Independent labs process thousands of accessions daily. One systemic coding error can cost millions. We engineer high-throughput billing systems that eliminate denials and capture every dollar of revenue.
Unlike standard physician billing, laboratories face extreme claim volumes, complex prior authorization requirements, and rapidly shifting payer policies regarding molecular and genetic testing (MOLdx). Your revenue cycle must be built to handle massive scale without sacrificing granular accuracy.
Routine blood work, chemistry panels, and urinalysis require highly automated submission workflows. We implement bulk claim scrubbing and high-speed electronic submissions that drop right to the bottom line.
NGS, PCR, and pharmacogenomics face the highest denial rates in the industry. We navigate Z-Code registries, MOLdx guidelines, and strict medical necessity requirements to ensure these high-value claims are paid.
Presumptive and definitive drug testing faces intense payer scrutiny. Our coding teams ensure proper documentation of medical necessity and strict adherence to specific limits on panel sizes.
Complex surgical pathology, cytology, and flow cytometry. We manage the delicate balance of technical (TC) and professional (PC) component billing to ensure both the lab and the pathologist are fully reimbursed.
High-volume respiratory and pathogen panels require agility. We keep your systems instantly updated with the latest CPT codes and emergency use authorizations to prevent sweeping denials.
A laboratory's financial health is determined at the moment of accessioning. We integrate directly with your LIS to capture clean data and eliminate downstream denials before they happen.
We build bidirectional interfaces with your Laboratory Information System. The moment a specimen is accessioned, demographic and insurance data is scrubbed and verified automatically.
Labs frequently receive requisitions with missing ICD-10 codes. Our team proactively chases down ordering physicians to acquire valid diagnosis codes to prove medical necessity.
Every test is passed through an automated rules engine to verify it meets Medicare's National and Local Coverage Determinations based on the provided diagnosis.
When claims are denied, our lab specialists appeal immediately. We also handle clean, compliant patient statement generation and customized client billing for facility accounts.
Stop letting high-volume claim denials erode your margins. Let Probiz implement an enterprise-grade billing system built specifically for the demands of the modern laboratory.
Schedule a Lab Billing ConsultationWe combine certified expertise with proprietary technology to deliver unmatched revenue cycle performance.
Our advanced rules-based scrubbing engine runs every claim against millions of payer-specific rules before submission, practically eliminating front-end rejections and accelerating your cash flow.
We don't use generalists. Your account is managed by specialty-specific certified coders who understand the nuances of your exact clinical discipline, ensuring maximum compliant reimbursement.
Stop waiting for end-of-month reports. Our proprietary BI dashboards give you real-time visibility into collection rates, A/R aging, and denial trends.
We work seamlessly within your existing software via secure, HIPAA-compliant VPNs. Zero data migration required, and zero disruption to your clinical workflow.
Switching billing partners shouldn't disrupt your cash flow. Our meticulously engineered onboarding process ensures a smooth, parallel transition.
We establish secure remote access to your EHR/PMS and map your existing workflows without interrupting your current team.
We audit your past claims to identify immediate revenue leakage, coding errors, and systemic denial trends.
Our rules-based scrubbing engine is programmed with your specific payer matrix and local coverage determinations to prevent future denials.
We take over day-to-day operations, instantly applying our optimized workflows to accelerate your cash flow and reduce days in A/R.
Common questions about our process, integration, and security.
