Invicta MD offers specialized molecular medical billing services designed to ensure compliance with regulations and optimize revenue. Our billing process has been refined over the years into a highly efficient system that minimizes errors and maximizes reimbursements. With our expertise, you can focus on providing top-tier care while we handle the complexities of billing and coding.
Molecular labs face unique billing challenges due to the rapid advancements in genetic testing and the evolving complexity of billing codes. As molecular testing helps physicians make crucial decisions, insurers often hesitate to approve these expensive tests.
To succeed in molecular lab billing, it’s not only about knowing the proper codes but also understanding the intricate details that must be included. Having experience in working with insurers is critical. When a claim is denied or rejected, an experienced biller can effectively appeal, providing evidence of medical necessity to increase the likelihood of reimbursement.
Invicta MD offers specialized molecular, genetic, and diagnostic laboratory billing services to ensure claims are correctly coded, submitted on time, and accompanied by all necessary documentation. Our certified medical billing specialists are experts in their field, staying up-to-date with changes to CPT codes. With our specialized knowledge and experience, we submit accurate claims from the start, leading to increased collections on A/R accounts.
Constant changes in the field mean that CPT codes are regularly updated, making it difficult for in-house billers to keep pace with the latest changes. Sometimes, one code can apply to multiple genes, while others require unlisted codes when the gene isn’t specified. Additionally, labs must manage the complexities of MolDX organizations and their coding requirements.
