Molecular & Genetic Testing Billing: CPT Codes and Reimbursement Challenges Molecular and genetic testing is the fastest-growing category in laboratory medicine, and also the one most likely to deny. That’s not a coincidence. The coding structure behind these tests is…

Lab Coding Services Explained: CPT, HCPCS & 2026 Updates Coding is the part of laboratory billing nobody sees until it goes wrong. A test gets performed correctly, the result gets reported correctly, and then somewhere between the LIS and the…

Laboratory Billing Solutions: How to Choose the Right Partner for Your Lab If you’ve started looking into laboratory billing solutions, you’ve probably noticed the same problem we hear from almost every lab director who calls us: everyone’s pitch sounds identical.…

Healthcare providers often assume that obtaining a medical license or National Provider Identifier (NPI) is enough to start billing insurance companies. In reality, most commercial payers require providers to complete several administrative steps before they can join a network and…

Patient no-shows are more than an inconvenience. Every missed appointment represents lost revenue, underutilized staff, scheduling inefficiencies, and delayed patient care. For healthcare providers, even a modest no-show rate can significantly impact practice profitability and patient access. Industry studies estimate…

Clinical laboratories have spent the past several years navigating uncertainty surrounding the Protecting Access to Medicare Act (PAMA). Since Medicare first transitioned to market-based laboratory reimbursement, Congress has repeatedly delayed scheduled payment reductions, creating confusion about reporting requirements, reimbursement rates,…

Selecting the correct pathology billing CPT code is one of the most important steps in pathology revenue cycle management. A single coding error can lead to claim denials, underpayments, payer audits, or compliance risks. Among all pathology procedure codes, CPT…

Medical credentialing doesn’t end when a payer approves a provider. In many cases, that’s only the beginning. A provider may be credentialed but not enrolled. Enrolled but not contracted. Contracted but not activated in the payer’s claims system. Approved but…

Laboratory billing is no longer just an administrative task. It has become one of the biggest factors influencing a laboratory’s financial performance. Every claim must pass through multiple checkpoints, including accurate coding, medical necessity validation, payer-specific billing rules, documentation requirements,…

Accurate medical billing begins with selecting the correct Place of Service (POS) code. While it may seem like a small detail, using the wrong POS code can lead to claim denials, delayed payments, reimbursement reductions, compliance issues, and costly audits.…