practices avoid overpriced mistakes while improving cash flow. Healthcare providers experience fewer denials, faster reimbursements, and better patient satisfaction with trained medical billers and medical coders managing claims processing. A trusted pathology billing company also guarantees compliance with evolving healthcare regulations.
Denial Management
Missing documentation or incorrect coding frequently serve as the root cause of denied pathology claims. With the goal to help healthcare providers recover lost revenue and increase the precision of future claims, our denial management team identifies the root causes of denials, makes timely appeals, and eliminates repeated issues.
Complete RCM Support Designed for Pathology Practices
Our broad RCM support covers all steps of pathology billing, from coding to reimbursement.
Accounts Receivable Management
Unpaid claims have the ability to slowly damage the financial stability of a practice. In order to make certain that reimbursements arrive faster and that revenue cycles remain uninterrupted, we actively monitor accounts receivable, follow up with payers, and professionally deal with delays.
Medical Coding
Our certified medical billers and coders apply the proper CPT and ICD-10 codes for pathological medical billing. This decreases the number of claims denied, encourages compliance, and makes certain that providers receive adequate payments for each and every diagnostic service provided.
Medical Billing Audits
Hidden revenue leakage can be identified with the assistance of billing audits. To increase sustainable financial performance, improve compliance, and detect errors early, we frequently investigate claims, documentation, and coding patterns.
Medical Credentialing
Credentialing delays can prevent pathology providers from billing payers entirely. Our credentialing specialists manage enrollments, revalidations, and updates professionally, allowing practices to bill without interruptions or missed revenue opportunities.
Turn complex medical billing into a smooth process
Our medical biller makes complex medical billing a smooth process and confirms exact claims, faster reimbursements, and a stronger, more dependable revenue cycle for your practice.
Smarter Pathology Billing Starts Here
Let experienced billing professionals handle your pathology medical billing while you focus on precise diagnoses and patient care.
Our Pathology Billing and Coding
Clinical Pathology Services
- Codes such as 80048 and 80053 are applied correctly for lab panels.
- Bundling rules followed to avoid claim denials.
Molecular Pathology Billing
- Tier 1 and Tier 2 molecular CPT codes are precisely selected.
- Documentation reviewed to meet payer medical necessity standards.
Cytopathology Reporting
- Codes like 88175 and 88177 are billed with correct interpretations.
- Compliance guaranteed with evolving screening guidelines.
Immunohistochemistry Services
- CPT codes 88342 and 88341 applied with proper units.
- Avoids overbilling while capturing rightful reimbursements.
Flow Cytometry Billing
- Complex coding structures are carefully followed.
- Guarantees full reimbursement for high-complexity diagnostic testing.
Surgical Pathology Coding
- CPT codes which include 88305 and 88307 are modified by the specimen's level of difficulty.
- Applying the appropriate modifiers guarantees timely reimbursement.
Pathology Billing Challenges and How We Fix Them
| Challenges | Solution |
|---|---|
| Incorrect pathology coding | In order to lower claim denials and increase reimbursements, our trained medical billers and coders meticulously review medical documentation, assign appropriate pathology-specific CPT and ICD-10 codes, and submit clean claims that agree with payer regulations. |
| Inconsistent follow-up | We proactively handle accounts receivable, review all unpaid claims, and consistently follow up with payers to avoid delays and preserve your cash flow. |
| Poor knowledge of pathology billing | With years of experience in complex diagnostic billing, our pathology billing professionals guarantee correct modifier usage, compliant coding, and full reimbursement without unnecessary audit risks. |
| Credentialing Delays | We precisely handle medical credentialing, revalidations, and payer updates, allowing your healthcare practice to submit claims without disruptions. |
| Poor visibility | We let practices identify denial trends, payment processes, and revenue potential across the whole billing cycle by offering simple reporting and useful insights. |
Improve Your Revenue Today
Let iSolve RCM transform your pathology billing process. Reduce errors, accelerate reimbursements, and improve patient care with professional billers and coders managing your revenue cycle.
- Chicago
- Loss Angeles
- Alabama
- California
- Indiana
- New York
Smooth Integration With Your EMRs/EHRs
Our pathology billing services integrate with your existing electronic medical records, safeguarding smooth claims processing and proper patient data management without disrupting your workflow.
Why Practices Trust iSolve RCM for Pathology Billing
Your revenue, compliance, and patient trust are all affected by choosing the best pathology billing company.
Pathology Knowledge
Our team understands rules specific to pathology billing, payer nuances, and documentation requirements, guaranteeing correct claims processing and dependable reimbursements.
Revenue Growth
We focus on increasing revenue through clean claims, faster payments, and proactive denial management personalized to pathology practices.
Transparent Communication
Practices receive clear reports, updates, and insights, no confusion, no hidden processes, just honest billing support.
Regulatory Compliance
We stay informed on payer policies, coding changes, and healthcare regulations in order to protect providers from compliance risks.
Patient Trust
Clear and proper billing improves patient understanding and trust, strengthening the relationships between the provider and patient.
Frequently Asked Questions
Why are pathology billing and coding so hard to manage for healthcare practices?
Pathology companies have to deal with:
- Complex coding guidelines
- Constant regulatory changes
- Recurring insurance denials
What Is Meant by Pathology?
The investigation and treatment of disease by the analysis of tissues, cells, blood, and other fluids in the body is the primary objective of the healthcare field of pathology.
What is the fee structure for pathology billing?
At iSolve RCM, our rates for pathology billing are quite affordable, as low as 2.99% of monthly collections.
What is the CPT code for pathology?
80047 to 89398 are CPT codes for pathology.