PATHOLOGY BILLING SERVICES
We offer comprehensive services tailored to maximize your revenue potential.
To ensure an efficient Pathology Billing Process, having an experienced billing team is crucial for successful claims recovery. Remote Expert Solutions, our experts deliver robust, user-friendly billing solutions designed to enhance your financial performance and propel your growth.
Advantages of Our Innovative Pathology Medical Billing Solution
You Need To Have In-Depth Knowledge
Pathology practices, groups, and labs face distinct billing challenges. To effectively process and collect claims, billers and coders must possess thorough expertise in pathology sub-specialties and stay updated on billing guidelines and CPT codes for pathology services. As regulatory scrutiny and restrictions on laboratory billing intensify, clinical pathology labs must enforce rigorous compliance measures to align with evolving laws and regulations.
Merit-Based Incentive Payment System
Beyond federal and commercial guidelines, the Merit-Based Incentive Payment System (MIPS) presents a significant challenge. MIPS evaluates Medicare payments based on scores across four performance categories: Quality, Cost, Improvement Activities (IA), and Promoting Interoperability (PI). Pathology labs must report on six Quality measures and up to two IA measures to avoid payment reductions in 2020 and secure the highest incentive possible.
It is critical to manage Documentation And Reporting
The future success of your lab’s revenue cycle management hinges on precise documentation and diligent reporting. Adapting both front-office and back-office procedures is crucial to optimize reimbursements from all payers. With many insurance companies narrowing their provider networks, pathology labs are often considered out-of-network providers, exacerbating the challenge. Compounding the issue, health insurers are imposing stricter limitations on benefits, making it increasingly challenging to collect payments from both insurers and patients. While you may not have control over coverage limitations, you can mitigate denied claims and collection accounts by verifying eligibility before rendering services.
Successful Medical Claims & Increasing Reimbursement
In addition to these challenges, ensuring prompt sample processing and reporting is essential for filing successful medical claims and boosting reimbursement rates. The complex regulations and reporting obligations often lead to delays or missed payments, further complicating matters. For numerous pathology labs, overcoming these obstacles can determine the success or failure of their business. However, with support from a committed team of laboratory billing specialists and analysts, you can regain control and navigate through these challenges effectively.
We Keep Your Lab Profitable
Remote Expert Solutions, we offer thorough pathology billing solutions aimed at proactively managing compliance, regulatory, and reporting concerns to enhance your lab's profitability while minimizing operational expenses. Our approach includes diligent claims follow-up and proficient recovery of outstanding accounts receivable to recoup lost revenue. We ensure the submission of precise and timely claims to maintain consistent revenue streams and cash flow. With our team of certified medical billing experts specializing in pathology services, we expedite the reimbursement cycle and optimize profitability for your lab.