Molecular Laboratory Billing

Genetic testing is a rapidly developing field and one of the things that make medical billing so complicated is that the billing codes just can’t keep up. Molecular testing is providing answers to ever more questions and helping physicians make important decisions, but it can be expensive, so insurers are resistant to approving tests. To be successful at molecular lab billing, you have to know the billing codes, but also have experience with all the details that must be included. It also helps to have experience working with insurers. A claim that is denied or rejected needs to be appealed, and there’s a much better chance of getting paid for it if your biller knows just what to tell the insurer to establish medical necessity.

The sure ways solutions offers specialized molecular, genetic, and diagnostic laboratory billing services to ensure claims are properly coded and submitted in a timely manner and with all supporting documentation. Our certified medical billing specialists are experts at what they do, and they stay on top of all changes to CPT codes. Our specialized knowledge and experience mean we submit accurate claims the first time and see increased collections on A/R accounts. Constant changes in the field mean the CPT codes update regularly, making it difficult for in-house billers to keep up with the latest changes. In some cases, one code can be applied to ten different genes, but in others the gene isn’t specified so the claim has to be billed with an unlisted code. On top of that, there is another layer of management to deal with in the MolDX organizations and coding requirements.

Over the last decade, The sure ways solutions has grown its expertise in ambulatory surgery medical billing and coding, and expanded into all aspects of medical revenue cycle management (RCM). Our steady growth and successful track record are due in large part to having developed procedures that all of our highly trained staff follow to ensure that every client receives the same excellent ambulatory services. We submit accurate codes in agreement with CMS guidelines to help you achieve maximum revenue.

Medical billing codes change annually, and various payers and insurers change their policies on an ongoing basis. Functioning effectively in today’s medical billing and coding environment requires use of the latest EHR/EMR software and technology. Our ASC billing company works closely with programmers and security developers to ensure that our software is always up to date and our system protects patient information at the highest security level available.

The sure ways solutions is an industry leader and trusted name in medical accounts receivable collections because we know how to get results. Our mastery of complex medical coding and AR management services sets us apart. But it’s our breadth of knowledge that allows us to shine. Our medical billing company successfully serves healthcare facilities of all types and sizes, and we specialize in medical billing for physicians, laboratories, radiology & imaging centers, and hospitals. We know it’s difficult to remain entirely focused on patient care when you’re worried about your bottom line. If you’re spending valuable time and energy trying to diagnose finances, then perhaps it’s time to enlist the aid of a professional medical billing company like The sure ways solutions.