Pathology RCM
&
Specialized Laboratory Billing Services

Mastering complex CPT modifiers, molecular diagnostics, and Professional/Technical (PC/TC) component split reconciliation

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Molecular & Clinical Expertise
PC/TC Split Billing
HIPAA Secure Workflow

Specialized Revenue Cycle Management
for High-Complexity Labs

Independent laboratories and pathology practices face some of the most intricate billing challenges in modern healthcare. From managing strict Medicare compliance rules to handling massive volumes of lower-dollar claims, generic billing systems inevitably lead to severe revenue leakage.

Key Areas of Operational Expertise

Automated Front-End Scrubbing

Instantly cross-referencing National Correct Coding Initiative (NCCI) edits to stop unbundling rejections before submission

Molecular Diagnostics & PLA Codes

Rapid adaptation to dynamic CPT coding sets for high-complexity laboratory panel validation

PC/TC Component
Splits

Absolute precision when handling Modifier 26 and Modifier TC based on facility vs. independent clinical settings

Ready to Optimize Your Lab Revenue?

Stop losing money to unbundling errors and technical component denials. Let our pathology experts perform a free billing audit.