Toxicology Lab Billing
Medical billing for toxicology labs can be especially challenging because the billing codes change so often. The high number of changes in the past five years or so has resulted in a significant loss of reimbursements.
Lab staff can’t keep up with all the changes, making it beneficial to outsource laboratory billing to a team that is dedicated only to the revenue cycle—not trying to run a lab too! Our system includes frequently updated software and biller training to keep current with billing codes and payor requirements, so claims are filed rapidly and reimbursement is not held up.
Outsourcing Medical Billing to METACARE Protects Your Revenue
METACARE maximizes client reimbursement by filing clean, error-free claims within a day or two of the time the test was run. When denials are received, we appeal and track each claim to ensure our clients get paid for the work they do.
Providing Premium Billing Services So You Can Focus on Patient Care
METACARE medical billing services and nephrology practice management aim to streamline the daily operations of nephrology practices. By entrusting us with claims and reimbursements, doctors and their medical staff can focus on providing optimal care to their patients.
Our comprehensive services cover the entire revenue cycle management (RCM) process, starting from obtaining payer authorization during the initial patient contact. We handle all aspects of billing, coding, and claims submission, ensuring accurate and timely reimbursement for nephrology services.
Bundled Codes
For surgery and other complex treatments, payers have “bundled” multiple items into one billing code. In theory, this simplifies billing, but there are often exceptions to the standard inclusions. Not only must these be coded separately, they must also be coded in a way that makes the necessity of each one clear, otherwise it will be denied as a duplicate bill.
Higher Level Diagnoses And Treatments
By the time a patient is seen by a nephrologist, they are likely to have seen a general practitioner and other specialists, and may have a history of previous kidney disease. Specialist’s examinations and treatments tend to be higher level, more involved processes, which require more detailed coding. This makes it important to have billers and coders who are experienced in the specialization to assure there is no lost revenue due to overlooked details. Look for medical billing services that are reliable and transparent. Contact us today!
Multiple Doctors Involved in Treatment
Surgery and other complex treatments involve more than one physician and an assortment of medical support staff, who may each be part of a different medical organization. In these cases, the coding must clearly describe what kind of facility was used and the specific role of each physician, or not all of them will be compensated.
Choose the Right Billing Partner
Successful billing for toxicology labs requires securing insurance contracts and staying up to date on the constant additions, deletions, and revisions to toxicology codes. It also demands frequent communication with multiple physicians and facilities to obtain all of the patient data and documentation needed to support the billing claim. And that has to be done quickly—the longer you wait after the date of service to submit a claim, the more difficult it is to get reimbursed. On top of that, you need aggressive, daily denial management.
So You Can Focus on Quality Care
METACARE clients are able to focus on patient care and best practices in testing because they can rely on our team to ensure the accuracy and timely filing of claims. Our billers and coders not only stay on top of coding changes and reporting requirements as they happen, but we are also alert for potential issues that could occur in the future. We take pride in our ability to correct and collect on denied claims because we understand that the revenue of our clients’ labs depends on the work we do.