Boost your pathology lab revenue with efficient billing and coding services. Our APPC-certified experts streamline your billing process, ensuring accurate and timely reimbursements to support your growth.
Nexus io provides comprehensive revenue cycle management services to ensure your pathology practice achieves a 30% faster reimbursement rate, reduces administrative burdens, and maximizes profitability. With assistance from our dedicated team of pathology billing experts and analysts, we will strengthen your billing process through no payment delays, recover lost revenue from old A/R accounts, and increase financial stability.
Our pathology billing service include:
Collection Ratio
Revenue Growth
States Served
First Pass Claim Ratio
Coding for pathology practices, labs, and groups comes with unique challenges that require specialized expertise. Billers and coders must possess in-depth knowledge of pathology subspecialties such as Molecular Labs, Clinical Labs, Hematology, and Dermatology to submit and collect claims effectively.
Navigating the coding complexity for subspecialties labs is easier with our AAPC-certified coders and billers. We ensure every bill is submitted accurately, with the correct information, codes (CPT, ICD-10, HCPCS), and modifiers applied to each lab procedure, guaranteeing proper reimbursement and compliance.
Clean Claims Rate
Reduction in A/R
Coding Accuracy Rate
Achieve a high MIPS score to enhance overall profitability and performance in your healthcare practice
We specialize in improving your lab’s MIPS performance by ensuring compliance with CMS’s quality, cost, and improvement benchmarks to maximize incentive payments.
Through detailed performance tracking and reporting on key quality metrics, we help identify opportunities for improvement and drive higher reimbursement rates.
By managing costs and enhancing care quality, we prepare your lab to thrive under value-based care models and achieve long-term financial growth.
We provide 24/7 support for all pathology billing and revenue cycle services. Whether your lab handles biopsies, cytology, molecular diagnostics, or clinical lab testing, our team ensures precise CPT and ICD-10 coding with prompt and compliant claim submission.
We help reduce denials, manage specimen-based documentation, and streamline billing for both technical and professional components. Each service aligns with payer-specific policies and compliance standards for pathology practices.
Our pathology billing specialists handle the complexity so your lab can stay focused on delivering accurate and timely diagnostic results.
Managing lab documentation and reporting is essential for maintaining accuracy and operational efficiency. In healthcare organizations, where every detail matters, from patient data to test results and accurate billing codes, everything must be documented correctly to avoid costly errors, claim denials, and reimbursement delays.
Our expert laboratory billing service ensures that each document is up-to-date and complies with the latest regulations. It enhances overall communication with providers and insurance companies, ensuring timely and accurate claims submission.
At Nexus io, we provide cost-effective pathology medical billing services to manage every claim of your lab to enhance financial profitability and reduce administrative burden.
Our medical billing services proactively address and identify billing issues and errors to ensure every detail is accurately billed before submitting the claim. Our pathology lab billing services prioritize patient privacy and fully comply with HIPAA, CMS, and all relevant regulations, to protect patient data at every stage of the billing process.
Struggling with complex lab coding, documentation gaps, or delayed reimbursements? Our pathology billing specialists ensure accurate CPT and ICD-10 coding for lab tests and procedures, submit clean claims, and follow payer-specific rules to optimize reimbursements and reduce denials.
Click “Get Demo” to see how we improve your pathology billing performance, fill out the form and our lab billing specialists will connect with you within 12 hours.
Can Nexus io manage complete pathology lab billing?
Nexus io is a full-service pathology billing company managing the complete billing cycle for pathology labs. Our pathology medical billing services cover coding, eligibility checks, pathology claim submission services, denial resolution, payment posting, and performance reporting to keep your lab’s revenue cycle at its best.
Can Nexus io help with pathology credentialing?
Yes. We provide credentialing support as part of our healthcare RCM for pathology labs. This includes enrolling providers with payers, managing re-credentialing, and ensuring compliance with all network participation requirements.
How does Nexus io help interpret the Explanation of Benefits?
Our pathology billing services include detailed EOB analysis to identify payment discrepancies, contractual adjustments, coinsurance amounts, and reasons for denials. This helps labs take corrective action and recover underpaid claims.
How does Nexus io handle coinsurance in patient billing?
We calculate patient coinsurance based on payer contracts and EOB data. Our pathology medical billing services ensure accurate patient statements and follow-up to maintain transparency and improve collections.
How does Nexus io manage write-offs in pathology billing?
We review all potential write-offs through our pathology lab revenue cycle consulting process. This ensures contractual adjustments are applied correctly and non-contractual write-offs are minimized to protect revenue.
How does The Nexus io ensure HIPAA compliance in billing?
As a trusted pathology billing company, we use HIPAA-compliant systems, encrypted data transmission, role-based access controls, and secure storage. Our team follows strict privacy protocols across all pathology claim submission services and RCM workflows.
Nexus io is always here to assist you in exploring how our revenue cycle management services can benefit your practices and administrative staff. Reach out to us by simply filling out this quick form, and one of our billing experts will contact you in 12 hours.
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