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January 2013:
Billing / consulting / management


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Management of the Pathology Practice: Consulting and Billing
Jaleh Mansouri, M.D.


Due to the current climate of economic uncertainty, liability, managed health care, and decreasing reimbursement fees, the management of the pathology practice has become an increasingly challenging endeavor. In recent years, there has been a rise in the utilization of physician consulting firms that assist pathologists with the financial, legal, and administrative aspects of a pathology practice (e.g. Vachette Pathology). These firms offer various services including audits on billing practices, independent evaluations for potential coding errors, and negotiation of fees with various third-party payers. It is important to note that the consulting, business, and administrative operations of a pathology practice must always comply with HIPAA (Health Insurance Portability and Accountability Act) regulations.

One major component in the management of a pathology practice is billing. In many pathology laboratories, professional and technical services are billed separately (professional component billing). Reimbursement fees generated by billing are largely determined by diagnostic codes based on Current Procedural Terminology (CPT) guidelines. The level of complexity involved in medical coding has prompted some pathology laboratories to employ professional coders certified by such organizations as the American Academy of Professional Coders (AAPC). Various billing/coding software packages (e.g. NovoBilling, Kareo, etc.) are also available to facilitate these processes.


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AdvantEdge Healthcare Solutions: Powerful pathology coding, billing and practice management services. We use incredible technology to maximize revenue and decrease costs, frequently in dramatic ways. AHS pathology clients see net collections increase 10 to 30% - with better control and understanding of their practice. Billing expertise in both anatomic and clinical pathology. The AHS promise to each pathology client is: More money, faster; Practice financial data anytime, anywhere; Regulatory compliance, built-in; and Client First service. Call toll-free now 877-501-1611 or email info@ahsrcm.com.

APS Medical Billing is the largest, privately-held pathology billing company in the United States. Since 1960, APS has grown and currently provides services for over 140 pathology practices in over 250 sites. APS' clients range in size from a single pathologist operation to large, multi-site academic pathology departments. The scope of our billing services and proven strategies allows APS to effectively bill for the professional component of anatomic and clinical pathology services, and global pathology services. Some of the services provided include expert ICD-9 and CPT coding, contract management, and comprehensive charge capture system to ensure our client's success. Visit us at: www.apsmedbill.com.

Pathology Service Associates, LLC: PSA is a leading provider of pathology and laboratory billing, marketing, and business support services. PSA is dedicated to providing comprehensive business solutions to clients seeking to gain a competitive advantage within their markets. PSA's services assist clients in optimizing collections, facilitating additional referrals, acquiring new technology at preferred pricing, and exchanging knowledge with peers across the US, while avoiding compliance pitfalls. For more information, visit www.PSAPath.com or contact Diana Brooks at 1.800.832.5270 x2988 or dbrooks@psapath.com.

Vachette Pathology: Are you content with your current income? Can you afford to lose more money? Do not settle for less. More than 600 individual pathologists nationwide trust us with their financial oversight and practice management. Imagine: someone who has a successful track record negotiating with managed care, someone that solves your billing and payment problems and guarantees to help you put more money back into your pocket. Vachette Pathology is a pathology practice management firm that specializes in revenue enhancement. WE ARE NOT A BILLING COMPANY. You do not have to change billing agents to increase your income. You simply have to manage the process. Pick up the phone and call me and let's start increasing your income today; contact Mick Raich toll free at 866-407-0763 or at mraich@vachettepathology.com.

Past / future feature pages:

January 2013: Billing / consulting / management

February 2013: Microscopes / slide imaging
March 2013: Tissue processors / other histology
April 2013: Laboratory Accreditation / Education / CME
May 2013: Computer software and systems
June 2013: Diagnostic testing / reagents
July 2013: Imaging / digital / photography
August 2013: Books & Journals
September 2013: Antibodies
October 2013: Laboratories
November 2013: Consumable Lab Products / Clinical Lab Analyzers
December 2013: Grossing Equipment / Workstations
January 2014: Billing / consulting / management

Contact Sara Halladay-Klakulak, 248/646-0325, pathoutsales@gmail.com to advertise at PathologyOutlines.com, the world's most popular pathology website.

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