Pathology Medical Billing Services

Pathology Revenue Cycle Services

Custom-tailored to match your organization's unique needs. 

Pathology billing is multifaceted and requires deep specialty knowledge. Healthcare organizations specializing in pathology must be diligent about logging and submitting accurate medical information to avoid costly delays throughout the revenue cycle, especially within the prior authorization and medical coding processes. Global Healthcare Resource has over 25 years of experience serving revenue cycle management companies, provider groups, hospitals, and healthcare technology platforms throughout the United States, covering nearly all specialties, including pathology. 

Pathology Medical Billing and Coding

Our pathology medical billing services seek to reduce form denials and rejections by addressing issues like:

• Incomplete or incorrect information: Insurance paperwork must be carefully documented, as even one missing field or misspelled name can result in denial or rejection.
• Unbundling: Certain processes and procedures should be coded and billed together, but without specialized knowledge of pathology and lab medical coding, they can easily be logged separately — known as unbundling. When this occurs, it can lead to more expensive patient payments and more paperwork for your organization. 
• Up and under coding: Upcoding is similar to unbundling in that it involves a reported procedure that is more expensive than the actual treatment. Under coding is the opposite — it occurs when a cheaper procedure is logged. Both upcoding and undercoding can put medical facilities at risk of being flagged for fraudulent activity.

When the highlighted errors occur, you extend the payment process, increasing your workload and reducing the likelihood of accurate compensation. Global Healthcare Resource specializes in assembling teams with distinct pathology billing knowledge who will work exclusively on your project to improve productivity and maximize reimbursement. 

About Our RCM and Call Center Services

Our comprehensive RCM solutions take the administrative work off your staff's hands so you can stay focused on your patients. Our highly trained staff is prepared to handle your:

• Medical billing and coding: Coding requires extensive knowledge of CPT, ICD-10, and HCPCS codes, which we train for prior to our partnerships. Furthermore, we will submit documentation and communicate with insurance providers for you to ensure accurate pathology billing services.
• Payment posting: We can post payments as soon as procedures are complete, expediting turnaround times and helping you receive compensation faster.
• A/R follow-ups: We will monitor your accounts receivable to correct and resubmit denied claims. 
• Patient eligibility services: We will do time-consuming work to determine a patient's eligibility for your services and proactively reduce denials. 
• Patient call center services: Your patients can schedule appointments, inquire about bills, make payments and more by calling our team. 

Choose Global Healthcare Resource

Choosing Global Healthcare Resource as your pathology billing partner garners you several outstanding benefits, including:

• Subcontractor-free services: Unlike most competitors, we do not subcontract out any work. You can count on our highly trained, in-house team members for your revenue cycle management needs.
• Vast industry experience: Global Healthcare Resource has been at the forefront of RCM outsourcing for over 25 years, making us highly experienced leaders in our industry and almost every healthcare specialty.
• Impeccably trained teams: Our team members undergo intense medical billing training through our Global Academy, ensuring they have the exact skills to deliver top-notch services.
• Heightened security and compliance: We are a HIPAA- and SOC 2 Type 2-compliant pathology billing company, guaranteeing the utmost confidentiality and highest security levels to protect your data. 

Schedule a Meeting With Our Team Today

Take control over your pathology revenue cycle management by partnering with Global Healthcare Resource. Let our team show you what we can achieve for your medical facility when you connect with us today.