Pathology Medical Billing Solutions

As Low As 2.30%

Laboratories and Pathology Billing Services

Medi Bill RCM understands the challenges of today’s increasingly complex and ever-changing pathology medical billing background. Focusing exclusively on lab billing enables us to make billing an outstanding core competency for our clients.

We offer specialized solutions to pathology and other medical laboratories. By using advanced technology combined with high-touch relationship building, Medi Bill RCM allows pathology labs to maintain financial independence and promote financial success.

Optimize Your Pathology Billing Services with Medi Bill RCM

Outsourcing can lead to increased productivity, efficiency, and revenue. Our priority and our specialization at Medi Bill RCM is making your laboratory as profitable as possible.

Our exclusive pathology medical billing service and coding review software is designed to track claim status and allows us to improve your first-pass rate significantly. By identifying these medical billing trends, future denials are avoided, and your laboratory can collect every dollar you deserve quickly. 

Not only do we take care of pathology medical billing, but we also work to improve every part of your revenue cycle. Our professional team of experts looks below the surface, identifying and helping you fix the workflow issues that are negatively affecting your reimbursements, including specimen collection, medical coding, practice management (PM) system optimization, and extensive denials management. By going beyond the billing department, we can identify the source of lost revenue and then work with your team to stop them.

Benefits of Outsourcing Medi Bill RCM

After outsourcing your pathology billing to Medi Bill RCM, you can be benefited from:

  • Increased revenue
  • Decreased days in AR
  • Reduced denials
  • Accelerated cash flow
  • Improved understanding of RCM process and outcomes

Pathology Medical Billing and Coding Process

At Medi Bill RCM, we provide comprehensive pathology medical billing services designed to optimize your revenue cycle management and maximize your financial success. Here’s how we handle the complete billing process.

Patient Registration and Check-in: We start by collecting and entering patient demographic and insurance information into our system.

Order Entry: Once the physician or healthcare provider orders pathology services, our team enters these orders into our billing system along with the patient’s information.

Performing the Pathology Service: The pathology service, whether it’s a tissue biopsy, blood test, or cytology test, is performed by the laboratory technician or pathologist.

Documentation and Coding: Our experienced team of certified coders reviews the results of the pathology service and assigns accurate medical codes (CPT codes for procedures and ICD-10 codes for diagnoses) based on the documentation.

Claim Preparation: Using the coded information, we prepare a claim form for submission to the patient’s insurance company or payer.

Claim Submission: We submit the claim electronically or by mail to the patient’s insurance company or payer.

Adjudication: Upon receiving the claim, the insurance company or payer processes it to determine the amount of reimbursement.

Payment Posting: If the claim is approved, we post the payment to the patient’s account in our billing system.

Denial Management: Every denied claims are promptly reviewed to identify the reason for the denial.

  • We take necessary actions to address the denial, such as correcting errors in the claim, providing additional documentation, or appealing the denial.

Patient Billing: If there is a patient responsibility (such as a copayment, deductible, or coinsurance), we generate and send a bill to the patient.

Follow-up: We follow up on any unpaid or denied claims to ensure prompt payment.

  • This may involve resubmitting claims, appealing denials, or contacting the insurance company or payer for clarification.

Reporting and Analysis: We generate reports to track billing and reimbursement activity, identify trends, and monitor the financial health of your pathology practice.


By outsourcing your pathology medical billing to Medi Bill RCM, you can rest assured that your billing process is in expert hands. Our specialized services are designed to optimize your revenue cycle management and maximize your income. 

MediBill RCM Coding and Billing Strategies for Pain Management Services

Accurate documentation and adherence to specific coding standards are crucial for coding and billing pain management services to ensure proper reimbursement and compliance. Here are some of our key strategies: 

  • Understanding coding systems
  • Accurate documentation
  • Proper selection of evaluation and management (e/m) codes
  • Specificity in diagnosis coding
  • Procedure coding
  • Modifiers
  • Medical necessity and prior authorization
  • Compliance with local coverage determinations (LCDs)
  • Stay updated on coding changes
  • Staff education and training

Get to know the benefits of Medical Billing Providers for Pain Management

  • Expertise in Pain Management Billing
  • AAPC-Certified Coders
  • Increased Revenue and Cash Flow
  • Focus on Patient Care
  • Access to Advanced Technology and Resources
  • Compliance and Regulatory Expertise
  • Cost Savings and Efficiency
  • Improved Collections and Financial Performance