Pathology Billing Services

Is your internal billing team grappling with pathology billing and coding complexities? Failure to assign codes or inaccurate coding can cause claims denials. Our HIPAA-compliant pathology billing services are designed to help you streamline your revenue cycle from coding to reimbursement, resulting in maximum revenue for your practice.


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StripPathology Billing Services

How We Streamline Pathology Billing for Your Practice

Our AHIMA and AAPC-approved CCS, CCS-P, and SCP-certified coders and billers understand the billing complexities for various pathology procedures, including surgical pathology, clinical pathology, and cytogenetics. This in-depth billing knowledge allows them to ensure accurate coding and maximize reimbursements for your pathology practice. Our experts will combine their knowledge with advanced software to streamline your pathological billing process. Here’s how we will do it for you: 

  • Integrate digital tools like electronic medical records (EMRs), electronic health records (EHRs), electronic data interchange (EDI), and other capabilities into pathology-specific billing software to manage processes from electronic claims processing to electronic payment posting. 
  • Collate all patient details (demographics, medical history, referrals) and verify complete insurance information (coverage, prior authorization status with effective dates, expiration dates, and claims address) to minimize errors and streamline claims processing.
  • Prepare and process pre-authorization documentation to insurance payers with detailed clinical justification for the service or procedure. 
  • Expertise in handling diverse pathology billing models, including fee-for-service billing, value-based billing, global billing, capitation billing, etc.
  • Stay current on any updates on the AMA-specified CPT codes ranging from 80047- 89398 for pathological billing services, the P2028-P9615 HCPCS Level II code range, ICD-10-CM codes, and modifiers.
  • Ensure code specificity while covering billing for a range of pathology and laboratory procedures, including, but not limited to, Biopsy, Autopsy, Histopathology, Cytopathology, Immunohistochemistry, Immunology, Gross examination, Polymerase chain reaction (PCR), Digital pathology, etc.
  • Stay updated on any fee schedules or payment guidelines changes for government insurers like Medicare (Part B, Part C), Medicaid, Affordable Care Act (ACA) Marketplace Plans, Tricare, VHAs, etc, and private insurers like Kaiser Permanente and Aetna.
  • Review EOBs closely to identify potential payment discrepancies and accordingly initiate an appeals process to get maximum reimbursement for your pathology services.
  • Follow-up EOBs to get a clear picture of a patient’s out-of-pocket expenses, such as deductibles, copayments, and coinsurance.
  • Inform patients about their covered services and payment responsibilities to prevent unpaid bills. This will result in maximum revenue for our clients.

Our Comprehensive Pathology Billing Outsourcing Services

  •  Eligibility verification and pre-authorization
  •  Coding and billing
  •  Claims submission
  •  AR and follow-up
  •  Denial management and appeals
  •  Payment posting
  •  Patient billing and collections
  •  Compliance with regulatory requirements
  •  Reporting and analysis

Request a Quote

Request a Free 30-minute Consultation With One of Our Pathology Billing Specialists Today!

During your consultation, some of the issues we can discuss are:

  • Analyze your current pathology billing and coding workflows to identify gaps.
  • How we tailor our pathology billing services to suit the unique billing requirements of your practice
  • Our best practices to maintain accuracy in billing and coding for pathology practices.
  • Measures we take to improve billing and claims KPIs for your practice to increase revenue.

Step-by-step process for Pathology Billing Services
Step-by-step process for Pathology Billing Services

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Why Choose Our Pathology Billing Services?

For more than 24 years, we've been a trusted provider of customized pathology billing services for various practices. Our expertise extends across various settings, including hospitals, clinical pathology labs, anatomic pathologists, forensic departments, and neuropathology services. We are home to a team of expert coders (CPC) and billers (CPB), certified clinical documentation specialists (CCDS), credentialing specialists, accounts receivable management experts, and patient account representatives. By partnering with us, our clients have witnessed an increase in net collections rate to 95%, a reduction in denial rate to achieve below 8%, a clean claims rate of approximately 98%, and average AR days of about 35-40 days.


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ISO: 9001:2015 Certified Company
ISO  27001:2013 Certified Company


Years of Experience


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Clean Claim Rate (CCR)


Denial Benchmark


Net Collection Rate (NCR)

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What Our Customers Say

We have been working with Invensis for the past two years, and they have helped us overcome many revenue cycle management challenges. The team often walks the extra mile to ensure that our needs are met.

Christina Sussex
Leading Healthcare Provider in France

Invensis has been our revenue cycle management healthcare outsourcing partner for the past 5 years. They have always delivered on their commitments, whether it is meeting our Service Level Agreement (SLA) or improving our billing process.

Christopher Middleton
Leading Healthcare Company in US

Invensis has been a great partner providing quality medical coding and billing services. The team is extremely responsive to every query we pose, and the turn-around time for deliverables is always as committed.

Chris Lauren
Leading Healthcare Company in US

What Our Customers Say

We are thrilled with the impeccable chiropractic billing services offered by Invensis. Their comprehensive knowledge of the industry, prompt claims processing, and meticulous attention to detail have immensely benefited our healthcare reimbursements. Highly commendable!

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John Davis
Leading Healthcare Company in the UK.

We are extremely pleased with the exceptional hospital billing services provided by Invensis. Their expertise and attention to detail in Medicare billing and compliance in medical billing have streamlined our revenue cycle and improved financial performance.

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Emily Johnson
Leading Hospital in the US.

Invensis has been an invaluable partner for our organization, providing exceptional ASC billing services. Their expertise and dedication have significantly improved our revenue cycle management. Highly recommended!

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Sarah Smith
Leading Healthcare Provider in Italy.

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Contact Information

You can reach us at:

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+1 (302)-261-9036
Locate Us
Invensis Inc. 2785 Rockbrook Dr STE 204 Lewisville, TX 75067

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