Hospital-based Pathology Billing



Many pathology groups work in a hospital setting which provides unique and differentiated support  to the group. But it can also mean pathology groups face a complex environment for billing and reimbursement especially with new molecular and genetic tests being introduced on a regular basis.  This means that the nuances of hospital pathology billing and coding are critical to maximize reimbursement and minimize compliance risks.


AdvantEdge has over 30 years of experience coding and billing for hospital-based pathology services in mid-size and large hospitals. Our expert team of hospital pathology billers deal with these complexities every day, staying current with billing rules and ever-changing payer requirements. Our team communicates regularly with client physicians and staff providing information on these changes, documentation feedback, and compliance advice.

Pathology Billing Service: ClientFirst

Hospital-based pathology groups expect and depend on more than basic billing and coding. First they need responsive service to address questions and opportunities that arise. Examples include hospital discussions about payer changes in reimbursement, hospital contract negotiations and potential ACO discussions. AdvantEdge ClientFirst service responds to these needs and many more. The AdvantEdge Client Manager represents our entire company and is available at any time to answer questions as well as proactively provide information and insight to today and future healthcare challenges that could affect your practice.  Most importantly, the Client Manager is works as a partner with your pathology group.

Pathology Billing Informatics

The revenue cycle process is essential in capturing financial information about a group and its operations, productivity and quality of services.Pathology practice leaders must have easy, hands-on access to this data in the form of reports, dashboards and downloads.  Our AdvantEdge InfoEdge dashboard gives you that access, providing up-to-date information on charges, adjustments, payments, volume, A/R and more.  Log on anytime to our easy-to-use, HIPAA-secure online portal with drill-downs, downloads and flexible time frames.

Contact AdvantEdge today

The InfoEdge portal also offers InfoEdgeBI business intelligence capability. This powerful tool enables AdvantEdge client managers to quickly identify bottlenecks, analyze trends, and answer payer and client questions. It can also provide customized recurring reports, flag when any metric exceeds a threshold and much more. InfoEdgeBI is also available to clients who wish to utilize its sophistication and power.


Pathology practices looking for comprehensive billing solutions find them with AdvantEdge: consistently strong cash flow, personalized ClientFirst service and practice management information for your practice anytime, anywhere. Call 877 501-1611 today to learn more.

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