Laboratory Billing Services for Diagnostic & Pathology Labs

Focus on delivering accurate diagnostic results not chasing reimbursements. Medivantek Laboratory Billing Services help laboratories, diagnostic centers, and pathology labs increase revenue with accurate coding, faster claim processing, and denial-resistant billing powered by advanced technology and certified lab billing experts.

Smarter Billing for Every Test—Routine to High-Complexity

Get a Free Laboratory Billing Audit

Why Laboratory Billing Needs Specialists

Laboratory billing is highly regulated and error-sensitive. Strict ICD-10 medical necessity rules, LCD/NCD policies, modifier requirements (26, TC, 59, 91), and frequent audits make general billing teams ineffective for labs.
We specialize exclusively in laboratory and diagnostic billing, ensuring compliant claims, optimized reimbursements, and reduced denials. Whether you run an independent lab, pathology practice, or multi-location diagnostic facility.

Podiatry Billing

Revenue-Draining Laboratory Billing Mistakes

Many labs lose revenue due to:

Missing or invalid ICD-10 medical necessity

Incorrect panel and bundled test billing

Modifier errors (26, TC, 59, 91)

No ABNs for non-covered services

Denials for molecular, genetic, or pathology tests

Delayed submissions causing timely filing rejections

How Medivantek Fixes Laboratory Billing Problems

Clean claims submitted within 24–48 hours

Accurate CPT and ICD-10 pairing for medical necessity

LCD/NCD and payer rule monitoring

Full ABN management for compliance

Specialized billing for molecular, genetic, and pathology labs

Aggressive denial management and appeals

Lab-trained coders—not general billers

Our Laboratory Billing Process

Medivantek follows a proven laboratory billing workflow designed to reduce denials, accelerate reimbursements, and maintain full audit readiness.

1. Eligibility & Coverage Verification

We verify insurance eligibility, coverage rules, frequency limits, and payer-specific laboratory policies before billing.

2. CPT & ICD-10 Coding Review

Certified laboratory coders ensure accurate CPT coding, modifier usage, and ICD-10 medical necessity alignment.

3. Clean Claim Submission

Claims are scrubbed and submitted electronically within 24–48 business hours for high first-pass acceptance.

4. Payment Posting & Reconciliation

ERAs and EOBs are posted accurately to identify underpayments, delays, and payer discrepancies.

5. Denial Management & Appeals

Denied claims are analyzed, corrected, and appealed proactively using payer-specific documentation.

6. Reporting & Performance Tracking

Monthly reports provide insight into CPT utilization, denial trends, payer turnaround times, and revenue performance.

CPT Codes We Handle

Medivantek Laboratory Billing manages the full spectrum of laboratory CPT codes—from routine testing to advanced molecular and genetic diagnostics—while staying current with CMS and payer updates.

Routine & Panel Testing

  • 80048–80076 (Metabolic Panels)
  • 85025, 85027 (CBC)
  • 83036 (Hemoglobin A1C)
  • 84443 (TSH)

Specialty & Diagnostic Testing

  • 81001–81099 (Urinalysis)
  • 82040–84155 (Chemistry & Protein)
  • 86038–86255 (Immunology)

Molecular, Genetic & Pathology

  • 81200–81479 (Genetic Testing)
  • 88305–88399 (Pathology)
  • PLA Codes

Modifier expertise includes 26, TC, 59, and 91 for compliant and optimized laboratory billing.

End-to-End Laboratory Billing Services

Lab Test Coding & Charge Entry

Accurate CPT coding for routine panels, specialty diagnostics, and high-complexity tests.

Eligibility & Medical Necessity Verification

Pre-submission verification to prevent rejections and audits.

Electronic Claims & Payment Posting

Fast claim submission with accurate ERA/EOB posting for improved cash flow.

Molecular, Genetic & Pathology Billing

Expert handling of high-risk, high-value lab tests with strict compliance.

ABN, Modifier & Compliance Management

Audit-ready billing using correct modifiers and ABN tracking.

Spec Coding Medivantek

Denial Management & Appeals

Data-driven denial analysis and payer-specific appeals to recover revenue.

Compliance & Audit Readiness

Laboratory billing is one of the most heavily audited areas of healthcare. Medivantek embeds compliance into every stage of the billing lifecycle to protect your laboratory from recoupments and penalties.

Why Labs Choose Medivantek Over Other Billing Companies

Feature Medivantek Typical Billing Company
Lab-Specific Coders ✔ Yes ✖ No
LCD/NCD Monitoring ✔ Yes ✖ Limited
Molecular & Genetic Billing ✔ Yes ✖ Often Avoided
ABN Management ✔ Included ✖ Not Included
Fast Claim Turnaround ✔ 24–48 hrs ✖ 5–10 days
Proactive Denial Appeals ✔ Yes ✖ Reactive
Detailed Lab Reports ✔ Monthly ✖ Basic

Proven Results for Diagnostic Laboratories

  • 99%+ first-pass claim acceptance
  • Up to 45% reduction in denials within 90 days
  • Millions in lab claims processed annually
  • Expertise across Medicare, Medicaid, BCBS, UHC, Aetna, Cigna, and more

Who We Serve

Medivantek Laboratory Billing Services support a wide range of diagnostic and laboratory providers across the United States. Our billing workflows are customized to each lab’s test menu, payer mix, and operational complexity to ensure maximum reimbursement and full compliance.

In-House vs. Outsourced Laboratory Billing

In-House Lab Billing

  • High staffing and training costs
  • Limited expertise in complex lab billing rules
  • Higher denial and rework rates
  • Difficulty keeping up with CPT and LCD changes
  • Slower claim turnaround

Medivantek Laboratory Billing

  • Lab-specialized coders and billing experts
  • Claims submitted within 24–48 hours
  • Lower denials and higher first-pass acceptance
  • Built-in compliance and audit protection
  • Scalable services with no overhead burden

Grow Your Lab Revenue Without Billing Headaches

Let Medivantek Laboratory Billing Services handle your billing, compliance, and denials so you can focus on diagnostics while we protect and grow your revenue.

Request a Free Laboratory Billing Consultation

Frequently Asked
Questions (FAQs)

Yes. We bill routine laboratory tests, diagnostic panels, and high complexity specialty tests, including pathology, molecular diagnostics, genetic testing, toxicology, and reference lab services ensuring accurate CPT coding and payer compliance for every test type.

We validate ICD-10 diagnosis codes against payer-specific LCD and NCD policies before claim submission. Our team verifies diagnosis-to-test pairing, frequency limits, and documentation requirements to prevent medical necessity denials and post-payment audits.

Absolutely. We specialize in molecular and genetic laboratory billing, including high-risk and high-value tests. Our coders follow strict Medicare and commercial payer guidelines, manage prior authorizations when required, and apply correct modifiers to protect reimbursements.

Yes. We provide end-to-end ABN management, ensuring proper generation, tracking, and modifier usage (GA, GX, GY) for non-covered laboratory services—keeping your lab compliant and audit-ready.

We reduce denials through pre-submission eligibility checks, ICD-10 medical necessity validation, accurate CPT/modifier usage, and proactive denial trend analysis. Every denied claim is reviewed, corrected, and appealed promptly to recover lost revenue.

Yes. Our laboratory billing processes are fully aligned with Medicare LCD and NCD requirements. We continuously monitor CMS updates and payer policy changes to ensure ongoing compliance and protect your lab from denials and recoupments.

Yes. We seamlessly integrate with most LIS and EMR platforms, as well as clearinghouses and payer portals. Our team aligns billing workflows with your existing systems to ensure smooth data flow, accurate charge capture, and minimal disruption to your laboratory operations.
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Serving Healthcare Providers Across the USA

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