Pathology Medical Billing Services
Claim denials are a major source of lost revenue for pathology practices. They frequently result from errors in medical billing and coding specific to complex pathology services. Claims4Medical’s specialized pathology billing consulting prevents these errors by ensuring claim submission that’s compliant with payer rules and regulations.
We offer
33%
Fewer Claim Denials
99%
Claim Approval Rate
24/7
Availability
Why Do Pathology Practitioners Rely on Us for Their Billing Needs?
Unlock 99% First-Time Claim Approval for Your Pathology Practice
Our detailed pre-submission verification process ensures almost all claims get paid on the first submission. We know exactly what each payer requires, creating steady, reliable income for your practice.
Minimize A/R Delays with Proactive Claim Management
Our dedicated follow-up team concentrates on aging claims, tracking every submission to guarantee that payers recognize your payments. We recover potentially lost revenue and dramatically reduce your aging A/R reports.
Seamless EHR Integration with Zero Workflow Disruption
We provide full compatibility with your existing EHR system | no workflow disruption or software changes are required. Our experts connect directly to your current platform, delivering professional billing support while you continue using the technology your team already knows.
2,500+ Billing Experts Dedicated to Maximize Your Revenue
Access 2,500+ specialized billing professionals working only on your healthcare claims. With our large team, someone is always managing your account | providing rapid responses, continuous billing operations, and customized attention to your practice's unique needs.
Our Trusted Process to Maximize Your Practice’s Revenue
Ensure Payment Accuracy with Patient Verification
Our process begins with healthcare staff collecting complete patient demographics and insurance information. We contact the insurance provider to verify the patient’s eligibility and benefits for the required treatment, making sure that there are no payment issues afterwards.
Maximize Reimbursements with Expert Coding
After the completion of pathology services, medical staff give us complete treatment records. Our AAPC-certified coders make sure that you receive the money you deserve by correctly giving ICD-10, CPT codes, and modifiers to the services.
Submit Claims Right the First Time | Every Time
Our medical billing system makes it easier to prepare and submit claims. With our advanced billing software, every claim is guaranteed to be accurate and complete with the correct codes, charges, and necessary documents. After completion, the claim is sent to the payer for approval.
Fast Payment Posting and Swift Denial Resubmissions
After claim submission, payment is posted into the medical practice’s account. If a claim is denied, we reopen the claim and review it, identify errors, fix it, and quickly resubmit the claim along with the supporting documentation. We monitor rejection patterns in the claims to avoid repeated claim denials.
Simplify Patient Billing and Collections for Faster Payments
We provide understandable, patient-friendly statements for any outstanding accounts following insurance processing. To guarantee quick patient payments, a variety of payment methods are recommended. Our staff maintains good patient relations by following an appropriate collection procedure and scheduling follow-ups for unpaid amounts.
Find Revenue Leaks with Detailed Financial Reports
Claims4Medical provides detailed information on performance indicators, such as provider productivity, aging reports, denial patterns, and collection rates. These details help in finding areas for income growth and procedure improvement.
Coding Compliance for Every Service Given
| Pathology Service | Common ICD-10 Codes | Claims4Medical | Our Billing Services |
|---|---|---|---|
| Surgical Pathology | C50.911 (Breast cancer) D22.5 (Melanoma in situ | 88302-88309 (Levels I-VI) 88311 (Decalcification) | We select the appropriate level codes based on specimen complexity and provide medical necessity documentation to support any special stains |
| Molecular Pathology | Z13.71 (Genetic susceptibility screening) C34.90 (Lung cancer) | 81200-81479 (Molecular analysis) 81500-81599 (Multianalyte assays) | Our team stays current with rapidly evolving payer policies for molecular pathology reimbursement. |
| Immunohistochemistry | C50.919 (Breast cancer, unspecified) C61 (Prostate cancer) | 88341 (First antibody stain) 88342 (Initial antibody evaluation) | We guarantee that medical necessity for each stain is documented and apply appropriate modifiers to prevent denials. |
| Dermatopathology | L40.0 (Psoriasis) D22.5 (Melanocytic nevi) | 88305 (Skin biopsy) 88314-88319 (Special stains) | Our experts coordinate with dermatologists to obtain complete information for optimal claim submission. |
Ready for a Billing Partner Who Understands Pathology?
Don’t let complex billing issues drain your resources and reduce your revenue potential. Claims4Medical offers the specialized expertise your pathology practice needs to maximize reimbursements and streamline your billing operations.
Why Wait? Take Action Now:
- Start seeing results within the first 30 days
- Our experts will review your current processes
- Schedule a FREE consultation and billing analysis
- We’ll identify specific opportunities to increase your revenue
Free Pathology Billing Consultation
Discover how much revenue you’re currently losing and how we can help you recover it.
- No obligation
- Detailed billing analysis
- Custom revenue enhancement plan
Don’t let another day of lost revenue pass. Contact Claims4Medical now and transform your pathology practice finances!
Contact Us Today!
Success Stories from Pathology Billing Practices: Real Results, Real Growth
Frequently Asked Questions
What Types of Pathology Practices Do You Serve?
We support both hospital-based and independent pathology practices.
Can You Work with Our Existing Ehr System?
Yes, we integrate with any EHR system without disrupting your workflow.
How Long Does It Take to Submit Claims After Receiving Documentation?
Claims are submitted within 24-48 hours of receiving complete documentation.
How Often Do You Provide Financial Reports?
We provide regular reports with detailed insights into your practice’s performance.
What Is Your Claim Success Rate?
We maintain a 99% claim success rate on the first submission.
