LABORATORIES
Women’s Health Genetic Laboratory Billing
Leverage expert genetic revenue cycle management services that maximize revenue while empowering your lab to enhance operations and clinical outcomes.
Genetic Laboratory Billing Requires Coding Expertise
It has become more difficult identifying how genetic and molecular tests should be billed as CMS and commercial payers continue to change their coding and prior authorization requirements. This has increased payment errors, administrative expense, compliance risks, and denials for labs. Our expertise in laboratory RCM can equip labs with a team of billing professionals and technology necessary to work with genetic and molecular laboratories’ unique challenges.
Claim scrubbing software automated to detect CPT code and modifier changes against fee schedules
In-house developed technology that is updated to your genetic lab’s specific chargemaster against all CMS and commercial payer coding requirements
Preparing Genetic Claims for Success
Higher-ticket genetic test claims mean there’s a higher chance for the lab to be denied full reimbursement. Federal and commercial payers are adding more requirements daily to specific genetics tests as labs struggle to remain compliant, efficient, and profitable while submitting these claims. Our solutions ensure each claim has the required documentation that payers require.
Prior-authorization and eligibility checks
A team of lab billing experts that provide aggressive denial management and correction
Full-service genetic lab billing
Optimize your revenue, reduce claim denials, and enhance cash flow with the support of our team of laboratory reimbursement experts. Our service includes management of every aspect of the billing cycle to ensure seamless and efficient revenue collection for your lab. From LIS integration to insurance billing, patient statements, remittance posting, and detailed financial reporting, our comprehensive approach covers it all.
LIS Integration
Insurance Billing
Account Managers
Compliant Processes
Claim Scrubbing
Insurance Collections
Patient Representatives
Prior Authorizations
Remittance Posting
Financial Reports
Patient Statements
Clinic Education & Support
Get a complete, transparent view of your genetic lab’s financial performance
- Access your data and dashboards on any device anywhere with our web-based portal
- Control who can access your portal with unlimited permission-based user seats
- View performance at an executive level or drill down to the patient, payer, or CPT level to access granular detail
- Track and monitor performance in real-time as our team of posters and collectors enter data
- Analyze trends over customizable time-frames
Collect reimbursement faster with higher patient satisfaction
- Our dedicated, U.S.-based patient representative team is available to assist patients with any billing questions or concerns
- Customize your billing statements to your lab’s branding to encourage payment
- Offer flexible payment plans and discounts so patients can manage their bills in a way that works for them, improving their overall experience
- Direct patients to an easily accessible online payment portal, making it simple for patients to view and pay their bills anytime, anywhere
Make data-driven decisions with customizable reporting
- Our reports give you insight into details such as billing summary reports, waterfall reports, payments by carrier, AR by CPT and carrier, and more
- Request custom reports from our expert team of in-house developers
- Download and export reports to utilize internally in your preferred file format
- Consult with our team of professionals in the reimbursement and clinical space to help you understand the best operational approach with your data
“As one of the largest OBGYN groups in the country, we have high lab volumes in genetic, pathology, molecular and clinical specialties. We needed a partner to guide us on the financial side of our physician office lab and have enjoyed consistently good results throughout our 20-year relationship. The Phytest RCM team is first class, but we also rely on them to review and advise us on the operational aspects of our laboratory services.”
Kathy Wood, President
We created lab RCM solutions that do the work, so you don’t have to
With over 26 years of experience in the laboratory reimbursement space, Phytest has become a leader in outsourced laboratory RCM services.
We’ve helped genetic laboratories recover more revenue for less by providing laboratory-exlcusive technology, patient services, and expert knowledge that traditional medical billing companies lack.
Our success is founded on service, and we only succeed when our clients succeed.
Why Phytest?
We have an exclusive laboratory focus
Our unique laboratory reimbursement focus has given us a level of expertise unlike other medical billing companies. Our lab RCM technology and team are built for efficient, successful genetic lab billing.
We help you make data-driven decisions
Customizable reports and dashboards reveal where to reduce loss, expand performance, and opportunity for new lines of business. Our team of reimbursement experts support your genetic lab’s growth.
We give you and your patients unparalleled support
Partnering with Phytest means we are vested in your success. Our team is 100% on-shore and available to you and your patients to ensure championed client and patient support.
Start earning more genetic lab billing revenue
Meet with our team of laboratory reimbursement experts to explore the best solution for your genetic lab’s RCM and billing.