Maximize lab revenue with streamlined Laboratory Billing Services
MedBill24’s laboratory billing services encompass all revenue cycle management, coding and claiming diagnostic laboratory test services with appropriate CPT and ICD-10 diagnoses while meeting CLIA, PAMA, and medical necessity requirements, from payer credentialing to old accounts receivable collection from payers.
Our laboratory medical billing services offer standalone services that streamline your entire revenue cycle on our all-inclusive platform.
Lab Medical Billing Services That Recover Every Dollar
Our laboratory billing services are built to help you recover more of the revenue your lab earns. We scrub every claim for coding, modifier and medical-necessity errors before submission within one to two days of the test, then track each one to payment and appeal any denials. The result is more of your earned revenue reaching your account.
From test to payment
Why Lab Claims Get Denied and How We Prevent Them
Labs lose the most revenue to denied claims of any specialty because one small detail can make a low-value claim ineligible for payment. We prevent the most common causes of claim rejections from even being submitted. Tap a card to see how.
Medical-necessity mismatch
If the ICD-10-CM diagnosis doesn't support the test under the payer's LCD/NCD policy.
Missing identifiers
Missing or invalid CLIA number, ordering-provider NPI, or specimen details.
Molecular & genetic denials
Flagged investigational or missing MolDX/Z-code registration and prior authorization.
Unbundling & panel edits
NCCI/CCI conflicts and toxicology presumptive vs. definitive (G-code) errors.
Frequency limits & duplicates
Repeat tests billed outside payer frequency rules.
Front-end errors
Eligibility, demographics or accession data captured incorrectly.
Our Laboratory Revenue Cycle Management Process
Every claim from a laboratory goes through nine different interconnected stages before being finally paid out as revenue. At each of these stages, there is a risk of loss in the revenue cycle due to a lack of laboratory-specific billing expertise. The laboratory revenue cycle management offered by MEdBill24 covers all nine stages, from the initial verification of eligibility to the final analytics dashboards; thus, more of your high-volume, low-dollar claims will be paid on the first attempt, and less money will be stuck waiting to be processed in accounts receivable.
Eligibility & Verification
We verify coverage, benefits and medical necessity according to each payer’s LCD/NCD policies specific to your service and verify provider order details to prevent the front-end errors responsible for most lab rejections.
Charge Capture
Test orders, demographics and accession charges are captured directly from your Laboratory Information System via HL7/LIS interface. Every billable test is automatic with no manual charge entry.
Medical Coding
Our certified coders handle the full range of lab coding, CPT (80047–89398), PLA, ICD-10-CM, LOINC and molecular Z-codes with the precision your laboratory billing and coding services depend on to avoid downcoding, rejections and audits.
Claim Scrubbing
Prior to submission, each claim is checked against NCCI edits, MUEs and thousands of payer-specific rules by our AI Rule Engine to identify unbundling and modifier errors and achieve a first-pass clean claim rate of up to 98.5%.
Claim Submission
Claims are sent electronically to all payers and clearinghouses and are monitored from the moment they leave our system, ensuring nothing goes unclaimed in transit.
Payment Posting
ERA and EOB payments are posted to the exact line item and reconciled to your contracted rates. Underpayments are identified and corrected rather than hidden in the aggregate, helping you collect more of what you're owed.
Denial Management
Denied and misadjudicated claims, including molecular tests marked “investigational”, are worked to the root cause and appealed within filing limits. Our denial management team works to recover revenue instead of writing it off.
Patient Balances
We ensure that patient responsibility balances are collected with clear statements, flexible payment options and responsive support, closing a revenue cycle loop that many labs overlook.
Reporting & Analytics
Real-time dashboards track your clean claim rate, days in A/R, denial trends and net collections, giving your leadership a clear, current picture of lab financial performance at every stage of the cycle.
Ready to recover every dollar your lab earns?
Talk to our laboratory billing team and see how MedBill24 can streamline your entire revenue cycle.