Billing Support for Pathology Labs and Specialists
Pathology Billing Services Built for Accuracy and Compliance
We provide full service pathology billing with CPT coding accuracy, claim tracking, modifier support, and seamless integration into your lab systems.
- CPT coding for surgical and diagnostic pathology
- Modifier use for panel and split-bill claims
- Claim tracking with payer-specific follow-up
- Integrated with LIS and EHR systems
15+
Years in Pathology Billing
150+
Healthcare Providers
30+
Billing Platforms
50+
Specialties Supported
Why Pathology Labs Choose Us
Billing for pathology requires granular CPT coding, strong documentation, and lab-specific workflows. Our team understands split billing, technical/professional component separation, and bundled test code rules. We align with your LIS, test volumes, and payer mix to ensure accurate, timely reimbursements.
From high-volume labs to hospital-based pathology groups, we deliver customized workflows that reduce errors, accelerate AR, and improve your clean claim rate.
99% First-Pass Rate
Claims are submitted clean and accurate, resulting in faster approvals and fewer delays. That way, your team stays focused on operations instead of chasing down rejections.
Up to 30% Revenue Growth
Our clients typically see improved collections within the first 90 days of service, resulting in stronger cash flow and fewer revenue gaps from the very start.
120+ Days AR Recovery
We prioritize high-value claims, apply payer-specific follow-up strategies, and track recovery metrics to ensure nothing slips through the cracks.
100% System Integration
RCM Solutions Tailored for Pathology Billing
Patient Onboarding & Eligibility Verification
Charge Capture & Medical Coding
Expert medical coders ensure precise billing, no missed charges, full compliance.
Claims Submission & Monitoring
Accurate, timely submissions with continuous tracking and follow‑up.
Denial Management & Appeals
Swift recovery of rejected claims and prevention of future denials.
Payment Posting & Reconciliation
Ensure all payments are matched, discrepancies resolved, and books balanced.
AR Management & Patient Communication
Proactive collections with empathetic patient support and transparent billing.
Proactive AR Follow-Ups
Turn delays into dollars, chase every outstanding payment with persistence, turning aging accounts into active assets.
Transparent Patient Communication
We make billing effortless, with clear, timely statements that build trust, eliminate confusion, and inspire prompt, fast payments.
Reporting & Regulatory Compliance
Advanced analytics and audit-driven compliance reveal trends, reduce risk, and drive smarter decisions.
Patient Onboarding & Eligibility Verification
Prevent denials with upfront insurance checks and streamlined registration.
Charge Capture & Medical Coding
Expert medical coders ensure precise billing, no missed charges, full compliance.
Claims Submission & Monitoring
Accurate, timely submissions with continuous tracking and follow‑up.
Denial Management & Appeals
Swift recovery of rejected claims and prevention of future denials.
Payment Posting & Reconciliation
Ensure all payments are matched, discrepancies resolved, and books balanced.
AR Management & Patient Communication
Proactive collections with empathetic patient support and transparent billing.
Proactive AR Follow-Ups
Turn delays into dollars, chase every outstanding payment with persistence, turning aging accounts into active assets.
Transparent Patient Communication
We make billing effortless, with clear, timely statements that build trust, eliminate confusion, and inspire prompt, fast payments.
Reporting & Regulatory Compliance
Advanced analytics and audit-driven compliance reveal trends, reduce risk, and drive smarter decisions.
Ready to Improve Your Pathology Billing Outcomes?
If your pathology lab is dealing with claim rejections, missed payments, or coding inconsistencies, we’re ready to help. We specialize in pathology RCM with expertise in lab panels, biopsy codes, cytopathology, and payer-specific test coverage policies.
Our onboarding process is fully managed and built around your current system. From consultation to full launch, we ensure a seamless transition with no disruption to lab operations.
- Talk Today
- Call Scheduled
- Form Submitted
- PROMBS Intro
- Needs Discussed
- Start Date
- Terms Agreed
- Docs Signed
- Inquiries Resolved
- Billing Transfer
- Roles Assigned
- Systems Ready
- Strategy Set
- Goals Aligned
- Launch Confirmed
Why We Are Best at Pathology Billing Across the U.S.
We deliver tailored RCM solutions for independent and hospital-based pathology providers. With deep knowledge of CPT codes, test bundling, and billing for technical vs professional components, our team ensures accurate claims and fewer denials.
We integrate directly with your LIS and reporting tools, manage payer compliance, and deliver transparent results making us a trusted billing partner for pathology labs across the country.
What Our Clients Achieve with Our Pathology Billing Services
Rapid Revenue Recovery
First-Pass Resolution
Denial & Rejection
Short Turnaround Time
Electronic Claim
Electronic Payment
Client Retention
Revenue Increase
Medical Billing Software We Leverage for Revenue Cycle Management
Here are some Industry top listed EHR being operated by us.
Our Esteemed Clients' Testimonials
![Dr.-Jorge-Guevara-MD[1]](https://prombs.com/wp-content/uploads/2024/10/Dr.-Jorge-Guevara-MD1.webp)
Pro Medical Billing Solutions is doing an incredible job of boosting our revenue and improving our cash flow. They are excellent at communicating with the insurance providers and are prompt in addressing issues. We're immensely grateful for their wonderful efforts, and we give a thumbs-up to their entire team.
For the past 15 months, Pro Medical Billing Solutions has consistently delivered incredible collection results, with first-pass rates surpassing industry standards. Their high responsiveness and effective Revenue Cycle Management services make them the go-to choose for any practice looking to take control of their billing.
![Dr.-Charles-Sisson[1]](https://prombs.com/wp-content/uploads/2024/10/Dr.-Charles-Sisson1.webp)
We rely on Pro MBS for our medical billing operations and analysis. Our collaboration with Pro MBS has allowed us to excel over the last five years. We had a few patients’ inflows initially, and we ended up getting many more clients, Pro MBS helped us scale.
![Jennifer-Hartley-Administrator[1]](https://prombs.com/wp-content/uploads/2024/10/Jennifer-Hartley-Administrator1.webp)
Thanks to Pro Medical Billing Solutions, our practice has seen a significant improvement in our billing and collection processes. Their team is always up-to-date with the latest industry changes, and they have provided excellent support to our staff. We would highly recommend their services to any healthcare provider.
We have been using Pro Medical Billing Solutions for several months, and we have been extremely satisfied with their services. They have helped us to optimize our billing and coding practices, resulting in improved cash flow for our practice. We highly recommend them to other healthcare providers.
![Huiping-Xu-M.D[1]](https://prombs.com/wp-content/uploads/2024/10/Huiping-Xu-M.D1.webp)
Pro MBS has provided excellent satisfaction for our Medical Billing and Coding operations. We conduct regular meetings with their team. They are updated with current industry trends and keep very high standards for quality service. We consider them as an extension of our business office.
![Sandra-Diaz[1]](https://prombs.com/wp-content/uploads/2024/10/Sandra-Diaz1.webp)
Pro Medical billing Solutions has numerous strengths. One of many is effective communication, which kept me aware of billing updates and claim processes. I am impressed with the swift claim processing and the turnaround time for claims. appreciate Pro Medical Billing Solutions for providing constant support.
![Jennifer-G.-Walker-D[1]](https://prombs.com/wp-content/uploads/2024/10/Jennifer-G.-Walker-D1.webp)
We are pleased with Pro Medical Billing Solutions' billing and coding services and highly endorse them to anyone looking for a proficient billing company. Collaborating with Pro Medical Billing Solutions has been effortless, and we are deeply grateful for their services.
As the CEO of Big Dog Pharma, I would highly recommend Pro Medical Billing Solutions for your Medical Billing and Coding processes. Over the past four years of collaboration, I have found them responsive, prompt, and helpful. Through our extension, we reduced our staff requirements and significantly improved our revenue stream.
![Dr.-Michael-Farrel-D[1]](https://prombs.com/wp-content/uploads/2024/10/Dr.-Michael-Farrel-D1.webp)
I look back over the past five years of our relationship, and I can predict what the coming five years would look like. I can see immense growth opportunities for both of our organizations with the partnership that we have been able to develop. I absolutely recommend Pro Medical Billing Solutions.
FAQs for Pathology Billing Services
Pathology billing encompasses all the transactions and financial processes related to the healthcare service. It involves claim coding, billing, collecting from insurance companies, getting adequate reimbursement, and prompt follow-ups.
Outsourcing saves time and reduces administrative hassles. It also helps enhance revenue collection, ensures maximum reimbursements, and effectively prevents money loss, thereby enhancing your practice’s financial stability.
Professional billing services have trained coders and billers using advanced software to audit regularly, minimizing possible errors. Accurate pathology billing and coding ensure proper reimbursements and compliance.
Yes, top denial management billing service companies respond to rejections or denials with effective explanation processes, analyzing reasons and trends, and providing measures to prevent future denials.
They generally lead to a net financial increase due to increased efficiency and revenue cycle management.
Compare experience, reputation, technology infrastructure, and client feedback. Choose the vendor that best meets your practice’s requirements.
Top pathology billing services are HIPAA-compliant, ensuring the confidentiality and security of patient information.
Billing services provide various reports depicting key performance indicators, helping monitor financial performance and identify areas for improvement.
Most billing services are compatible with EHR integration, enhancing documentation and communication efficiency.
Depending on the size and complexity of the practice, improvements are typically noticed a few months into outsourcing the billing process.
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