Pathology Medical Billing Services

Support clinical medical specialties seamlessly while we handle your pathology medical billing administration needs all across the United States.

NEED FOR CHARGE ENTRY AND SUBMISSION

Care MSO relies heavily on the charge entry process. It determines the amount of compensation received by the provider from the insurance payer. The charges from the coded documents must be inputted accurately, and a skilled, experienced individual must carry out the process.

Suppose the charges are incorrect or any element of the document is incorrect. In that case, the entire process will most likely have to be restarted.

Why Outsource Your Pathology Medical Billing?

Pathology needs require a clinical eye and consistent attention to get the best possible results for a variety of different medical specialties. This means that in-house billers and coders come with overhead costs such as salaries, benefits, software, and training. Most newer pathologists are unable to handle these costs, and that is where outsourcing your pathology medical billing to us at CareMSO can be the perfect solution.

We aim to help pathology clinics across the 50 states in the United States, save costs and investment on scalability by providing medical billers and coders specifically designed for the billing needs of pathologists. This will allow you to focus more on patient care and core business activities, leaving billing expertise to us

ADVANTAGES OF PATHOLOGY BILLING SERVICES

The advantages of a Pathology Medical Billing Solution are manifold, offering a range of benefits to pathology laboratories and practices. Here are some key advantages:

Precision in Coding
Pathology medical billing solutions ensure accurate and compliant coding for diagnostic tests and laboratory procedures. This precision reduces the risk of claim denials and helps maximize reimbursement.
Revenue Optimization
By minimizing billing errors and improving reimbursement rates, pathology billing solutions contribute to revenue optimization. Laboratories can achieve better financial outcomes and improve their overall profitability.
Streamlined Workflow
The integration of billing solutions into pathology practices streamlines workflow processes. It enhances overall efficiency by automating routine tasks, allowing staff to focus on delivering high-quality diagnostic services.

Efficient Claims Submission
These solutions streamline the claims submission process, reducing delays and ensuring timely reimbursement. Automated systems can quickly submit claims to insurance providers, minimizing the time between service delivery and payment.
Compliance Assurance
Pathology billing solutions are designed to stay abreast of the latest healthcare regulations and compliance standards. This ensures that billing practices align with industry requirements, reducing the risk of audits and penalties.
Financial Transparency
Pathology billing solutions provide insights into financial performance through detailed reporting and analytics. This transparency enables better financial management and informed decision-making.

Coverage Of All Pathology Procedures for Your Billing

Below are just some of the pathology billing codes that our coders have helped hospitals and solo practice navigate through, ensuring maximum revenue retention and cycle management.

Cytopathology:

- CPT Code 88104: Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation
- CPT Code 88141: Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision

Diagnosis:

CPT Code 88172: Cytopathology, evaluation of fine needle aspirate; interpretation and report
CPT Code 88173: Cytopathology, evaluation of fine needle aspirate; preparation and transmission of written report

Flow Cytometry:

- CPT Code 88180: Flow cytometry; first cell surface, cytoplasmic, or nuclear marker
- CPT Code 88182: Flow cytometry, cell cycle analysis, DNA ploidy, S phase fraction, and cell kinetics

Surgical Pathology Levels:

- CPT Code 88300: Level I – Surgical pathology, gross examination only
- CPT Code 88302: Level II – Surgical pathology, gross and microscopic examination
- CPT Code 88304: Level III – Surgical pathology, gross and microscopic examination
- CPT Code 88305: Level IV – Surgical pathology, gross and microscopic examination
- CPT Code 88307: Level V – Surgical pathology, gross and microscopic examination
- CPT Code 88309: Level VI – Surgical pathology, gross and microscopic examination

Decalcification Procedure:

- CPT Code 88311: Decalcification procedure

Special Stains:

- CPT Code 88312: Special stains (e.g., immunofluorescence), each

Consultation During Surgery:

- CPT Code 88329: Consultation during surgery; with preparation of slides

Frozen Section:

- CPT Code 88331: Surgical pathology, gross and microscopic examination (e.g., intraoperative consultation)
- CPT Code 88332: Surgical pathology, gross and microscopic examination (e.g., intraoperative consultation), each additional tissue block

DNA Ploidy:

- CPT Code 88358: Cytopathology, selective cellular enhancement technique with interpretation, cervical or vaginal (any reporting system)

Tumor Immunohistochemistry:

CPT Code 88161: Cytopathology, selective cellular enhancement technique with interpretation, cervical or vaginal (any reporting system)

Genetic Probes:

CPT Code 88165: Cytopathology, selective cellular enhancement technique with interpretation, cervical or vaginal (any reporting system)