Specialty Focus: Clinical Laboratory

Laboratory Billing,
Engineered for Precision.

biotech

Anatomic Pathology

Scanning Zone...
biotech
Pathology
science
Chemistry
hub
Molecular
bloodtype
Hematology

Select a diagnostic focus area on the scanner or list below to reveal the specific CPTs, panel bundling rules, and documentation standards our certified coders master to secure your laboratory revenue.

biotech

Anatomic Pathology

expand_more

Precision billing for surgical pathology (88300-88309). We accurately manage the division between Professional Components (Modifier 26) and Technical Components (Modifier TC) based on your lab's structure and CLIA certification level.

88300-88309 Codes Modifier 26 / TC Surgical Path Levels
science

Clinical Chemistry & Toxicology

expand_more

Expert management of Organ and Disease-Oriented Panels (80047-80081). We prevent NCCI edit denials by ensuring individual chemistry tests are appropriately grouped into panels or billed with modifier 59/91 only when medically necessary and distinct.

Panel Bundling Rules Presumptive Drug Testing Definitive Toxicology
hub

Molecular Diagnostics & Genetics

expand_more

Billing for high-complexity Tier 1 and Tier 2 molecular pathology codes (81200-81408) and multiplex infectious disease panels. We navigate Medicare's MolDX program requirements, ensuring Z-codes are correctly mapped to prevent rejections.

DEX Z-Codes Tier 1/Tier 2 Codes PCR Multiplex Panels
bloodtype

Hematology & Coagulation

expand_more

We audit high-frequency codes like CBCs, ensuring the correct differentiation between manual (85007) and automated (85004) differentials. We also secure revenue for complex flow cytometry (88184-88189) by adhering to strict marker-count guidelines.

CBC with Diff Flow Cytometry Coagulation Panels

Laboratory Billing is Complex.
We Make It Profitable.

High-volume clinical labs face immense scrutiny over unbundled panels, missing DEX identifiers, and duplicate testing edits. Hover over the common challenges below to see how HBS secures your revenue.

Panel Unbundling Edits

Billing multiple individual chemistry codes instead of the single overarching Organ/Disease Panel (e.g., CMP 80053) triggers immediate NCCI edit denials and compliance audits.
Hover for Solution

The HBS Solution

Our automated LIS scrubbing engine detects overlapping component codes and instantly rolls them up into the correct Panel CPT, ensuring compliance and maximizing legitimate reimbursement.

Molecular Z-Code Edits

Under Medicare’s MolDX program, submitting high-cost genetic or molecular tests without the laboratory-specific, registered DEX Z-Code guarantees outright rejection.
Hover for Solution

The HBS Solution

We map your specific DEX Z-Codes directly to the corresponding CPT and HCPCS codes in our billing engine, ensuring every molecular claim passes the Palmetto GBA / MolDX edits flawlessly.

Repeat Lab Tests

When a clinical test must be repeated on the same day (e.g., serial glucose), using Modifier 59 instead of Modifier 91 often leads to duplicate claim denials.
Hover for Solution

The HBS Solution

Our coders are experts in clinical lab modifiers. We accurately apply Modifier 91 for repeat lab procedures on the same day, protecting your claims against automated ‘Exact Duplicate’ scrubbers.

The HBS Laboratory Advantage

We don’t just process claims; we act as the financial safeguard for your high-volume facility. From resolving NCCI panel edits to seamlessly integrating with your LIS, we optimize your entire diagnostic revenue cycle.

99%+ Clean Claim Rate

Our proprietary scrubbing engine catches modifier mismatches, invalid ICD-10 medical necessity linking, and CLIA certification errors before submission.

Seamless LIS Integration

We integrate directly with your Laboratory Information System (LIS) to extract HL7 data streams, automating charge entry to handle massive daily volumes effortlessly.

Audit-Ready Compliance

We maintain impeccable trails for referring physician NPIs, signed requisitions, and medical necessity criteria, shielding your lab from federal recoupment audits.

Average Lab Revenue Lift (First 6 Months)

M1
M2
M3
M4
M5
+17% Lift
M6
Calculate Your Specific ROI

Stop Laboratory Denials Today.

Let our specialized diagnostic billing team audit your current processes. Discover exactly where your revenue is leaking on unbundled panels and missing modifiers.