Maximize your laboratory’s revenue, reduce denials, and ensure compliance with expert laboratory medical billing services. At Dr Biller RCM, our certified team of CPCs, CMRS, CMBS, and RCM specialists provides comprehensive lab billing services designed to optimize cash flow and streamline operations for clinical, pathology, molecular, and toxicology laboratories.
In 2025, overall initial claim denials among healthcare providers remain around 11.8%, with molecular diagnostics labs experiencing rates as high as 32.9%. Many labs risk leaving 20–30% of revenue uncollected without expert billing and AR follow-up. Our laboratory billing solutions combine accurate coding, real-time claim scrubbing, and proactive AR management so your lab can meet 95%+ clean-claim rates, reduce denials, and focus entirely on patient care.
Laboratory medical billing services manage the complete revenue cycle for labs, including claim submission, coding, payer verification, and denial management. These services ensure accurate reimbursement for tests and procedures performed in clinical, pathology, molecular, and toxicology laboratories, while maintaining compliance with CPT®, HCPCS, and ICD coding standards.
By outsourcing lab billing to certified experts, laboratories reduce errors, minimize denied claims, and accelerate payments. With real-time reporting and proactive accounts receivable follow-up, lab billing services help maximize revenue, streamline operations, and allow lab staff to focus entirely on patient care and diagnostic services.
We provide customized laboratory billing solutions for all lab types, including pathology, molecular diagnostics, clinical labs, and toxicology. Our services include:
Accurate patient and insurance details are captured at the start of every workflow, preventing rejections caused by data errors. This ensures smoother billing, fewer delays, and faster reimbursements for your laboratory.
Certified billing experts provide precise CPT/HCPCS/ICD-10 coding and an advanced claim-scrubbing process that finds errors before submission. The result: fewer denials, less wasted staff time, and protected revenue.
We process every claim quickly and oversee it throughout the cycle. Each claim is tracked, with any problems addressed promptly. This approach accelerates payments and minimizes administrative burdens for your laboratory.
Our denial management identifies root causes of rejected claims and implements corrective actions. We prepare and submit appeals to recover revenue. By analyzing denial patterns, we prevent recurring issues. This systematic approach increases reimbursement rates and maximizes revenue.
We manage current and aged accounts receivable to improve your lab’s cash flow. Our team actively pursues outstanding balances, even those a year old. By reducing unpaid claims, we help recover lost revenue and provide clearer financial insights for better decisions overall.
Seamless integration with your lab’s EHR or LIS system enables accurate data transfer and streamlined workflows. Real-time reporting provides insights into revenue, claim status, and key metrics. This automation reduces errors and administrative work while keeping your lab informed.
Outsourcing laboratory billing allows labs to focus on patient care and diagnostic services while experts handle the revenue cycle. By partnering with billing specialists, labs can reduce claim denials, improve reimbursement rates, and stay compliant with CPT, HCPCS, and ICD coding standards. Outsourced billing ensures accuracy, efficiency, and a steady cash flow for laboratories of sizes.
Additionally, outsourcing provides access to advanced technology and real-time reporting. Labs gain actionable insights from dashboards and detailed KPI reports, enabling better decision-making. With expert billing teams, labs can scale operations, handle high claim volumes efficiently, and reduce administrative burdens, ensuring sustained financial health and operational efficiency.
Our proven laboratory RCM workflows improve efficiency and cash flow:
We confirm patient insurance eligibility before testing to prevent claim denials. Accurate order capture ensures all demographic and payer information is correct. This step reduces administrative errors and accelerates reimbursement timelines.
Certified specialists handle CPT, HCPCS, and ICD-10 coding to guarantee clean claims. Each claim is carefully reviewed and submitted promptly to payers. This precision minimizes denials and maximizes revenue for your laboratory.
We actively track claims and manage denials to prevent revenue leakage. Our team identifies rejection patterns and files timely appeals. Effective AR management ensures faster payments and stronger cash flow.
Real-time dashboards provide insights into claim status, revenue, and key metrics. Detailed reports help labs monitor efficiency and identify areas for improvement. Data-driven decisions enable labs to optimize revenue and operations.
At Dr Biller RCM, our certified and expert team of CPCs, CMRS, CMBS, RCM specialists, and healthcare compliance professionals delivers unmatched laboratory billing services. We provide tailored solutions for clinical, pathology, molecular, and toxicology labs, ensuring accurate coding, seamless claim submission, and compliance with CPT, HCPCS, and ICD standards. Our team efficiently handles high-volume claims, including low-dollar transactions, while staying up to date with state-specific payer rules and regulations to optimize reimbursements.
Our proven track record demonstrates measurable results for laboratories in 2025, including clean claim rates of up to 98%, reduced denials, and accelerated payments. With advanced reporting, proactive accounts receivable management, and dedicated support, Dr Biller RCM helps laboratories maximize revenue, streamline operations, and focus on patient care. Partnering with us ensures your lab receives expert guidance and reliable, results-driven billing services.
Maximize your laboratory’s revenue, reduce claim denials, and ensure full compliance with CPT, HCPCS, and ICD coding standards by partnering with Dr Biller RCM. Our certified team of CPCs, CMRS, CMBS, and RCM specialists delivers comprehensive laboratory billing services designed to streamline workflows, improve cash flow, and support clinical, pathology, molecular, and toxicology labs.
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