Pathology
Our pathology billing services are designed to scale with your needs, reduce operational costs, and enhance your financial performance.
While pathology billing involves fewer codes compared to other medical specialties, it is still highly specialized, utilizing a combination of ICD, CPT, and HCPCS codes. HCPCS codes, in particular, are frequently used in pathology and laboratory services due to the involvement of equipment and sample transportation services, which many billing teams may not be well-versed in. It’s crucial not only to understand the specific nuances of these code sets but also to stay up to date with the evolving industry regulations to ensure accurate and compliant billing for laboratories. The complexity of pathology billing can pose a challenge to your organization’s growth if not handled properly. Regardless of the type of laboratory, our expert team at QB is here to alleviate that burden, reduce the risk of non-compliance, and maximize your revenue. We recognize that each laboratory has unique billing needs, which is why our solutions are tailored to meet and exceed those needs—resulting in faster claim submissions and quicker payments.
Our Pathology Revenue Cycle Management Solutions
- Eligibility Verification & Prior Authorization: We ensure all insurance
benefits are verified and prior authorizations are obtained when
necessary. - Patient Demographics Entry: Accurate data entry for improved claim accuracy.
- ICD, CPT & HCPCS Coding & Audits: We ensure proper coding and
perform audits to minimize errors and optimize reimbursements. - Charge Entry & Claims Submission: Efficient and timely submission of
claims to ensure quicker processing. - Payment Posting: Accurate tracking and posting of payments.
- Accounts Receivable Management: Proactive management of A/R to ensure timely
collections. - Denial Management: Addressing claim denials with precision to improve your
revenue cycle. - Clinical Documentation Improvement: We help enhance clinical documentation to support accurate coding and reimbursement.
Expertise in Pathology Billing for All Laboratory Types
Whether you run an independent laboratory, a hospital-based laboratory, or a physician office laboratory, QB has the expertise to handle your pathology billing needs effectively.
Laboratory Type Experience
- Independent Laboratories
- Hospital Laboratories
- Physician Office Laboratories
- Reference Laboratories
Pathology Sub-Specialty Experience
- Molecular Diagnostics
- Anatomic Pathology
- Surgical Pathology
- Cytopathology
- Hematology
- Immunology
- Toxicology
- Infusion & Transfusion
- Dermatopathology
- Chemical Pathology
At QB, we understand the specific demands of pathology billing and work tirelessly to help you navigate this complex field while improving your financial performance.