Complete Pathology Medical Billing Solution
Billing for pathology is uniquely complex. It involves high volumes, fast turnaround, nuanced coding for specimens, and payer-specific requirements for modifiers and documentation.
PCH Health offers a tailored pathology medical billing solution that supports clinical, surgical, anatomical, and molecular pathology practices. Whether you’re a hospital lab, independent diagnostic facility, or specialized lab, our billing team ensures accurate charge capture and full compliance.
Our team understands the depth of pathology in medical billing, from coding to documentation to appeals, and brings a proven, strategic approach to maximizing collections.
CPT & ICD Expertise
We ensure precision in pathology codes in medical billing including commonly billed services like 88305, 88185, 87635, and more.
Modifiers & Lab-Specific Requirements
We manage complex requirements including use of modifiers like -26, -TC, and billing for split/shared services.
HIPAA-Compliant Infrastructure
Patient data stays secure through every step of the billing process with encrypted systems and full HIPAA compliance.
Real-Time Eligibility & Claim Scrubbing
Reduce denials and delays with automated eligibility checks and scrubbed claims before submission.
Our Pathology Billing Process
Demographics & Order Entry
We capture accurate patient information and test requisition details to align with claim expectations.
Accurate Procedure Coding
Our certified coders assign the correct CPT/HCPCS and ICD-10 codes based on lab reports and test panels.
Modifier Management & Compliance
We ensure accurate use of professional (-26) and technical (-TC) components to reflect who performed and interpreted the services.
Claim Submission & Payer-Specific Routing
We route claims to the correct carriers—be it Medicare, Medicaid, or commercial payers within 24–48 hours.
Denial Management & Appeals
We track and resolve all rejections and denials with payer-specific documentation and a dedicated appeals team.
Why Choose Our Pathology Billing Services?
Your lab handles hundreds or thousands of tests daily, each requiring accurate data, proper coding, and timely submission. As a trusted provider of pathology medical billing services, PCH Health ensures your entire revenue cycle is optimized, so your lab operations never miss a beat.
Subspecialty Support -
We support billing for anatomical pathology, molecular diagnostics, histology, cytology, hematology, and microbiology.
Seamless LIS Integration -
Our team integrates with Laboratory Information Systems (LIS) for smooth data transfer, reducing manual errors.
Transparent Reporting -
Our real-time dashboards and reports keep you informed on claim status, denial trends, and collections performance.
Proven Pathology Medical Billing Strategies -
We leverage industry best practices and payer-specific workflows to improve collections and minimize compliance risks.
Benefits of Our Pathology Medical Billing Solution
Accelerated Reimbursements
Get paid faster with efficient charge capture, clean claims, and payer-specific billing protocols.
Reduced Operational Costs
Outsource your billing operations to reduce staffing needs and administrative overhead.
Error-Free Coding & Modifier Use
We use correct pathology codes in medical billing and apply modifiers accurately, minimizing denials and audits.
Scalable to Volume & Growth
Whether you’re scaling to new locations or expanding your test menu, our billing solution grows with your lab.
Measurable Results in Pathology Billing
<48
Hours turnaround for claims
>98%
First-pass acceptance rate
<6%
Average claim denial rate
<28
Days in A/R