Molecular Laboratory Billing
MedCare MSO provides specialized molecular medical billing services to ensure compliance with regulations and maximize revenue. Our billing process has been honed over the years until it is a highly efficient system.
Molecular Labs Have Unique Requirements
Genetic testing is evolving quickly, and one of the major challenges in medical billing is that coding systems often fail to keep pace. As molecular testing continues to deliver deeper insights and support critical clinical decisions, its high cost makes insurers more hesitant to approve these tests.With nextgenbillingsolution, you get expert support for molecular lab billing—where knowing the correct billing codes is only the beginning. Our team understands the detailed documentation requirements and has extensive experience working directly with insurers. When a claim is rejected or denied, we handle the appeals process strategically, ensuring the insurer receives the precise information needed to establish medical necessity and maximize your chances of getting paid.
We Ensure Accurate Claims Submission
Nextgenbillingsolution offers specialized molecular, genetic, and diagnostic laboratory billing services designed to ensure every claim is accurately coded, properly documented, and submitted on time.
Our certified billing professionals stay updated with all CPT code changes, allowing us to deliver precise claim submissions on the first attempt and significantly improve A/R collections.
The constant evolution of molecular testing makes it challenging for in-house teams to keep pace with frequent CPT code updates. In many cases, a single code may apply to multiple genes, while other tests require the use of unlisted codes when no specific option exists.
Additionally, labs must navigate the extra layer of MolDX guidelines and coding requirements.
Increase Your Practice Revenue by Up to 35% With nextgenbillingsolution