Pathologist Billing

Pathologists deal every day with diverse requirements, challenges and opportunities including supervision of clinical lab work, performing anatomic studies, and taking advantage of the latest in molecular diagnostics. This diversity translates to many reimbursement and billing challenges. The professional component of clinical work is only reimbursed by selected payers and, where it is, the billing process must be highly efficient. Anatomic work remains the “bread and butter” for most pathologists but reimbursement rates are often less than they should be and under continuous pressure. Molecular testing offers great promise today and tomorrow but innovative tests are seldom reimbursed and recent “gap fill” and other steps by Medicare to eliminate “stacked” codes has generally resulted in dramatic decreases in payments. Finally, independent labs have seen the technical component of common tests reduced dramatically by Medicare.

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Given these challenges and opportunities, pathologists and their hospital partners look for a coding and billing partner with deep expertise in pathologist billing: e.g. highly efficient clinical billing, skilled coders for anatomic work who can provide accurate feedback and advice (particularly considering ICD-10), the flexibility to respond to rapidly changing requirements for molecular diagnostics, and much more.

AdvantEdge delivers personalized and skilled pathologist billing and pathologist coding services to its clients. Plus complete practice management solutions that further reduce administrative overhead and costs. AdvantEdge clients consistently achieve above benchmark collections results with net collection rates in the mid to high 90’s, Days in A/R in the 30’s and Days over 120 under 10%.

An essential element of AdvantEdge pathologist billing services is the ClientFirst philosophy.  This translates to customized workflows, responsive service, a skilled account manager dedicated to each client, feedback, education and every AdvantEdge employee focused on the group’s success. Among the benefits for clients is getting exactly the information required, anytime, anywhere. Call us now on 877 501-1611 to arrange a demonstration of the powerful AdvantEdge InfoEdge portal. It delivers HIPAA-secure reports, dashboards and business intelligence with current information to each stakeholder in your group and hospital.

To learn more, call 877 501-1611 or review our services in more detail: