Streamlined Molecular Lab Billing for Maximized Revenue
Specialized Solutions to Navigate Complex Codes and Ensure Accurate Claim Submissions
Molecular and genetic testing is rapidly evolving, and billing for these services can be complex due to constantly changing codes. As molecular testing advances, it offers physicians valuable insights for decision-making but often faces challenges with insurance approvals due to high costs.
Success in molecular lab billing requires not only a thorough understanding of the codes but also expertise in navigating the intricate details needed for claim submission. It’s equally important to understand insurer policies and be well-prepared to appeal denied claims. An experienced billing team can significantly increase the chances of approval by effectively communicating the medical necessity to insurers.
At HBH Solutions, we provide expert molecular and genetic billing services, ensuring that claims are accurately coded and submitted with the necessary documentation. Our certified billing professionals are highly skilled and stay updated on changes in CPT codes, allowing us to submit correct claims the first time and improve collections on outstanding accounts.
Due to the ever-changing nature of CPT codes, staying current is difficult for in-house teams. Codes can vary—sometimes one code applies to several genes, while other cases require unlisted codes. In addition, molecular testing labs must navigate additional layers of compliance, such as MolDX requirements.
For these reasons, outsourcing molecular lab billing is often the best solution for laboratories. By partnering with HBH Solutions, your lab can focus on providing quality testing, while our dedicated billing team ensures claims are efficiently managed and paid.
With over 10 years of experience, HBH Solutions has helped independent practices boost revenue by up to 30%. Here’s how we can assist your lab:
At HBH Solutions, we specialize in providing top-tier molecular medical billing services designed to meet the unique demands of your laboratory. Our expertise spans various areas, including:
