Pathology Billing Service
TRCB is laser-focused on your revenue cycle, so you can be laser-focused on the origins of the diseases. Our end-to-end pathology billing services effectively manage and streamline the billing processes for small-to-large pathology laboratories nationwide. Partner with us to unlock proven RCM solutions.
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Results-Driven Pathology Billing Service
< 30
Days in AR
25-30%
Revenue Increase
97%
First Pass Ratio
96%
Collection Ratios
98%
Clean Claims Rate
Overview of Pathology Billing Service
Staff shortages, reduced reimbursements, medical inflation, and stricter regulations all threaten the financial health and success of both managed and independent pathology practices. But these challenges can be reversed. Labs and diagnostic centers that outsource pathology billing services let professionals manage the full revenue cycle.
From accurate billing and coding to provider credentialing and performance reporting, third-party RCM experts like TRCB handle the complexities — boosting operational efficiency and strengthening the bottom line.
Common Challenges in Pathology Billing
From Medicare and Medicaid to private and commercial insurance payers, all rely on automation for the initial processing of medical claims. Their systems are built to detect and trigger denial codes when information is incomplete, inaccurate, doesn’t support medical necessity, or reports a non-covered service.
In the post-Theranos era, non-compliance isn’t just a mistake — it’s treated as fraud. Legal action can destroy the reputation and survival of a pathology practice. Pathology billing specialists must navigate these pitfalls carefully to minimize missed or denied payments and protect cash flow.
Documentation Errors
Documentation errors or gaps are a recurring problem in pathology medical billing. Pathology labs handle a high volume of diagnostic tests, screenings, and examinations every day. With claims processed and submitted in bulk, typing mistakes and missing reports or referral letters become common — and costly.
Uncovered Tests
Many pathology tests are not covered by government and private insurers. For example, Medicare does not cover routine blood tests, hormone tests and wellness screenings. Similarly, specialized pathology tests like genetic testing, experimental screenings and on-FDA-approved diagnostic procedures are also uncovered. Insurance payers straight-up refuse reimbursements for uncovered services.
Regulatory Non-Compliance
You will face consequences, whether it is your fee schedule, code reporting, claim creation, additional document submission, or practice management that is non-compliant with federal / state laws, industry regulations or payer policies,. Minor instances of non-compliance result in claim denials, while major ones lead to lawsuits and financial penalties.
Underpayments
Whether it is because of Medicare budget cuts or the hospital's contract with the insurance payers, pathologists are frequently underpaid for their services. They reduced reimbursements adversely affect the pathology practice's revenue cycle, making it difficult to cover overhead costs and improve the facility's day-to-day operations.
Outsource Pathology Billing Services to TRCB
You are the bridge between science and medicine, while we are the bridge between pathology services and accurate reimbursements. From the very first day of taking over your accounts, our efforts are directed towards increasing your clean claim submissions, obtaining higher reimbursements, reducing bad debts, and improving the financial performance of your pathology practice.
We work as an extension of your team. Our affordable and customizable pathology billing services include accurate coding, effective practice management, timely follow-ups, and reporting for holistic revenue cycle management (RCM). By choosing TRCB as your trusted pathology billing partner, you get instant access to experienced billers and coders, tech-driven RCM solutions, and industry-compliant medical billing services.
Increased Focus on Patient Care
Accurate Billing and Coding
Cost Effectiveness
Human-Tech Hybrid
Scalable Solutions
Efficient denial management and resolution.
100% HIPAA Compliance
Trustworthy Team
Serving Pathology Practices Nationwide
TRCB leverage remote operability and virtual systems with our reliable and customized pathology billing services coast to coast, serving most to the least accessible pathology practices. Our certified professional coders and medical billing experts use their deep understanding of local regulations and industry guidelines to file clean claims, fight denials, and foster revenue. Contact us and transform your pathology practice with a company with an experience that counts.
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Competitive Pricing Guaranteed
Receive your reimbursements at the lowest prices! TRCB provides pathology billing services at some of the most competitive rates in the market. Enjoy customizable solutions! Contact us to get in touch now.
Frequently Asked Questions
Answers To Common Questions
What makes TRCB the best outsourcing choice for pathology billing services?
TRCB is the perfect choice for pathology billing services. This partnership means working with a team of experts who utilize automated and scalable pathology billing solutions to file government and payer-compliant claims, we are at the top of our game.
How much does it cost to outsource pathology billing services to TRCB?
TRCB's pathology billing services are pocket-friendly, allowing you to improve your cash flows without breaking the bank. We only charge a small portion of your total monthly collections.
What are benefits of outsourcing pathology billing services?
Outsourcing pathology billing services offers the following benefits:
Reduced Operational Costs
Access to Experts Staying Abreast with Modern Technology
Patient Satisfaction
Revenue Growth
100% HIPAA Compliance
Data Protection
What is the most challenging aspect of pathology billing services?
Maintaining accuracy during coding is the most challenging aspect of pathology medical billing. The CPT code sets for pathology include several services and procedures like clinical pathology consultations, molecular pathology services, surgical pathology examinations, lab tests, and more. Coding these tests and procedures to the highest level of specificity is a complex task. Moreover, the American Medical Association (AMA) revises the code sets annually, so keeping up with the additions and deletions adds to the difficulties.
TRCB provides VIP, white glove revenue cycle management for healthcare organizations to maximize your revenue, reduce denials, and ensure faster reimbursements.
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