Laboratory & Pathology Billing Solutions
Our exclusive edition of pathology & diagnostic laboratory billing software for independent laboratories gives you a full suite of powerful revenue cycle management solutions.
Learn the features of our revenue cycle management and billing solutions for laboratories and pathology clinics.
LIMS Configurable
We have integrations with most leading lab information management systems (LIMS) so as you track and manage samples, our diagnostic laboratory billing software automatically updates charges and billing information for a more seamless experience.
Clearinghouse
Post charges automatically and faster through our cloud-based interface. Our integrated, automated clearinghouse is connected to 1,800 of the nation’s largest insurance carriers and can disclose insurance details without a manual search process.
Claims Center
You are able to manage each claim from start to finish on a single laboratory billing software platform. Our processing and lab-focused features include ClaimInspector, eClaims and claims review.
Claim Scrubbing
Each claim is inspected for 3.5 million edits, including CCI, HIPAA, LCD & carrier-specific requirements prior to submission. This automated process helps you achieve nearly 100% first-pass clean claims acceptance.
eRemittance
Centralized payment processing takes care of receiving and matching payments, as well as building worklists to manage denials and unexpected payment amounts.
eEligibility
We offer flexible options to check patient insurance eligibility before processing the lab order. You can run daily or weekly batches as a report or on-demand checks with one click.
Clinical laboratory billing software and services for the business side of your lab.
As a laboratory billing company, we are specialized to support all your business needs from billing solutions to financial reporting, and LIMS integrations to analytics.
Boost pathology lab revenue with COVID-19 testing.
During this unprecedented time of pandemic, laboratories, laboratorians and pathologists are being leveraged heavily to help combat a terrible health crisis. Our billing services and software can scale to meet high billing demands of COVID-19 tests. As laboratories and pathologists work to perfect better and more efficient testing methods, AdvancedMD has scalable laboratory billing solutions that can help support your entire revenue cycle management needs for COVID-19 and beyond.
Take control over billing codes for pathology laboratory services and claims.
While pathology medical billing uses comparatively few codes compared to other fields like surgery and primary care, it retains a unique challenge to manage those that are unique to your field. Laboratory codes supported by AdvancedMD include a wide variety of code types: ICD-10, CPT, and HCPC. Most people with general billing experience won’t be familiar with the ins and outs of billing for pathological services, so using the AdvancedMD billing platform makes even more sense if you are a pathology lab. We support the complete laboratory and pathology CPT code range, even those divided into smaller groupings, covering areas such as disease panels, drug assays, urinalysis, molecular pathology, genomic sequencing, multianalyte assays with algorithmic analyses, immunology, transfusion medicine, microbiology, and surgical pathology.
We’ve got you covered no matter what type of laboratory you work in.
Pathology laboratories are as unique as the patients and cases you work with, and each facility has different billing needs. Whether you are an independent lab, a physician office lab, or a clinical lab, AdvancedMD billing software has been custom designed just for you with the codes and workflows you need. We understand your needs, unique payor types, specific and uncommon procedures, and billing dynamics. Workflow optimization is critical for pathology labs because you require more supporting office staff than many other types of practices, such as surgical or primary care, due to having to manage large influxes of mail and samples. No matter your size, operational makeup or context, we’re here to help you capture maximum revenue.
Efficient workflow and laboratory billing solutions for scientists & technicians.
Revenue cycle management workflow has many processes that are automated and intuitive for faster, more accurate billing. Knowing that you’ll be eligible for payer reimbursement before you process samples is the greatest benefit of our eEligibility feature and improves your bottom line. Our claims management tools let you manage and process claims with time-saving features such as proprietary claim scrubbing and prioritized collections worklists. Our integrated clearinghouse automates the manual charge posting process to insurance company websites and helps you get paid faster. When it comes time to post payments, our eRemittance advice feature automatically applies payments with a single-click approval.
Keep your existing LIMS software while getting a streamlined pathology billing workflow.
Many laboratories that use our revenue cycle management solutions find our interoperability connectors and API services invaluable as they are able to seamlessly connect AdvancedMD to lab information management systems (LIMS), giving you a single source for data entry. Information flows bidirectionally for faster, more accurate data processing. AdvancedMD utilizes Amazon Web Services (AWS) for our cloud platform, which further improves our integration relationships with nearly all major cloud LIMS technologies. We help ensure your data management and revenue cycle management experience is always safe, secure and fast.
Built for scientists & laboratory business owners who demand high billing productivity in a high-volume lab environment.
You get laboratory revenue cycle management tools designed specifically to capture and process charges throughout the lifecycle of the claim. You can manage billing from a centralized location to keep all referring providers separate in your workflow and reporting. Claims and productivity tracking is a breeze with our claim center dashboards that give you real-time visibility into your A/R. Custom collection worklists can be assigned to technicians and billing staff with specific payer expertise. You can manage inbound and outbound faxes with our electronic fax solutions.
Billing reporting & business intelligence for a clear picture of your lab’s financial performance.
Measure your success and maximize your revenue with reporting tools to fast-track your finances and billing performance. We offer a basic reporting center that lets you see the big picture with 650 automated reporting options to track your finances and optimize your income. For improved financial visibility and data analysis, we offer AdvancedInsight, the lab and pathology reporting tool to make data-driven, strategic decisions. This easy-to-use reporting suite helps identify areas of improvement and pinpoint opportunities for revenue growth.
Streamlined invoicing for a more effortless way to get paid.
You can print invoices for third-party groups such as employers and attorneys. The process is simple; in one step, globally apply a payment to all line items on a single invoice. You can also manage and send statements by case. Our patient billing option lets you bill patients by specimen and order rather than by account. You can set the frequency, order and number of statements as well as letters based on each visit. You can also set a trigger for when the delinquent visit or visits are sent to collections. If you use QuickBooks, you’ll enjoy being able to export your information from AdvancedMD accounting journal entries to a CSV file and load directly into QuickBooks..
