Pathology Medical Billing Services You Can Rely On

Every day your lab waits, billing is delayed, denials pile up, and revenue slips away. At Dastify Solutions, our pathology billing experts capture revenue, reduce denials, and ensure compliance with CLIA, CMS, and CLFS guidelines. With constant CPT updates, payer rules, and PAMA reforms, pathology billing can quickly become a revenue risk. That’s why we ensure every claim is
coded correctly, compliant, and paid the first time.

Making Complex Pathology Billing Simple, Accurate, and Profitable

Why keep losing revenue when Dastify Solutions might just surprise you with a faster, cleaner, and more profitable billing cycle? Running a pathology practice is complex enough without worrying about payer rules, bundling edits, or prior authorization delays. That’s why we provide specialized pathology medical billing services designed to:

Protect revenue with accurate coding and real-time eligibility verification
Reduce denials and improve write-off ratios for molecular testing.
Stay aligned with HIPAA, CAP, AMA CPT updates, and CMS CLFS.
Deliver measurable financial outcomes with faster reimbursements.

Are You Getting Paid Every Dollar You Deserve?

With decades of expertise in pathology billing services, our team understands the unique coding and reimbursement challenges that labs, hospitals, and independent practices face. From CPT 88300–88399 surgical pathology codes to molecular pathology billing services for genetic testing, we handle it all.

Pathology Billing Expertise Across Subspecialties

Our billing expertise spans every subspecialty in pathology, ensuring accurate coding, CLIA compliance, and faster reimbursements for:

Microbiology & Immunology

Clinical & Special Clinical Chemistry

Hematology & Advanced Hematology

Histopathology & Cytopathology

Fine Needle Aspiration (FNA) Cytology

Bone Marrow Aspiration & Reporting

Blood Bank & Transfusion Medicine

Molecular & Genetic Pathology

Our Core Pathology Medical Billing Services

No matter how complex the test, our coders and billing specialists are familiar with the rules that keep your claims compliant and reimbursable. We handle billing for preventive and patient-facing lab services, with clean claims and proper payer alignment. We provide end-to-end billing support across every subspecialty:

Anatomic Pathology Billing

Accurate coding and billing for biopsies, surgical pathology, and IHC stains to deliver quicker reimbursements and protect your revenue.

Clinical Pathology Billing

Comprehensive billing for lab panels, blood chemistry, microbiology, and toxicology, with payer-specific compliance.

Molecular Pathology Billing

Expert billing for precision medicine, NGS panels, and genetic assays, minimizing denials on high-value tests.

Hospital Outreach & Independent Lab Billing

Dedicated support for split-billing compliance, outreach programs, and physician office arrangements

Physician Lab Billing

Customized billing for POLs with bundled panels, CLIA compliance, and faster reimbursement.

Why Pathology Billing Is Different

Unlike general physician billing, pathology involves split billing, bundled panels, and payer-specific rules that change often. Billing errors can cause lasting revenue leakage. That’s why pathology practices across the USA trust us to manage billing complexity with precision. Here's why:

These nuances make it essential to work with an outsourced pathology billing company that understands the intricacies of lab reimbursement.

High test volumes across panels, genetic assays, and stains.

Strict compliance with CMS NCDs for molecular testing and MAC edits.

Multiple procedure coding systems include CPT, ICD-10-CM/ICD-10-PCS codes, LOINC, HL7/FHIR, and ANSI 837P formats.

Dual models of reimbursement: hospital split-billing vs. independent lab claims.

Key Factors in Choosing a Reliable Pathology Medical Billing Company

When selecting a billing partner, finding a team that understands your specialty and protects your revenue is key. Use this checklist to evaluate any pathology billing service provider:

Specialty Expertise

Are they fluent in pathology coding? For instance, CPT codes for pathology and laboratory tests range from 88304 to 88309. The right billing company should speak your codes as fluently as you do.

Compliance You Can Trust

Do they stay aligned with HIPAA regulations, CMS guidelines, and Industry-specific compliance standards?

Technology Integration

Can they integrate with your EHR or LIS system without disrupting your workflow? Look for a billing partner that is tech-savvy, automation-enabled, and capable of synchronizing data in real-time.

Transparent Pricing

Do they provide a clear, upfront pricing model with no hidden fees? The best partners operate with transparency, so you know exactly what you’re paying for.

Denial Management Strength

Do they have a proven team that manages denials like lost revenue, not just paperwork? A strong billing partner should appeal underpayments aggressively and recover dollars that would otherwise be written off.

What Sets Dastify Solutions Apart From the Competition

Challenges

Reality

Medical Need Denials
Claims for pathology tests, such as molecular diagnostics (CPT 81479), are often denied due to missing documentation.

AI Documentation Checker
Our AI Documentation Checker utilizes payer-specific templates to identify and prevent gaps before submission.

Coding Errors
Anatomic (CPT 88305), IHC (CPT 88341), and molecular tests often face underpayments due to coding mistakes.

Code Validation
Our Pathology Coding Accuracy Engine validates CPT, ICD-10, and HCPCS codes in real time for clean claims.

Prior Authorization Delays
High-cost tests, such as BRCA (81211) and NGS panels (81455), can take weeks to obtain approvals.

Fast-Track Approvals
Our Prior Authorization team secures approvals, escalations, and peer reviews.

Compliance & Data Security
Labs worry about outsourcing due to strict compliance and data privacy standards.

HIPAA-Grade Security
We guarantee safety with HIPAA-grade encryption, audit trails, and compliance with CAP/CMS regulations.

The Financial Impact You Can Measure

Our pathology RCM model is built on financial KPIs that matter to physicians. Whether you manage an independent diagnostic laboratory or a hospital-based pathology group, our solutions ensure that your billing keeps pace with the era of precision medicine. We improve financial performance where it matters most:

Faster reimbursements and reduced A/R days.
98.5% first-pass claim acceptance rates.
Maximized revenue capture with accurate charge entry.
Lower write-offs, especially for molecular and genetic testing.
Transparent ROI through customized reporting.

The result? Predictable revenue cycles, more substantial margins, and less money lost in denials.

Patient-Centered Billing for a Better Experience

We make high-cost and complex testing billing patient-friendly with:

Laboratory Type Experience

Dastify supports diverse pathology environments with tailored billing solutions. Our team understands the unique workflows, payer rules, and revenue models of:

Independent Laboratories

High-volume testing, payer reimbursements, and outsourced molecular diagnostics.

Hospital Laboratories

Split-billing models, facility/professional components, and outreach program billing.

Physician Office Laboratories (POLs)

Small to mid-sized practices with in-house testing and bundled panels.

Reference Laboratories

Specialized testing, complex payer policies, and multi-state billing compliance.

Our Pathology Billing Process

Behind every clean claim and faster reimbursement is a systematic, proven billing process. At Dastify, we combine compliance, technology, and specialty expertise to make sure no detail is overlooked. Here’s how our pathology billing workflow works:

We simplify your billing cycle from start to finish:

Secure Record Transfer

LIS/EHR integration with HL7/FHIR standards.

Indexing & Sorting

Accurate test mapping with LOINC and CPT compliance.

Claim Validation & Compliance Checks

Automated edits to prevent denials.

Reporting & Transparency

Track KPIs like charge capture, denial rate, and days-in-A/R.

Denial Management & Appeals

Focused strategies for test-specific reimbursement.

Claim Generation & Submission

ANSI 837P standards for payer acceptance.

Pathology Medical Billing Services FAQs

What are pathology medical billing services?

Pathology medical billing services cover coding, claim submission, and reimbursements for anatomic, clinical, and molecular pathology. They ensure compliance with CMS CLFS, PAMA reforms, and payer bundling edits to safeguard revenue.

Why should I outsource pathology billing to a specialized company?

A pathology billing company understands the unique coding challenges associated with CPT codes. They reduce denials, improve write-off ratios for molecular testing, and maintain compliance.

How can real-time eligibility verification improve lab revenue?

Real-time eligibility verification checks a patient’s insurance benefits before tests are performed, preventing claim denials, speeding up reimbursements, and reducing billing delays for anatomic and molecular pathology billing services.

What makes molecular pathology billing services challenging?

Molecular and genetic testing involves high-value procedures with payer-specific rules, frequent prior authorization requirements, and strict compliance standards. Outsourced experts improve reimbursement accuracy, manage payer bundling edits, and reduce denials on costly tests.

What should I look for in a medical billing company for pathology services?

Look for a billing partner with pathology coding expertise, compliance with HIPAA and CMS guidelines, transparent pricing, and proven results in reducing A/R days and increasing first-pass claim acceptance rates.

Partner With Pathology Billing and Coding Experts

With in-depth knowledge in diagnostic pathology billing, anatomic and clinical pathology billing services, and molecular pathology billing solutions, we’re the trusted extension of your practice.