Laboratory Billing Services
As a clinical or diagnostic laboratory, you need a billing partner who understands the complexities of laboratory billing, coding, and compliance. At Go Medical Billing, we provide a comprehensive Laboratory Billing Solution tailored to diagnostic labs, pathology labs, molecular testing labs, and toxicology labs.
We specialize in end-to-end revenue cycle management (RCM) for laboratory services—ensuring accurate coding, timely claims submission, and maximum reimbursement for the services you provide
The Challenges of Laboratory Billing & Collection
Billing for laboratory services requires accurate coding, regulatory compliance, and expert claims management to ensure proper reimbursement and minimize denials. Due to the wide range of diagnostic tests and ever-changing payer guidelines, many labs face challenges like claim rejections, delayed payments, and underpayments.
The Challenges of Laboratory Billing & Collection
Clinical Laboratory Billing
We handle billing for routine blood tests, urinalysis, and other diagnostic tests commonly performed in clinical labs. Common CPT codes include 80053, 81001, and 84443.
Pathology and Cytology Billing
We manage coding and billing for anatomical pathology and cytopathology services, including biopsies and pap smears. Common codes billed include 88305, 88142, and 88312.
Molecular and Genetic Testing Billing
We assist with billing for high-complexity tests such as PCR, genetic screening, and cancer panels. We handle complex coding like 81479 (Unlisted molecular pathology procedure) and 87635 (SARS-CoV-2 COVID-19).
Toxicology and Drug Screening Billing
We process claims for urine drug tests (UDT), oral fluid drug tests, and confirmation tests, ensuring compliance with CMS and payer policies. Relevant codes include 80307, G0480–G0483, and G0659
Integrated EMR & Billing for Laboratories
Go Medical Billing delivers a complete suite of lab billing services tailored to pathology, molecular, toxicology, clinical labs, and more. We optimize every step of the billing cycle to reduce errors, speed up reimbursements, and maximize your profitability.
Our Services Include:
Order-to-Bill Integration
This process links the physician’s test order directly to the billing system. Once a lab order is entered, the system pulls required patient data, test codes, and provider details to auto-generate billing information, reducing manual errors and speeding up claims creation.
Results Portal
A secure online portal that allows labs to upload and share diagnostic test results with healthcare providers and patients. It ensures HIPAA-compliant access, real-time result delivery, and the ability for clinicians to make quick decisions based on lab data.
Claim Scrubbing
Before submission, each claim is scanned for missing fields, invalid codes, mismatched patient information, or insurance errors. Scrubbers cross-check claims against payer-specific rules to minimize denials and maximize first-pass acceptance rates.
Patient Eligibility Verification
Before a test is performed, the system checks the patient’s insurance details to confirm active coverage, plan benefits, and test eligibility. This step prevents claim denials due to inactive insurance or non-covered services.
Accurate CPT/ICD-10 Coding
Lab services and diagnoses are assigned precise CPT and ICD-10 codes based on medical necessity and documentation. Accurate coding ensures compliant billing and increases the chance of full reimbursement from payers.
Electronic Claims Submission
Once coded, claims are submitted electronically through clearinghouses to insurance companies. This accelerates processing, reduces paperwork, and enables real-time tracking of claim status.
Denial Management & Appeals
If a claim is denied, the billing team identifies the root cause—whether it’s coding errors, lack of documentation, or coverage issues—and takes corrective action. Valid claims are appealed with supporting documents to recover lost revenue.
Payment Posting & AR Follow-up
Once payments are received from payers or patients, they are posted to the system accurately. Unpaid or underpaid claims are tracked through accounts receivable (AR) follow-up to ensure full collections and maintain healthy cash flow.
Client Success Stories
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We’ve been with Go Medical Billing for over a year now, and it’s been such a relief. Their team took over our billing and cleaned up so many of the issues we were having. They’ve been kind, patient, and always willing to explain things when I didn’t understand. It feels like we finally have a partner we can trust.
Jessica M. Office Manager, HeartWell Cardiology