Comprehensive Pathology Billing Solutions for Maximum Profitability
To ensure an efficient and seamless pathology billing process, having a dedicated and knowledgeable billing team is essential. At HBH Solutions, we provide comprehensive, intuitive billing services that enhance your lab’s financial performance and drive sustainable growth.
Pathology billing comes with unique challenges, requiring billers and coders who are well-versed in the sub-specialties of pathology. It’s crucial for them to stay updated with the latest CPT codes and regulatory guidelines. With increasing oversight and tighter regulations in pathology billing, clinical labs must adhere to strict compliance protocols to avoid pitfalls and ensure smooth operations.
One of the most significant hurdles for pathology labs is managing MIPS, which affects Medicare reimbursements based on performance in areas like Quality, Cost, Improvement Activities, and Promoting Interoperability. To secure maximum reimbursement and avoid penalties, labs need to report on several Quality and IA measures accurately.
HBH Solutions offers end-to-end pathology billing services that proactively address compliance and reporting issues to protect your lab from costly errors. We excel in aggressive claim follow-up, recovering aged accounts receivable, and submitting timely claims, ensuring your lab remains profitable with a steady revenue cycle. Our specialized team of certified medical billing professionals is dedicated to shortening your reimbursement cycle and optimizing your lab’s profitability.
Proper documentation and reporting directly influence your lab’s revenue cycle management. As insurance companies narrow provider networks and enforce stricter coverage limits, pathology labs increasingly face the challenge of being out-of-network. By implementing thorough eligibility checks and adjusting operational workflows, your lab can avoid unnecessary claim denials and ensure smoother reimbursement processes.
Timely sample processing and precise reporting are critical to successful claims and maximizing reimbursement. The complexity of regulatory requirements often leads to delays or lost revenue, which can have a significant impact on your lab’s financial health. With the right billing support, you can overcome these obstacles and ensure steady cash flow.
With over a decade of experience in pathology billing, HBH Solutions provides comprehensive revenue cycle management solutions to optimize operations and enhance cash flow. We offer comprehensive pathology billing services including medical billing, coding, collections, patient payment processing, charge entry, A/R management, insurance verification, denial management, practice management, and follow-up services.
Our pathology billing services include:
