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Pathology billing services

MZ Medical Billing specializes in laboratory billing services for pathologists, offering expert coding, meticulous claims management, and personalized support to optimize revenue for laboratories.

About MZ Medical Billing specialities

MZ Medical Billing is a leading provider of laboratory billing services tailored specifically for pathologists. Here's why we are experts in this specialty:

  • Expertise in Laboratory Billing: Our team consists of billing specialists with extensive experience and expertise in laboratory billing practices for pathologists. We understand the nuances of laboratory coding and billing requirements, ensuring accurate and compliant claims submission.
  • Efficient Claims Management: We streamline the claims management process for laboratory services, from coding to submission and follow-up, to minimize claim denials and maximize reimbursement. Our proactive approach ensures prompt resolution of any billing issues or discrepancies.
  • Personalized Support: MZ Medical Billing provides personalized support and guidance to pathologists and laboratory staff, addressing billing-related questions and concerns promptly and effectively. We serve as a trusted partner, offering ongoing assistance throughout the billing cycle.
  • Compliance with State Guidelines: We recognize the importance of understanding the differences in billing guidelines and regulations across different states in the USA. Our team stays updated on state-specific billing requirements to ensure compliance and avoid potential billing errors or penalties.
  • Advanced Technology Integration: We leverage advanced billing technology and software solutions to streamline laboratory billing processes, improve efficiency, and reduce administrative burden for laboratories. Our technology integration enables seamless communication and data exchange, enhancing overall billing accuracy and effectiveness.
  1. Patient Registration and Insurance Verification:
    • Patient Registration: We verify patient demographics, including name, date of birth, and address.
    • Insurance Verification: We verify patient insurance coverage, including the type of insurance, coverage limits, and any specific requirements or restrictions.
  2. Medical Record Review and Coding:
    • Medical Record Review: We review medical records to identify all relevant services and procedures performed.
    • Coding: We assign relevant ICD-10 and CPT codes to ensure accurate billing.

Example Codes:

  • Diagnosis Codes (ICD-10):
    • C50.91: Malignant neoplasm of unspecified part of breast
    • C81.9: Malignant neoplasm of unspecified part of lymphoid tissue
    • C84.9: Malignant neoplasm of unspecified part of soft tissue
  • Procedure Codes (CPT):
    • 88305: Examination of tissue, including microscopic examination, with report
    • 88306: Examination of tissue, including microscopic examination, with report, and consultation
    • 88307: Examination of tissue, including microscopic examination, with report, and consultation, with imaging studies
  1. Claim Preparation and Submission:
    • Claim Preparation: We prepare claims using the coded information, including patient demographics, insurance information, and services and procedures performed.
    • Claim Submission: We submit claims to insurance providers electronically or on paper.
  2. Claim Processing and Reimbursement:
    • Claim Processing: Insurance providers process claims, verifying services and procedures performed and patient insurance coverage.
    • Reimbursement: Insurance providers reimburse providers for services and procedures performed, based on insurance coverage and contracted rates.
  3. Follow-up and Appeals:
    • Follow-up: We follow up with insurance providers to ensure claims have been processed and to address any issues or denials.
    • Appeals: If a claim is denied, we work with the provider to gather additional information and appeal the decision.

In summary, MZ Medical Billing is your trusted partner in laboratory billing excellence for pathologists. With our expertise, efficient processes, personalized support, and commitment to compliance, we empower laboratories to optimize their revenue cycle and focus on delivering high-quality diagnostic services.

MZ MEdical Billing

Pathology billing services

Precision in Laboratory Billing: Empowering Pathologists for Efficient Revenue Management

Medical Codes in more detail

  1. Clinical Pathology:
    • 88104: Cytopathology, fluids, washings, or brushings, except cervical or vaginal; smears with interpretation
    • 88106: Cytopathology, fluids, washings, or brushings, except cervical or vaginal; filter method only with interpretation
    • 88107: Cytopathology, fluids, washings, or brushings, except cervical or vaginal; smears and filter preparation with interpretation
    • 88108: Cytopathology, concentration technique, smears, and interpretation (e.g., Saccomanno technique)
    • 88125: Cytopathology, forensic (e.g., sperm)
    • 88130: Sex chromatin identification; Barr bodies
    • 88140: Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks
    • 88304: Gross and microscopic examination, surgical pathology
    • 88305: Microscopic examination, surgical pathology
    • 88365: Tissue in-situ hybridization, interpretation, and report
    • 88346: Surgical pathology, gross and microscopic examination
  2. Digital Pathology:
    • 0753T: Digitization of glass microscope slides for level IV, surgical pathology, gross and microscopic examination
    • 0827T: Digitization of glass microscope slides for cytopathology, fluids, washings, or brushings, except cervical or vaginal; smears with interpretation
    • 0828T: Digitization of glass microscope slides for cytopathology, fluids, washings, or brushings, except cervical or vaginal; simple filter method with interpretation
    • 0829T: Digitization of glass microscope slides for cytopathology, concentration technique, smears, and interpretation (e.g., Saccomanno technique)
    • 0830T: Digitization of glass microscope slides for cytopathology, selective-cellular enhancement technique with interpretation (e.g., liquid-based slide preparation method)
    • 0831T: Digitization of glass microscope slides for cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician
    • 0832T: Digitization of glass microscope slides for cytopathology, smears, any other source; screening and interpretation
    • 0833T: Digitization of glass microscope slides for cytopathology, smears, any other source; preparation, screening and interpretation
    • 0834T: Digitization of glass microscope slides for cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains
  3. Molecular Pathology:
    • 81210: Molecular pathology, gene-specific procedures
    • 81275: Molecular pathology, genome sequencing procedures
    • 81355: Molecular pathology, multianalyte assays
    • 81401 - 81442: Molecular pathology, genomic sequencing procedures
    • 81490 - 81595: Molecular pathology, multianalyte assays
    • 81493: Molecular pathology, multianalyte assays
    • 81525: Molecular pathology, multianalyte assays
    • 81528: Molecular pathology, multianalyte assays
    • 81535: Molecular pathology, multianalyte assays
    • 81536: Molecular pathology, multianalyte assays
    • 81538: Molecular pathology, multianalyte assays
    • 81540: Molecular pathology, multianalyte assays
    • 81545: Molecular pathology, multianalyte assays
    • 81595: Molecular pathology, multianalyte assays

ICD Codes for Pathology

  1. Pathology:
    • Z71.9: Encounter for pathology
    • Z71.8: Encounter for laboratory tests
    • Z71.7: Encounter for medical imaging
    • Z71.6: Encounter for medical imaging and laboratory tests
    • Z71.5: Encounter for medical imaging and pathology
    • Z71.4: Encounter for medical imaging, laboratory tests, and pathology
  2. Disorders:
    • R53.8: Other disorders of the nervous system
    • R53.7 - R53.0: Disorders of the nervous system
    • CPT Codes for Pathology
  3. Injuries:
    • S00.0: Fracture of the skull
    • S00.1: Fracture of the face
    • S00.2: Fracture of the neck
    • S00.3: Fracture of the thorax
    • S00.4: Fracture of the abdomen
    • S00.5: Fracture of the pelvis
    • S00.6: Fracture of the lower extremities
    • S00.7: Fracture of the upper extremities
    • S00.8: Fracture of the spine
    • S00.9: Fracture of the other parts of the body
  4. Diseases:
    • G40.0 - G40.9: Cerebral palsy

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