Laboratory Billing Services
Our specialized laboratory billing services are designed for the unique challenges of clinical and pathology labs. We excel at managing high-volume, low-dollar claims with accuracy and efficiency. Our expertise in NCDs, LCDs, genetic testing, and molecular pathology coding ensures that your lab captures every dollar while maintaining full compliance.
Our Success in Numbers
Collection Ratio
0%
Trusted by
0+ Labs
Revenue Increase
0%
Test Types
0+
Claim Processed
Lab test accepted
Comprehensive Lab Billing Solutions & Compliance
We provide full-cycle billing for laboratories, covering everything from patient enrollment to claim submission and AR recovery. Our solutions are designed to handle the complexity of lab billing, including ICD-10 mapping, modifier usage, and compliance with evolving payer policies. We ensure your documentation supports the medical necessity of each test, preventing costly denials.
Specialized Coding for Complex Lab Tests
We specialize in coding for complex lab services, including genetic and molecular testing. Our certified coders stay up-to-date on the latest NCDs, LCDs, and payer policies to ensure accurate and compliant code selection for even the most esoteric tests, reducing the risk of audits and denials.
Eligibility Verified
Medicare Validated
Efficient Patient Enrollment & Eligibility Checks
For labs, accuracy in enrollment is crucial. We manage patient enrollment and verify insurance coverage at the point of access. Our system ensures that all payer requirements, including prior authorization for expensive tests, are handled upfront to prevent billing delays and write-offs.
Prior Authorization
Management for high-cost tests
Insurance Verification
Real-time coverage confirmation
Proactive Denial Prevention for Laboratories
Our denial prevention strategy for labs focuses on strict compliance with complex coding rules and medical necessity documentation. We use AI-powered claim scrubbing specifically designed for lab services. By proactively verifying clinical indications and payer policies, we significantly reduce denials and ensure timely reimbursement.
Who We Serve
Clinical & Pathology Laboratories
Genetic & Molecular Testing Labs
Hospital Outpatient Labs
Independent Reference Labs
Physician Office Labs
In Association With
Denials Management Services We Provide
Our denials management for labs includes deep knowledge of payer-specific policies for laboratory services.
EHR/EMR Systems Expertise
We utilize EHR data to substantiate medical necessity, especially for complex tests, during the appeals process.
Care Coordination Software
We integrate with care coordination tools to track and bill for services related to complex diagnostic workflows.
RPM Platforms Management
We support billing for remote patient monitoring data analysis if it is tied to laboratory services.
Billing & Coding Software
We use advanced billing software tailored for high-volume claims, ensuring fast and accurate submissions.
Why Choose SoftbeckMedicare for Laboratory Billing?
Specialized expertise in lab-specific CPT and ICD-10 coding
Deep understanding of NCDs, LCDs, and payer coverage policies
Proven strategies for managing high-volume claims accurately
Aggressive denial management with a high success rate
Advanced technology for clean claim submission
Focus on maximizing reimbursement for molecular and genetic testing
What Our Clients Say About Working With Us
Responsive
“SoftbeckMedicare, as our medical billing company, has reduced our claim denials by up to 20% and resolved all of our billing challenges, including prior authorization and credentialing. We have regularly scheduled weekly meetings with them, and they have been very responsive and courteous during the calls.”
Doctor Godfrey Mensah
Co-Founder, AW Care