Expert Laboratory Billing Services by 24medhealth
Stop letting complex coding, payer edits, and high-volume claims erode your profits. Wecare’s specialized laboratory billing solutions ensure accuracy and compliance, maximizing your reimbursement so you can focus on delivering timely, critical results.
Partner with 24medhealth to achieve:
98% Clean Claim Rate
Reduce denials with meticulous and accurate lab coding.
Faster Reimbursements
Accelerate payments with an efficient billing process.
Maximized Revenue
Capture every dollar with expert knowledge of payer rules.
Full PAMA & HIPAA Compliance
Ensure secure, compliant, and professional service.
Navigating the Unique Complexities of Clinical Laboratory Billing
Laboratory billing is a high-volume, highly complex specialty. Unlike other medical billing, it’s defined by constant challenges: evolving PAMA regulations, strict payer edits like NCDs and LCDs, intricate rules for toxicology and molecular diagnostics, and the need to manage thousands of low-dollar claims efficiently. Even minor errors in coding or modifiers can lead to mass denials and significant revenue loss.
At 24medhealth, we are more than just a billing vendor; we are your laboratory’s financial backbone. As a leading laboratory billing company, we manage these complexities with precision, ensuring your lab’s financial health is as robust as your testing accuracy.
Comprehensive Laboratory Billing Solutions for Your Lab
We provide a complete suite of lab billing services tailored to the unique needs of independent labs, hospital-based labs, and pathology groups.
Our Core Services Include
Accurate Charge Entry & Coding
We handle high-volume test ordering, ensuring every CPT code is captured correctly, from routine blood draws to specialized assays.
Expert Clinical Lab Coding
Our certified coders are specialists in all areas of lab testing, including chemistry, hematology, microbiology, toxicology, and molecular pathology.
Proactive Denial Management
We don’t just manage denials; we prevent them. Our team analyzes denial trends to fix root causes and aggressively appeals every wrongful denial to recover your revenue.
Diligent A/R Follow-Up
Our dedicated AR laboratory billing services team relentlessly pursues unpaid claims from both insurance payers and patient accounts to minimize write-offs.
Payer & Provider Credentialing
We manage the entire credentialing process to ensure your lab is enrolled and can be reimbursed by all necessary payers.
Robust Reporting
Gain complete visibility into your financial performance with customized reports that track key metrics like denial rates, collection percentages, and revenue trends.
We Support All Types of Laboratory Providers
Clinical Laboratories – Streamlined billing workflows for routine and specialty testing.
Pathology Laboratories – Accurate billing for anatomic and clinical pathology services.
Molecular & Genetic Labs – Expertise in molecular diagnostic billing and prior authorization management.
Toxicology Labs – Denial-free billing for toxicology testing and drug monitoring.
Hospital-Based Labs – Integrated billing aligned with your hospital’s LIS or EHR system.
- Reduced Manual Entry & Errors: Charges are captured directly from your cardiology EHR, ensuring accuracy.
- Improved Workflow Efficiency: No disruption to your existing clinical processes.
- Faster Charge Capture: Timely submission of claims immediately after patient encounters.
- Complete Transparency: You maintain full access and visibility into your billing operations at all times.
Whether you need a full EHR billing service for cardiology or support for your EMR, we provide flexible solutions that fit your practice’s unique needs.
Mastery of Lab-Specific Coding and Modifiers
Venipuncture and Blood Draws
We ensure the correct application of CPT code 36415 for routine venipuncture. We understand the specific rules and documentation required, including when it can be billed with an office visit and its reimbursement guidelines.
Reference Laboratory Billing (Modifier 90)
When your lab sends a test to an outside or reference lab, correct billing is crucial. We are experts in applying Modifier 90, which indicates that the procedure was performed by a different entity. This ensures transparency and compliance in your billing.
Panel and Profile Coding
We are proficient in the correct use of common panel codes like CPT code 80053 (Comprehensive Metabolic Panel) and understand the unbundling rules that can lead to denials if not followed precisely.
Why Choose 24medhealth Over Other Laboratory Billing Companies?
Selecting the right partner is a critical decision for your lab’s success. Here’s what sets 24medhealth apart:
- Unmatched Specialization: We are not generalists. Our entire focus is on clinical laboratory billing. Our team understands your world, from the lab bench to the final payment.
- Technology-Driven Efficiency: We utilize and can integrate with any laboratory billing system or LIS, leveraging technology to manage high claim volumes with speed and accuracy.
- Dedicated U.S.-Based Team: You are assigned a dedicated account manager and a team of U.S.-based experts who know your lab and are always available to answer your questions.
- Transparent Partnership: We believe in clear, honest communication. Our detailed reports provide complete visibility into your financial performance, with no hidden fees.
Clients Feedback
What Our Client Say About Our Services
24medhealth reduced our claim denials and boosted collections within two months. Their dedicated account manager truly understands our workflow. We now focus fully on patient care
Complex cardiology coding and insurance rejections were constant struggles. 24medhealth resolved both immediately. Our A/R days dropped and revenue visibility improved dramatically through their real-time analytics dashboard.
Frequently Asked Questions
Questions? We’ve got you covered
What is CPT code 36415 used for?
CPT code 36415 is the standard medical code for a “collection of venous blood by venipuncture.” It represents the routine blood draw procedure itself and is one of the most common codes billed by laboratories.
When should Modifier 90 be used?
Modifier 90 should be appended to a CPT code when your laboratory bills for a test that was actually performed by a different, outside laboratory (a reference lab). It signifies that you are billing for the service, but another entity performed the technical component.
How do you ensure claims are compliant with local and national coverage determinations (LCDs/NCDs)?
Our billing system is continuously updated with the latest payer rules. Before submission, every claim is automatically scrubbed against a database of LCDs and NCDs to check for medical necessity, ensuring the diagnosis codes support the tests being ordered.
How do you manage denials for lack of medical necessity?
We launch a comprehensive appeals process. Our team works with your staff to gather all necessary clinical documentation, from imaging reports to physical therapy notes, to build a strong, evidence-based case to overturn the denial.
Appointment
Make An Appointment to Get Your Service
