Pathology Medical Billing Service and Solutions

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Pathology Medical Billing Services

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 Pathology Medical Billing Services

Pathology Medical Billing Services for Better Revenue Cycle Management

Pathology is the Medical Discipline that involves Study and Diagnosis of the disease through the tissues removed by a surgical procedure. Pathology provides diagnostic information to clinicians and patients. Pathologists use a variety of techniques to examine tissues and organs, including microscopy, histology, immunology, and biochemistry to examine tissues and organs.

The demand for Pathology Medical Billing Services is on the rise. This is due to the fact that Pathology is one of the most essential and in-demand Medical Services today. In order to ensure that your Pathology Practice is Billing correctly, you need to find a reputable and experience Pathology Billing Company.

Outsourcing Pathology Billing Services:

At MHRCM Pathology Billing Services, we understand the unique needs of Pathology Practices. We have a team of experts who are well-versed in Pathology Billing Services and Coding. We will work with you to ensure that your claims are submitted correctly and in a timely manner. Contact us today to learn more about our Pathology Medical Billing Services.

Reduce Operational Costs, Improve Patient Care, Enhance Financial Performance, Ensure HIPAA Compliance Free Pathology Billing Services to your Healthcare.

The Reasons why Healthcare Centers are Outsourcing Pathology Billing Services:

1. Staff Requirements:

Pathology Billing Service requires highly-trained and certified experts with vast knowledge in managing the Pathology Revenue Cycle Management. It is a challenge for Medical Centers to recruit staff for Pathology Billing Services.

Pathology Billing experts must have the following skill set:

  • - Certified Coder

  • - Compliance Management

  • - Financial Analysis and Client Service

  • - Regular Update in Codes

Healthcare centers may need to spend a large sum of money on their Pathology Revenue Cycle Management Team, annually. Pathologists are required to ensure the Pathology Billing Services are smoother and complaints-free.

2. Labor Costs:

Along with patient care, Complying with HIPPA, Regulatory Audits, Physician Quality Reporting System and Annual CPT Coding Changes are things that need to be addressed by the Pathology Practices today. Managing these tasks will require additional staff and labor cost.

3. Continuous Investment:

Pathology Billing Services and Coding Solutions are complex and require an efficient technology to manage Claims, Denials, and Reimbursements effectively. An effective Denial Management Process requires Continuous Investment. Continuous Investment in Pathology Billing Solutions is a risky task for major Health Centers, as they have other priority tasks to invest in. In these situations, Outsourcing Pathology Revenue Cycle Management is the best choice for Increasing Revenue and Patient Care.

4. Compliance:

Data breach is a major complaint in the Healthcare sector. Protecting the Health and Financial Data is always a major threat, especially to smaller practices.

There are many challenges involved in Outsourcing Billing. Adopt a Changing Healthcare Model and Reduce Errors. The benefits of Outsourcing include Reducing Disruptions in Cash Flow and Increasing Revenue.

MHRCM's Pathology Billing Services:

We are one of the experts in Pathology Medical Billing. We can easily understand clients' requirements and deliver services in time.

Our Services include:

1. Eligibility Verification:

Insurance Eligibility Verification is the first step in the Pathology Billing Process. Eligibility Verification helps the Pathologists and Medical Centers to determine whether the Bill will be accepted or denied by the Insurance Company. During the Verification Process, the Mode of Payment of the Service Fees can be finalized by the Healthcare Provider as either Complete Insurance Payment, Co-Payment or Self-Payment. Prior Verification of the Authorization, and the Details of the Insurance Company are tied up, and the Insurance Eligibility level is determined at this stage.

MHRCM's Pathology Billing Service Experts will help the patients in Insurance Verification and also ensure that all the Details entered in the Claim are correct and error-free. Our Verification Process also includes Demographic Information Verification, Accuracy Verification, Billed Charges, Recommended Fees Schedules, Data Entry and Direct Claims Submission. Our Expert Team also Administers Patient Payment Plans and Coding, Billing and Reconciling of Accounts.

2. A/R Follow Up:

It is a huge challenge for the Healthcare Organization to have a Constant Follow Up of the Claims. MHRCM has a comprehensive Accounts Receivables Follow Up Service to help you get the payments you’re owed.

Our Follow Up Service is designed to help you get paid quickly and efficiently. We have a ten-days Follow Up Cycle to ensure that your claims have got their final decision from the Insurance Provider.

3. Denials Management:

Denials Management in the Pathology Medical Billing is an important aspect of Billing Services. Denials cause a Decrease in Reimbursement, Increase in Accounts Receivables, and Cause Cash Flow Problems.

Pathology Denials Management starts with Proper Coding. The most common cause of Denials is Incorrect Coding. When Submitting Claims to Insurance Companies, it is important to use the Correct Codes. The Current Procedural Terminology (CPT) Codes are used to Report Medical Procedures and Services. The International Classification of Diseases, Latest Revision, Clinical Modification (ICD – CM) Codes are used to Report Diagnosis.

4. Demographic and Charge Entry Services:

Demographic Entry is one of the first steps while creating a Claim for Patients. Patient Information is added to the Insurance System, based on the Demographics, to avoid Denial. Pathology Billing Charge Entry Service is a type of Healthcare Billing Service that focuses on Pathology Services. This type of service can be valuable for both Pathology Labs and Physicians who perform Pathology Services. The benefit of using a Billing Charge Entry Service is that it can help to ensure that all Charges are accurate and correctly entered into the Patient's Medical Record. This can help to avoid errors in Billing, and save the Physician or Pathology Lab, time and money.

5. Collection and Denial Analysis:

Our Team of Experienced Billing Professionals offers comprehensive Collection and Denial Analysis Services to help Pathology Practices Optimize their Billing Processes. We work with our clients to identify potential areas of improvement, and develop customized solutions to address their specific needs.

Our services include:

  • - Review of billing processes and procedures

  • - Identification of potential areas of improvement

  • - Customized solutions to address specific needs

  • - End-to-end support for all billing and collections activities

Contact us today to learn more about how we can help you improve your Pathology Billing Process.

Pathology Medical Billing Services offered by MHRCM:

1. Inpatient Consultation Billing – We will submit all the Consultation Reports and Associated Documentation to Payers, in a timely manner. MHRCM will also Follow Up with Payers, until Claims are Paid in Full.

2. Outpatient Consultation Billing – MHRCM handles all aspects of Outpatient Consultation Billing, from Coding to Claim Submission to Payment Collection.

3. Surgical Pathology Billing – Our Team of Experienced Medical Billers will accurately Code all Surgical Pathology Specimens and Related Services. We will also Submit Claims to Payers and Follow Up until Claims are Reimbursed.

Pathology Medical Bill Auditing Service:

Auditing your Pathology Medical Bills is an important way to ensure that you are being charged correctly, for the services you receive. By thoroughly reviewing your Bills, you can identify any errors or discrepancies and take action to correct them.

Pathology Medical Bill Auditing Services can be performed by a professional Pathology Billing Company like MHRCM or the Healthcare Center can perform it by themselves.

Pathology Medical Bill Auditing Services Provider must have the following qualities:

If there are any discrepancies, the Pathology Billing Company or the Healthcare Center must have the resources to resolve the issue.

Pathology Billing Collection Service:

If you are in need of a Pathology Medical Billing Collection Service, Contact Us for the best one in the market today!

The first thing you should do is make sure your Medical Records are complete and correct. This way, you will know that your Claim will be processed quickly and efficiently by the tracking system of our Medical Billers. You can count on them to work diligently, so that they can find every detail possible, in order to get your reimbursement as soon as possible. In addition, we will also provide guidance with regard to appeals, if it becomes necessary at any point down the road. You can count on us to keep up with new guidelines when they arise, so that we can open up additional avenues for reimbursement for your care.

Highlight of Our Pathology Billing Services:

Pathology Billing can be a complex and time-consuming process. However, our Team of Experts are here to help. MHRCM offers a comprehensive Pathology Billing Service that includes everything from Medical Coding to Insurance Reimbursement. We also offer a 100% Satisfaction Guarantee, so you can be sure you are getting the best possible service.

MHRCM for Pathology Billing Services:

1. Scalability: The Company has a Team of Experts who can quickly adapt to the unique needs of your Pathology Practice.

2. Customization: The Company offers a wide range of Customization options to suit the specific needs of your Pathology Practice.

3. Ease of use: The Company's Software is designed to be user-friendly and easy to use.

4. Affordable: The Company offers Competitive Pricing that is based on the specific needs of your Pathology Practice.

5. Support: The Company provides a dedicated Team of Support Staff who are available to answer any questions you may have.

6. Training: The Company provides ample Training to ensure that your staff are updated with the required details.

Frequently Asked Questions

  • 1) How Can Outsourcing Your Pathology Billing Services Help You?

    A) Outsourcing your Pathology Billing Services will help you maintain the highest level of clinical efficiency with assurance for 100% reimbursement. Outsourcing eliminates the risks of Insurance Enrollment, Verification, Authorization, Details and Code Entry and Billing Services.

  • 2) What Is Pathology And What Does It Cover?

    Pathology covers a wide range of topics, from the mechanisms of disease, to how diseases develop and how they are treated. Pathologists use a variety of techniques to examine tissues and cells from the body, to look for changes that may be indicative of disease.
    Pathology is a Vital Branch of Medicine, as it helps us to understand the causes and progression of diseases. It also plays a key role in the development of new treatments and diagnostic tests. Without Pathology, we would be left in the dark, about many of the diseases that cause so much suffering in the world today.

  • 3) What Are The Main Types Of Pathology?

    Anatomic Pathology, Forensic Pathology, Dermatopathology, and Laboratory Medicine are the Four Main Types of Pathology.

  • 4) What Is Included In The Technical Component Of Pathology Services?

    The Technical Component of Pathology Services Includes all of the professional services required to render a diagnosis. This includes everything from the initial patient encounter to the final interpretation of laboratory test results. The Technical Component of Pathology Services include Embedding the Tissue Specimen, Slicing them to Ultra-thin sections, Preparing the Pathology Slides with Proper Staining Techniques and Analyzing the Results. It also includes all of the necessary Ancillary Services, such as Specimen Handling and Processing, that are required to support the diagnostic process.

  • 5) Is Pathology Billing Important For Medical Insurance?

    Pathology Billing uses very less Codes and most of the Codes are Unique and Common in Laboratory and Pathology Services. Pathologists use Medical Codes for Diagnosis, Treatment, Supplies, Equipment and Services, and sent to the Insurer for Reimbursement.