Molecular and Genetics Laboratory Billing
Molecular diagnostic testing, also known as genetic testing, are some of the higher-ticket tests within the clinical laboratory world. The more intricate these panels of tests are mean more crucial results that determine the outcome of patients’ health treatments.
Billing and coding procedures evolve with the complexity of molecular laboratory testing. This means labs need a molecular laboratory billing partner with the necessary expertise to ensure each claim is set up for 100% acceptance before the test is performed.
Let A Revenue Cycle Management Partner
Maximize Your Molecular Laboratory’s Profitability
Molecular Laboratory Billing Requires Coding Expertise
It has become more difficult identifying how molecular tests should be billed as CMS frequently gives individual or groups of up to 10 genes their own codes and corresponding modifiers. This has increased payment errors, administrative expense, compliance risks, and denials for labs. Our expertise in laboratory RCM can equip labs with a team of billing professionals and technology necessary to work with molecular laboratory billings unique codes.
Claim scrubbing software automated to detect CPT code and modifier changes against fee schedules
Real-time reporting on molecular lab’s claim management data, data by payer, data by providers, patient information data, and data by testing menu
In-house developed technology that is updated to your genetics lab’s specific chargemaster against all CMS coding requirements
Preparing Genetics Laboratory Billing Claims for 100% SuccessHigher-ticket genetics testing claims mean there’s a higher chance for the lab to not be reimbursed fully. Federal and commercial payers are adding more requirements daily to specific genetics tests as labs struggle to remain compliant, efficient, and profitable while submitting these claims. Our solutions ensure each claim has the required documentation that Medicare and other payers require before being sent.
Prior-authorization and eligibility checks
Grow your lab with
full-service revenue cycle management
Phytest’s full-service revenue cycle management solutions do more than maintain a molecular lab’s billing processes, but equip them with a team of patient-facing, technology, and account manager professionals that allow the lab to leverage additional revenue and gainful data about their lab’s performance to their advantage – and take control of their growth.
Laboratory RCM crafted to promote growth
A team of patient-facing professionals that answer all questions and increase satisfaction – making payments faster.
Automated technology that inputs patient, coding, and missing data that reduces labor and increases accuracy.
Complete management from prior-authorization, eligibility checks, and correcting denials.
Access to real-time data on customizable dashboards that provide transparent financial data that you can export any way you need.
Software & Integration
Claim-scrubbing software catered to laboratories and tools that seamlessly integrate with any LIS system.
Dedicated account managers, expert in-house developers, and a team of clinical laboratory billing specialists are available whenever you need.
Request A Molecular and Genetics Laboratory Billing Consultation
Phytest serves laboratories that have made the switch from subpar medical billing services or insufficient in-house billing. Our expertise in laboratory billing allows us to prepare individualized solutions for each client with the knowledge of the latest RCM software advances, and federal and state guidelines.
Contact our team of experts today to see how Phytest can partner with you to help your lab expand capability for growth and increase collections.