Pathology Billing

Pathology Billing and Pathology Coding Solutions

Pathology groups and labs face unique challenges in today’s healthcare environment. Pathology has unique needs, requirements, and priorities. At the same time, the group and lab have obligations to patients and, hospital partner(s) and, increasingly, other stakeholders.  Among other implications, this means that pathology billing becomes more complex every day.

At AdvantEdge, we recognize these challenges and work with the group and lab, as a business partner, to solve them. We take pride in being more than a billing company: our pathology billing and coding solutions enable you to be successful today and in the future.

So whether you need assistance with a coding project now or a complex ACO reimbursement solution for the future, we have the resources ready to help.

Customized Pathology Billing, Coding and Practice Management Solutions

Your practice, lab, and hospital require a pathology billing process tailored to your precise needs. Our solutions include:

  • Technical capabilities to easily interface with your LIS, ADT, EMR, and other systems
  • Dictated pathology reports are translated directly to the proper coding with exceptions coded by our certified coders
  • Flexible processes that adapt to your workflow with special attention to when and where your staff and physicians want to be involved
  • A complete range of practice management services, if you need them
  • ClientFirst service: our staff are available with answers whenever you need them

Billing Performance that Matters: Results, Results, Results

You expect your pathology billing partner to deliver strong collections, every day. The core AdvantEdge systems and operating processes have a relentless focus on this mission. Results can be seen in metrics such as Net Collections Rate (mid to high 90’s), Days in A/R (low 30’s), Days over 120 (under 10%), and Bad Debt percentage (under 3%). More important, however, are the results that show up in your bank account: monthly cash collected. AdvantEdge clients see more cash, with increased consistency of cash flow.

Pathology Billing Results and Information

Practices and hospitals require increasing amounts of information from their coding and billing and know that information needs are escalating every day. In today’s world, that means Merit-based Incentive Program (MIPS) measures, hospital quality metrics and, often, ACO parameters. It is clear that clinical quality and outcomes measures and payment information must be linked together—and not just for your group or lab but for your group in partnership with your hospital(s), referring physicians and payors.

In this environment, practices, labs, and hospitals need business partners whose services include comprehensive business intelligence such as dashboards, data analytics, drill-downs, and, most importantly, the flexibility to adapt to the evolving requirements.

Unlike other pathology billing companies, AdvantEdge is also a technology company. That allows AdvantEdge to adapt rapidly to changing regulatory and customer requirements. And it empowers our clients with leading business intelligence through our InfoEdge reporting, dashboards, and analytics.

Pathology Billing Partner

Our experience proves that the best pathology billing results occur when there is a strong partnership between your team and our team. This means communications, information sharing, and complete transparency. We encourage and expect our customers to be involved in as much of the process as they wish. At the same time, we want to remove administrative burdens from your practice, lab, and providers (learn more about pathology practice management services). We work with each client to achieve the right balance. We look forward to partnering with your pathology practice!

Call us at 877 501-1611 to learn more.

Pathology Billing White Papers: