Pathology‑Specific Charge Capture
- Surgical pathology logging (specimen adequacy, block/part counts)
- IHC panel settlement (stain vs. interpretation matching)
- Molecular test tracking (81479 unlisted codes)
Specialized billing solutions for pathology labs and diagnostic centers to minimize claim denials, streamline coding accuracy, and maximize timely reimbursements.
Pathology practices are not comparable to other specialties in terms of their technical vs. professional component splits, high laboratory volumes, Medicare technical fee schedules, and payer-specific requirements regarding surgical pathology, cytopathology, and molecular diagnostics.
Acuity Health Solutions provides pathology medical billing services in the United States that assist pathology groups and independent labs to maximize reimbursements by ensuring accuracy in coding and denial avoidance. Being the leading pathology billing company in USA, we offer a multifaceted pathology RCM service as an anatomic, clinical, and molecular pathology workflow.
Pathology billing demands experience in various sources of revenue and payer specifications:
Lab processing charges (CPT 88300-88309 surgical pathology) Automated IHC staining (88342-88344) Flow cytometry (88182-88185) Molecular diagnostics (81403-81479)
Pathologist interpretation (‑26 modifier) Gross description documentation Microscopic evaluation levels
Medicare MPFS: Pathology technical prices are limited by PFS. Private payers: Differing reimbursement of Level IV/V surgical pathology. Hospital‑lab splits: 60/40 revenue sharing agreements
Our pathology RCM service has a well-organised workflow that is optimised to bill a high number of lab results:
Certified pathology coders manage:
TC/PC Split Accuracy: 99.5% modifier compliance
Common Pathology Denials We Fix:
Pathology Medical billing services in the USA for hospital-based and reference labs handling surgical specimens, frozen sections, and cytopathology.
Management of chemistry, hematology, microbiology and coagulation panel pathology revenue cycle.
Specialty pathology RCM service to NGS panel, companion diagnostics, and hereditary cancer testing.
Billings’ research grants, Autopsy, and case coordination.
Key Metrics Achieved:
Epic Beaker, Cerner CoPath Sunquest, PowerPath Custom HL7 interfaces for specimen tracking
Claim status by specimen type Analytics on TC/PC revenue split. CPT Code payer performance.
The Acuity Health Solutions is the best solution to the top pathology medical billing services in USA denials:
The majority of the most Frequent Pathology Denials:
Outcome
82% denial recovery rate, which saves A/R days by 25-30 days throughout the pathology groups in the country. Our pathology RCM service converts the denials into a revenue loss into a revenue recovery.
Free pathology billing performance: Introduce yourself to a free analysis of your 10 most frequently used CPTs, denial rates, and payer mix. Live within 30 days.
Contact Acuity Health Solutions to improve the performance of the laboratory revenue cycle at your lab and for Pathology medical billing in the United States.