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End-to-End Pathology Coding & RCM

Comprehensive coding, charge capture, documentation review, quality checks, and denial management for pathology groups, diagnostic labs, and independent pathology practices.

Specimen Coding Charge Capture Documentation Denial Management Lab Billing Quality Audits

Full-Service Delivery

Specimen & Test Coding

Accurate CPT, HCPCS, and ICD-10 coding for clinical pathology, anatomical pathology, cytology, and molecular diagnostics.

Charge Capture Review

Ensuring all performed tests, panels, and interpretations are captured with zero revenue leakage.

Clinical Documentation Checks

Review requisitions, lab reports, interpretations, and supplemental notes for coding compliance.

Denial Management

Targeted denial analysis for bundling, medical necessity, missing documentation, and payer-specific edits.

Lab Billing Support

End-to-end billing for independent labs, hospital-based pathology, and specialty diagnostic services.

Quality Audits & Reporting

Audit-driven QA reviews with reporting on accuracy, compliance trends, and opportunities for improvement.

A Structured Workflow

01

Requisition Validation

Validation of requisitions, orders, and test details.

02

Specimen Coding

CPT, ICD-10, and HCPCS coding based on specimen type and lab report.

03

Interpretation Cross-Check

Cross-check clinical interpretations and diagnostic details.

04

Claim Submission

Error-free submission based on payer rules and coverage guidelines.

05

Denial Resolution

Root-cause investigation and rapid resubmission.

06

Reporting

Continuous QA reporting on accuracy, compliance trends, and payer performance.

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