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Laboratory Billing Services

Helping to Protect Your Revenue

Lighthouse Lab Services provides revenue strategy and consulting services for independent laboratories, hospital outreach laboratories, esoteric laboratories, private pathology practices, individual hospitals, and health systems.

Our team of medical billing specialists helps transform the way you manage your revenue.

2023 Medicare Physician Fee Schedule Labs and Pathology

Audit & Consulting Services

When was the last time you audited your billing? Our laboratory billing consultants will make sure you are receiving maximum value for your services. Maximize your laboratory billing, and maximize your bottom line.

Are you billing all the correct CPT codes? You’d be surprised at what you might be missing. We will review your Fee Schedule for free.

Laboratory & Pathology Billing Services

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Pathology Billing Audits

We audit pathology billing – anatomic and clinical for hospitals, laboratories, and hospital-based practices.

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Fee Schedule Development

Let us review your fee schedule and tell you what is missing in your managed care charges.

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Pathology Billing Metrics

Are you wondering if your billing is correct? We are the leading source for pathology and laboratory billing metrics.

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Charge Capture

We set up processes to check your charge capture at the CPT-code level to make sure you aren’t leaving money on the table.

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Pathology Billing RFPs

Are you thinking about changing your billing service? We are experts in billing and will successfully guide your practice through your RFP process.

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Client or Office Billing

Are you doing client billing? Do you have these arrangements set in the correct legal structure? At what point are these practices no longer beneficial for your practice?

"Lighthouse has been a true ally through the years, battling the slings and arrows of the Pathology world. I can rely on them to keep up with laws and issues we face, while I focus on Pathology and patient care. They provide oversight over our billing office, which sometimes needs prodding. They have my back, and I appreciate the help."

Dr. Weiss

"When it comes to Pathology billing, Lighthouse Lab Services is the go-to expert. They will get your billing and reimbursement processes running like a well-oiled machine."

Robbie Graham, MD, Comanche County Memorial Hospital

"We partner with Lighthouse because they are always a step ahead. They have strengthened our practice with their knowledge and expertise. We appreciate their dedication and integrity!"

Lucent Pathology Partners

"Our group has used Lighthouse for many years. When we started they did an in depth investigation of our billing process and identified areas where we could make improvements and increase our monthly revenue. They took us through two different RFP processes for billing agencies and helped identify the best match for us. Through all of this they have been knowledgeable, professional, and efficient, displaying integrity by reducing their fee during our lowest months. I highly recommend them."

North Pathology Associates

"Our pathology group has been using Lighthouse's Practice Management for the past year and have been very happy with the service. For the first time I feel confident that our billing company is compliant and giving us the service we need. Lighthouse helped us renegotiate our contract with a substantial savings. They also assisted in switching to a more effective collection service. It is nice to know that help is one call or text away and that I can trust their advice."

Dr. Merle Madigan

"My 6-man pathology group has used Lighthouse for over 10 years. They originally helped us select a replacement billing service. Since then they have monitored the billing service, provided formal audits, and maintained close contact with us with regular conference calls where billing information is reviewed and a practice management plan is discussed. They have provided advice on contractual negotiations with insurance companies and have provided the perspective of being closely involved with other practices and having a national presence in the pathology business arena. I have found them to be responsive to our needs. The value added to my practice easily justifies the expense of their service."

St Vincent’s Pathology

Case Studies

We love to show off the results of our hard work. Check out the case studies below for a few examples of our recent successes.

Claim Denials

Understanding and addressing claim denial reasons is key for the financial stability of medical laboratories and pathology practices.

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Modifier Usage

It is crucial to ensure labs have a clear understanding of the use of the TC modifier, especially in situations where a group only bills PC.

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MolDX and Z-Codes

Is your MAC located within a MolDX jurisdiction? If so, you’ll need to understand how to obtain and bill for service that require Z-Codes.

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Navigating MUEs

Are you encountering denials due to limitations on the number of units you can bill for a single procedure? See how we navigate Medically Unlikley Edits.

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Get a free laboratory billing consultation

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Services to Grow Your Lab

Our cost-effective lab inspections will identify potential issues prior to a federal inspection. These issues can be isolated and addressed before your upcoming CLIA, COLA, or CAP inspection.

Growing your laboratory’s business is a result of making the right decision about what to do next. Our expert consultants guide you to the best solutions for your laboratory.