Laboratory Billing Services: the magic potion for lab's profitability
Our laboratory billing service offers customized solutions for pathologists to improve their revenue cycle, including coding, billing, collections, and reporting, resulting in faster payment and fewer denials.
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Specialized Clinical & Pathology Laboratory Billing Solutions
Our laboratory billing service offers customized solutions for pathologists to improve their revenue cycle, including coding, billing, collections, and reporting, resulting in faster payment and fewer denials.
We optimize instrument utilization and reduce downtime by providing timely billing and reimbursement for your tests and services.
- 98% First-Pass Clean Claims: Multi-tiered pre-submission scrubbing eliminates payer rejections before delivery.
- AAPC & AHIMA Certified Coders: Specialty-fluent coding safeguards clinical documentation and audit compliance.
- Aged AR Resolution: Relentless appeals and follow-up on claims aged 60, 90, and 120+ days recapture lost revenue.
Key Performance Indicators
Our track record across healthcare providers nationwide speaks for itself:
End-to-End Practice Management Solutions
Every element of our clinical billing service is crafted to eliminate delays, protect cash flow, and ensure HIPAA compliance.
High-Volume Requisitions
Automated electronic requisition parsing handles tens of thousands of diagnostic test orders monthly with zero backlog delays.
Molecular Diagnostics
Accurate CPT coding for PCR pathogen panels, genetic sequencing, and specialized molecular tests meeting strict payer rules.
Clinical Toxicology
Definitive and presumptive drug screening billing compliant with CMS guidelines, defending against arbitrary carrier denials.
Pathology Billing
Split technical and professional component billing for surgical pathology, biopsies, cytology, and immunohistochemistry stains.
Standing Order Compliance
Built-in validation checks patient requisitions against active standing doctor orders and ICD-10 medical necessity criteria.
Client & Direct Billing
Flexible billing infrastructure supports third-party insurance, patient direct-pay, physician client accounts, and hospital billing.
In-House Billing vs. NovaMedex Partnership
Compare the costs, risks, and performance between conventional in-house billing and our outsourced billing model.
In-House Billing
- High staffing costs: salaries, health insurance, 401(k), and paid time off.
- Turnover disruptions: claims stall when billing staff leaves or takes sick leave.
- Expensive software licensing, clearinghouse fees, and continuous IT support.
- High denial rates (10-18%) due to lack of specialty-certified coding expertise.
- Slow aged AR recovery: old unpaid claims often written off as bad debt.
With NovaMedex
- Low, all-inclusive 2.49% fee based entirely on collections. You pay only when you get paid.
- Uninterrupted continuity: team of certified backup billers eliminates staffing risk.
- Free cloud EHR, PMS, and clearinghouse connection included at zero cost.
- 98% first-pass clean claim acceptance with certified AAPC medical coders.
- Dedicated AR recovery team relentlessly appeals and recovers aged claims.
Frequently Asked Questions
Common questions healthcare practices ask when partnering with NovaMedex.
Our onboarding team can fully integrate with your practice in as few as 5 to 7 business days. We coordinate EDI enrollments, software setup, and staff workflow orientation smoothly without disrupting your daily patient care.
No. While we provide free cloud EHR and PMS software, our certified billers and coders are experienced across all major healthcare EHRs including Epic, Cerner, eClinicalWorks, Athenahealth, Kareo, NextGen, and AdvancedMD.
Our transparent medical billing fee starts at just 2.49% of monthly collections. We do not charge upfront onboarding fees or software license fees. We only earn when you receive reimbursement.
Every rejected or denied claim is reviewed within 24 to 48 hours by our specialized denial management team. We perform root-cause resolution, correct coding or demographic issues, and submit formal payer appeals immediately.
Yes. All NovaMedex operations, cloud infrastructure, and data handling protocols adhere strictly to HIPAA and HITECH security standards with full 256-bit encryption and signed Business Associate Agreements (BAAs).
Ready to Accelerate Your Practice Collections & Eliminate Denials?
Connect with a senior NovaMedex revenue cycle consultant for a free, comprehensive billing audit and revenue projection.