Accurate and Compliant Laboratory Billing Services
Laboratory billing operates like a separate universe, which is full of complicated CPT codes for panels (80053, 80061), molecular diagnostics (81211, 81275), and pathology services (88305, 88307). Insurance companies frequently change their coverage policies for genetic and specialized tests, thereby, increasing the chances of denials if the codes are outdated or wrongly matched.
Billing Care Solutions (BCS) offers a full range of laboratory billing services which are overseen by professionals who are well-versed in NCCI edits, molecular test codes, and the intricacies of billing both CMS and private insurers. We enable your laboratory to cut down on the rejections of claims, speed up the payments, and maintain compliance; thus, your staff will be able to concentrate on providing accurate and timely diagnostic results.
Our Expertise in Laboratory Billing
- ✔
Accuracy: At Billing Care Solution, we emphasize precise coding to lower the likelihood of claim denials.
- ✔Efficiency: Our optimized processes expedite claim submissions and payments.
- ✔Tech-Forward Solutions: We leverage advanced software to effectively manage data and minimize errors.
- ✔Regulatory Adherence: Our practices comply with industry standards to mitigate risks and ensure smooth operations.
- ✔Tailored Services: We customize our billing solutions to align with the specific needs of healthcare providers and laboratories.
Drive Financial Excellence in Your Laboratory Operations
< 25
Days in AR
40%
Revenue Increase
< 5%
Denial & Rejection
99%
Clean Claims Rate
100%
Client Retention
What You Need to Know About Laboratory Billing Services
We deliver a full range of laboratory billing solutions suitable for any laboratory, be it a small independent lab or a large diagnostic center, which are carefully designed to precisely handle every step of the revenue cycle. Our services are aimed at ensuring that each and every test, be it a routine, specialty, molecular, or genetic test, is given the correct code and billed in accordance with the latest payer guidelines. We also reduce rejection of claims and their resulting delays by performing documentation review, NCCI compliance checks, and payer-specific policy management. Our staff also performs the management of denial letters resulting from pre-submission audits, timely claim submissions, and strategic denial management in order to maximize reimbursements. Through our customized strategy, your laboratory will be able to retain financial equilibrium, concentrate on delivering quality testing, and enhance the overall productivity of the laboratory.
Explore More SpecialtiesRoutine and Specialty Test Billing
Accurate coding for everything from basic metabolic panels to complex specialty assays.
Molecular and Genetic Test Coding
Expert billing for advanced molecular pathology and genetic testing procedures.
NCCI Edit and Compliance Review
We resolve bundling issues and ensure full compliance with payer-specific rules.
Payer Specific Policy Management
Stay updated on and comply with individual payer policies for lab tests.
Claim Scrubbing and Submission
Our pre-submission audit catches errors to ensure clean claims are sent every time.
Denial Management and Appeals
We analyze denial trends and execute robust appeals to recover lost revenue.
Why Choose Our
Laboratory Billing
Solutions
Engage with specialists that are knowledgeable about the intricacies of mental health billing, who can facilitate the revenue cycles journey from billing to collection, and who can lessen the administrative burden, thus enabling your team to concentrate on quality patient care.
Thorough Laboratory Billing Support Across the U.S.
Laboratory billing specialists at our company are hands-on with the entire revenue cycle locally. They deliver the work starting from accurate claim submission and payment tracking till compliance monitoring and error resolution. We, by performing these administrative services, set the stage for your staff to be less involved in testing and delivering results while your team takes care of you.
Why Do Healthcare Professionals Choose BCS Medical Billing Services?
24/7 Rapid Response Time
Practice Health Plan
Error Free Billing
Practice Health Audit
Constant Revenue Boost
Claims Submission Success Rate
Fast Revenue Restoration
Free Consultantion Call
Laboratory Billing FAQ's
We leverage advanced coding resources and payer-specific guidance to appropriately map unlisted codes, ensuring proper reimbursement with detailed documentation.
Our system pre-emptively audits claim against NCCI and PTP edits, correctly bundling or appending modifiers to bypass denials and ensure compliant billing.
Our experts analyze the test methodology and analyte count to assign the precise Tier 2 code, supported by robust documentation to justify the selection.
Yes, we maintain an updated database of all PLA codes and their specific clinical applications, ensuring accurate usage and reimbursement for these specialized tests.
We apply modifiers like -91 for repeat tests and -59 for distinct services based on clinical intent and payer-specific rules to prevent denials for duplicate claims.
When lab tests are done, the bills are raised through the use of the codes 80048 or 80053, which are for the metabolic and chemistry panels respectively, and these are the most common ones in the internal medicine practice.
One administration of a vaccine is shown by the figures 90471 or 90658, which are the codes for the documentation, patient education, and reporting of the immunizations for influenza, pneumonia, and other preventive areas.
The illness management which is charged with 99490 or 99487, and these two mean the care coordination, patient education, and continued monitoring of multiple chronic conditions.
The office plays minor procedures cover the 36415 for blood draws and 96372 for the injection, which includes the documentation, preparation, and patient safety during the routine internal medicine procedures.
Remote care visits are billed by the use of 99421–99423, which are the interaction between the doctor and patient, patient follow-up, and management done remotely. The documentation is kept for clause submission and payer compliance.
What Our Clients Say
Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.
Jennifer Aaron
Cardiologist, HeartCare Clinic“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”
David Lieske
Chief Strategy Officer“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”
Linh Tran
Chief Finance Officer, My CHN“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”
Ashley Sahakian
Owner, Express Wellness LLC“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”
Zahid Mehmood
Manager BD, CRM“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”
Melissa Renteria
CEO, Family Health Center“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”
Emily Kariuki
Owner, Home Health Agency“Great service. Professional, friendly, people who get the job done. The best”
Donna Taylor
Manager“very professional and great customer service. Would highly recommend”
Judy Kariuki
Operations Coordination Manager“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”