Genetic Lab Billing Services for OB/GYN Revenue

Non-invasive prenatal testing (NIPT), carrier screening, and hereditary cancer risk assessments have become integral to how OB/GYNs deliver care today. These genetic tests aren’t just nice to have but they’re also increasingly becoming the standard of preventive and personalized medicine in women’s health. But while the clinical benefits are widely known, many practices remain unaware of the financial opportunity tied to these tests.

Genetic lab billing services provide a pathway for OB/GYN clinics to reclaim the income lost from outsourcing these tests. With Phytest, your practice can tap into molecular and genetic testing revenue without the burden of building or managing a high-complexity lab. Phytest specializes in molecular lab billing services designed specifically for OB/GYN providers, helping practices capture new revenue streams while ensuring zero workflow disruption.

The Growth of Genetic and Molecular Testing in OB/GYN Practices

Genetic and molecular testing are rapidly moving away from being presented as specialized offerings with high out-of-pocket costs in women’s health—they’re now becoming standard of care. Tests like NIPT and carrier screening for inherited conditions have moved from rare to routinely recommended and expected by patients. Hereditary cancer screenings are increasingly becoming recommended as well when family history is present.

As adoption for OB/GYN genetic test offerings grows, the demand has pushed payers to rapidly introduce or adjust their policies and coverage for genetic lab billing. Payer policies for genetic testing have become increasingly complex and inconsistent across commercial insurers.

Coverage varies not only between major payers like UnitedHealthcare, Aetna, and Blue Cross Blue Shield, but also across plans and regions. While some insurers may cover tests for average-risk pregnancies, others require strict medical necessity documentation or prior authorization.

These shifting policies make it difficult for OB/GYN practices to reasonably consider handling the complexities of genetic lab billing services in-house, on their own. As genetic testing becomes a more routine part of care, staying on top of evolving billing requirements and payer-specific guidelines has become a full-time challenge—one that many practices aren’t equipped to handle alone. This is where expert molecular lab billing services like Phytest play a crucial role, helping practices navigate policy changes and optimize reimbursement.

The Complex Nature of Genetic Lab Billing and Why It Requires Experts

Molecular laboratory billing is one of the most difficult specialties to process. Genetic tests have undergone numerous waves of policy updates, coverage specifications, coding requirements, and more just over the last five years. There are a multitude of hurdles to overcome to successfully submit a molecular test claim, let alone the steps for proper follow-up if there are complications. Specific documentation, coding, and timely submission requirements vary by payer and each have their own portals and call lines to navigate. Mistakes in the claims process often lead to denials, delayed payments, or even compliance risks.

Molecular and genetic test billing presents a complex landscape that often exceeds the capabilities of in-house billing teams and traditional medical billing companies. Traditional medical billing companies lack the specialized knowledge required for molecular diagnostics, often resulting in revenue leakage. The dynamic nature of molecular billing necessitates continuous adaptation to changing regulations and coding practices, whereas most medical billing companies are largely focused on other high-dollar claims such as surgeries.

Phytest specializes in molecular lab billing services to help empower OB/GYN practices with new revenue from molecular lab tests without the need for their own in-house high-complexity laboratory.

The Impact of Molecular Laboratory Billing Services on OB/GYN Profitability

Fortunately for patients, advancements in genetic testing technology have also led to significant cost reductions in NIPT and carrier screening tests. Unfortunately for OB/GYN practices, none of the reimbursement from the growing utilization and volume of these tests go to their clinic without the right genetic lab billing partner.

What makes molecular lab revenue cycle management services even more critical is the high reimbursement value of these tests. When done right, they can significantly impact a practice’s bottom line. When done wrong, they become a liability.

Below is a outlining typical reimbursement rates for NIPT and Carrier Screen tests, along with their typical reimbursement rates to third-party labs. These figures represent estimates based on national averages and may vary based on region, payer contracts, patient coverage, and specific lab agreements.

As OB/GYN practices outsource their genetic tests to third-party labs, the laboratories typically handle the entire billing cycle for those lab claims including profiting the entire reimbursement for those tests. Phytest can help strengthen OB/GYN profitability by helping capture the revenue from these tests while also managing their lab bill.

Practices That Can Boost Their OB/GYN Revenue with Molecular Lab Billing Services

Practices working with Phytest have seen significant new income from tests they were already performing but not billing for. Our molecular laboratory billing services are particularly well-suited for:

• OB/GYN practices that offer prenatal genetic screening
• Clinics offering hereditary cancer risk panels
• Providers involved in fertility counseling or high-risk obstetrics

By optimizing the molecular lab revenue cycle, Phytest helps practices reduce their reliance on third-party lab profits and increase their own. That means more autonomy, better resource allocation, and higher margins on tests that directly benefit your patients.

 RELATED ARTICLE: Revenue Opportunities for OBGYN Profitability

Phytest’s Genetic Lab Billing Services: A Revenue-Ready Solution for OB/GYNs

Phytest offers genetic lab billing services tailored to OB/GYN practices that perform or coordinate high volumes of molecular testing. Whether you’re sending out NIPTs, carrier screens, or cancer risk assessments, we help you unlock the revenue your clinic deserves.

What sets our molecular lab billing services apart?

• No disruption to your workflow.
• 27+ years of experience billing exclusively for laboratory claims – including genetic tests.
• No upfront cost: We don’t charge anything to get started.
• Our model aligns with your success: the more net we help you collect, the more valuable the partnership becomes.
• Collect more in-network claims: Leverage your practice’s contracts with payers you are already in-network with. Typical genetic testing reference labs are mostly out-of-network.

We don’t just bill—we become your long-term partner. Phytest offers a unique model where OB/GYN practices can capture revenue from their ancillary laboratory services without investing in lab buildouts, staffing, or companies that give empty promises on molecular lab billing expertise.

Our mission is simple: to help OB/GYN clinics thrive in the genetics era by turning testing into a profitable, sustainable part of practice operations.

Don’t Leave Genetic Lab Revenue on the Table

Genetic testing is already a key part of OB/GYN care. Now it’s time to make it a key part of your practice revenue. Phytest’s genetic lab billing services and molecular lab billing services are built to help you capture income from NIPT and Carrier Screening tests you’re already ordering. It’s a smarter way to operate in a world where genomic medicine is only becoming more central to women’s health.

Ready to capture revenue from your genetic testing? Contact Phytest to learn how our molecular billing services can work for your increase your OB/GYN practice profitability.