Pathology
At EMRSIVE Medical Billing Solutions, we specialize in helping pathology providers optimize their revenue cycle through efficient and accurate billing practices. Our comprehensive services are designed to ensure timely reimbursement and minimize denials, allowing you to focus on delivering expert diagnostic services.
- Accurate coding for technical and professional components.
- Comprehensive claims management to minimize denials.
- Detailed reporting for improved financial transparency.
Pathology billing involves unique complexities due to the specialized nature of the field, where precise diagnostic testing and interpretation are at the forefront. Our team handles all aspects of pathology billing to ensure you receive full reimbursement for both technical and professional services. Whether you’re performing diagnostic tests, molecular studies, or cytopathology, we ensure compliance with the latest regulations while maximizing your revenue.
- Pathology billing often requires billing for both technical (lab work) and professional (pathologist’s diagnosis) components separately.
- Our services cover the entire spectrum of pathology testing, including surgical, clinical, molecular, and hematopathology.
- We stay up-to-date with changes in billing codes like CPT and ICD-10, ensuring accurate claims submission and avoiding costly errors.
At EMRSIVE, we follow a proven process to ensure every pathology claim is managed effectively, from submission to payment.
- Initial Data Capture: We collect all necessary documentation and patient data to ensure claims are accurate and compliant with payer requirements.
- Accurate Coding: Our certified coding team assigns the correct CPT and ICD-10 codes for every procedure, ensuring technical and professional components are billed separately when necessary.
- Claims Submission: We submit claims promptly and follow up with payers to ensure timely reimbursement.
- Denial Management: In the event of a denial, we swiftly identify the issue and take the necessary steps to appeal or correct the claim, reducing time in A/R.
- Ongoing Monitoring and Reporting: Our team provides continuous monitoring of claim statuses and offers regular reporting so you have a clear understanding of your financial standing at all times.
At EMRSIVE, we follow a proven process to ensure every pathology claim is managed effectively, from submission to payment.
- Initial Data Capture: We collect all necessary documentation and patient data to ensure claims are accurate and compliant with payer requirements.
- Accurate Coding: Our certified coding team assigns the correct CPT and ICD-10 codes for every procedure, ensuring technical and professional components are billed separately when necessary.
- Claims Submission: We submit claims promptly and follow up with payers to ensure timely reimbursement.
- Denial Management: In the event of a denial, we swiftly identify the issue and take the necessary steps to appeal or correct the claim, reducing time in A/R.
- Ongoing Monitoring and Reporting: Our team provides continuous monitoring of claim statuses and offers regular reporting so you have a clear understanding of your financial standing at all times.
At EMRSIVE, we pride ourselves on delivering results-oriented pathology billing services that enhance your revenue cycle and free up your time to focus on patient care. Here’s why partnering with us is the right choice:
- Pathology Billing Expertise: Our team is well-versed in the nuances of pathology billing, including the separation of technical and professional components. We ensure every service is billed correctly for maximum reimbursement.
- Proactive Denial Management: We have a proven process for identifying the root causes of denials and implementing swift resolutions. Our denial management system has led to significant reductions in A/R and increased collections for our clients.
- Detailed Financial Reporting: Transparency is key. We provide you with comprehensive dashboards and financial reports that offer insights into your revenue performance, A/R status, and more.
- Regulatory Compliance: With ever-changing healthcare laws and regulations, we stay updated with all relevant guidelines to ensure your claims are compliant and secure.
- Tailored Solutions for Pathologists: We work closely with pathology providers to customize billing processes that meet the specific needs of your practice, ensuring accuracy, compliance, and efficiency.
