Laboratory Billing Services

Reliable. Fast. Compliant – Laboratory Medical Billing Services into the Fold

Is your lab overwhelmed by 12%+ denial rates? In 2026, the stakes are higher. With PAMA data collection mandates active and reimbursement cuts looming in 2026, you cannot afford “workflow chaos. Our laboratory billing services don’t just “manage” bills; they are built for your profitability. We prepare your data for the 2026 CLFS reporting period today, ensuring your rates are protected tomorrow.

College of American Pathologists
Clinical Laboratory Improvement Amendments
NCCI Edits
Molecular Diagnostic Services Program
Office of Inspector General
Office for Civil Rights

We Track and Adapt to Payer Behavior in Real Time

In 2026, payers don’t just follow rules; they constantly change claim behavior using AI-driven adjudication engines. What gets paid this quarter may get denied next quarter.

What This Means for Your Lab:
Automate charge capture for every test Using LOINC-coded mapping, we ensure that all chemistry, immunology, toxicology, and molecular assays are accurately captured and billed, without missed charges.
Detect denial trends early Use remittance and edit data to prevent revenue loss before it grows.
Adjust billing logic as payer rules change Keep claims aligned with updated coverage, frequency, and bundling policies.
Flag high-risk lab tests before submission Apply extra validation to molecular, genetic, and high-cost tests to reduce denials.

By using our medical lab billing services, your practice gets active monitoring of payers' lab claim behavior, not just policies.

Our Lab Billing Services Adhere to 2026 Lab Integrity Protocols

PAMA Data Collection: Our lab billing company automates the tracking of private payor rates, so you are ready for 2026 reporting.
AI-Driven Automation: Our medical lab billing services utilize Robotic Process Automation (RPA) for eligibility and prior auth.
Revenue Integrity Audits: Ensure audit-ready billing by verifying correct Global vs. Split (Technical/Professional, TC/PC) charges, preventing underpayments or compliance issues.
Interoperability: Seamless integration with 600+ LIS/EHR systems (Epic Beaker, Orchard, Sunquest).
No Surprises Act Compliance: Our lab billing services provide automated Good Faith Estimates (GFE) for self-pay patients at least 3 days prior to service, fully complying with transparency mandates.

What Makes Us Better Than Other Lab Billing Companies?

Years of Lab Billing Experience
ICD-10/CPT/LOINC Coding Experts
Faster Payments & Reduced A/R
100% HIPAA Compliance
Maximized Collections for High-Cost Tests
Revenue Integrity Audits
Denial Prevention & Appeal Management
PAMA & CLFS Compliance
Patient-Friendly Estimates

Medical Laboratories We Serve

Our Guaranteed Results For Your Laboratory Success

KPIs that reflect our commitment to your revenue success.

Reduction in Billing Errors

99 %

Reduction in AR

40 %

First Pass Clean Claims Rate

95 %+

Revenue Increase

Up to 20 %

Denial Rate

≤ 4 %

Turnaround Time

7- 14 Days

Infusion Therapy RCM Services Built for Audits. Designed for Protection

In-House Billing

Our lab billing company handles billing for molecular pathology (NGS), toxicology, and microbiology, and manages inter-lab reference agreements to prevent double-billing.

Laboratory Information System (LIS) Integration

We integrate directly with Epic Beaker, Cerner PathNet, Orchard, and Sunquest. This eliminates manual entry errors and ensures that clinical data (such as specimen collection dates) matches billing data.

Patient Eligibility Pre-Authorization

At Dastify Solutions, you get highly certified coders who ensure 100% accuracy, compliance, and optimized reimbursements. Our AAPC-certified experts carefully handle and submit all claims.

Convenient Data Management

Our lab billing company consolidates all your billing data into a single streamlined system by digitally filing claims, eliminating duplicates, and resolving conflicts before they slow you down.

ICD-10 & PAMA Compliance

Our lab billing company consolidates all your billing data into a single streamlined system by digitally filing claims, eliminating duplicates, and resolving conflicts before they slow you down.

Value-Based Services

We handle billing for value-based bundles, including genetic and molecular tests. And also help you in meeting the requirements for value-based services.

A/R Management

Our laboratory medical billing services reduce your days in A/R, improve your net collection rate, and minimize your charge lag. Also, increase your first-pass acceptance rate.

How Dastify Makes You the #1 Lab in the USA?

We eliminate the errors that trigger audits. Choosing our diagnostic lab billing service means being wrapped in a compliance shield. We don’t let your lab suffer from common, costly errors:

We don’t let your lab suffer from common errors like:
Wrong ICD-10 Coding: We ensure "Rule-Out" diagnoses are supported by specific clinical findings to meet LCD/NCD Medical Necessity criteria.
Missing Z-Codes: We mandate DEX Z-Code registration for molecular assays to prevent automatic rejections from Medicare Administrative Contractors (MACs).
MUE Edits: Our AI scrubbers flag claims that exceed Medically Unlikely Edits (MUE), like excessive toxicology units, before they leave your system.
CLFS Pressure: We prepare you for the 2026 PAMA reporting period, ensuring your private payer data is collected accurately now to protect your future rates.

Automated Workflows. Less Manual Work.

Fast-paced labs need faster billing. Our laboratory billing services bring AI-driven solutions that automate up to 60% of manual tasks:

NLP-Driven Coding: Computer-Assisted Coding (CAC) reads pathology reports to suggest accurate CPT codes.
Robotic Process Automation (RPA): Bots log into payer portals to verify eligibility and capture Prior Auth numbers instantly.
Claim Scrubbing: Every claim is checked against NCCI edits and duplicate testing rules to ensure it is "clean" before submission.

Laboratory CPT & LOINC Code Mastery – Key Tests for 2026

We map CPT and LOINC codes for 100+ lab tests — from chemistry to molecular panels — ensuring accurate billing, fewer denials, and maximized revenue for 2026.

Here are the essential, high-volume Chemistry and Immunology codes for 2026. This list focuses strictly on the most “important” codes—those with the highest clinical utility and procedure volume.

Chemotherapy IV Infusion Billing & Coding

Basic Metabolic Panel (BMP)

CPT 80048 | LOINC 51990‑0

Comprehensive Metabolic Panel (CMP)

CPT 80053 | LOINC component mappings

Lipid Panel

CPT 80061 | LOINC component mappings

Hemoglobin A1c (HbA1c)

CPT 83036 | LOINC 4548‑4

Thyroid Stimulating Hormone (TSH)

CPT 84443 | LOINC mapped per assay

Vitamin D, 25-hydroxy

CPT 82306 | LOINC mapped per method

Immunology & Hematology

Basic Metabolic Panel (BMP)

CPT 80048 | LOINC 51990‑0

Complete Blood Count w/ Differential (CBC)

CPT 85025 | LOINC component mappings

Prostate-Specific Antigen (PSA), Total

CPT 84153 | LOINC mapped per assay

Hepatitis C Antibody

CPT 86803 | LOINC mapped per test

Frequently Asked Questions

How do you prepare our lab for PAMA 2026?

The PAMA data reporting period runs from Jan 1 to March 31, 2026. We have automated the tracking of your private payer rates and volumes from the 2025 collection period. We generate the required CMS reports for you, ensuring you meet the deadline without disrupting daily operations.

How do you handle complex molecular and genetic billing?

We specialize in MolDX compliance. We ensure your tests have valid DEX Z-Codes™ and are billed with the correct CPT codes and gene-specific modifiers. We also manage Prior Authorization (PA) for genetic panels to prevent backend denials.

Do you support Split Billing (TC/PC)?

Yes. We audit your claims to ensure the Technical Component (TC) and Professional Component (PC) are billed correctly based on where the test was performed and interpreted, preventing revenue leakage or double-billing compliance issues.

What is the cost of laboratory billing services?

We typically operate on a performance-based model (a small percentage of net collections). This aligns our incentives with yours—we only get paid when you get paid. Contact us for a specialized quote based on your test volume and complexity.

Need a Free Lab Billing Audit?

We are confident we can boost your collections. Don’t let PAMA 2026 or Z-Code denials catch you off guard. Get a free audit of your current A/R and compliance status today.