Pathology Billing Services

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Overcoming Challenges and Maximizing Reimbursement

Pathology practices, groups, and labs face unique billing requirements that present various challenges. To ensure successful claim submission and collection, billers and coders must possess in-depth knowledge of pathology sub-specialties and stay updated on billing guidelines and CPT code updates for pathology services. With increasing scrutiny and stricter regulations in laboratory billing practice management, compliance procedures must be implemented to adhere to changing laws.

The Complexity of Merit-Based Incentive Payment System (MIPS)

In addition to federal and commercial guidelines, pathology labs encounter a significant challenge in the form of the Merit-Based Incentive Payment System (MIPS). MIPS determines Medicare payments based on scores in four performance categories: Quality, Cost, Improvement Activities (IA), and Promoting Interoperability (PI). To avoid payment cuts and earn maximum incentives, pathology labs must report on six Quality measures and up to two IA measures. Navigating the intricacies of MIPS requires expertise and attention to detail.

Managing Documentation and Reporting for Revenue Cycle Management

The future of your lab's revenue cycle management relies on accurate documentation and proper reporting. Adjusting front-office and back-office procedures is crucial to maximize reimbursement from all payers. With insurance companies narrowing their provider networks, pathology labs are increasingly considered out-of-network providers. Furthermore, health insurers impose greater limitations on benefits, making it challenging to collect payments from insurers and patients. However, verifying eligibility before providing services can help avoid denied claims and collection accounts.

Achieving Successful Medical Claims and Increasing Reimbursement

Timely sample processing and reporting are vital for filing successful medical claims and increasing reimbursement rates. However, the regulations and reporting requirements can be confusing and time-consuming, leading to delayed or lost payments. These challenges can significantly impact the success of pathology labs. To regain control, partnering with a dedicated team of laboratory billing experts and analysts is essential. They possess the knowledge and expertise to navigate the complexities of pathology billing and optimize reimbursement.

Optimize Your Lab's Profitability with Pathology Billing Solutions

JAR Solutions ensures the profitability of your lab with our comprehensive pathology billing services. We proactively identify and resolve potential compliance, regulatory, and reporting issues, minimizing operational costs and maintaining your lab's financial health. Our diligent approach includes aggressive claims follow-up and successful collection of outstanding accounts receivable, allowing you to recover lost revenue.

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Streamlined Old A/R Collections:
We streamline the recovery of aging accounts receivable (A/R) to maximize revenue. Our system organizes and recovers outstanding amounts, reducing expenses and optimizing revenue collection.
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HIPAA-Compliant and Secure Data Management:
Jar Solutions prioritizes HIPAA compliance and ensures the secure handling of patient data. Our physician billing management system employs robust digital security measures to safeguard sensitive information.
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Missed Encounter Management and Tracking:
Our innovative physician billing solutions address missed appointments by tracking encounters and improving patient engagement. Easily set up fee schedules, manage copays, and identify visits with missing charges.
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Regulatory-Compliant Charting & Coding Review:
We conduct thorough charting and coding reviews to ensure compliance with regulatory standards. Our expert team identifies issues and ensures accurate claim submission, consistent cash flow, and long-term success.

Our Services

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Prior
Authorization
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Credentialing
& Enrollment
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Advance
Eligibility
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Charge
Creation
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Coding &
Submission
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Account
Receivables
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Denial
Management
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Rejection
Fixation
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Payment
Posting
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Daily, Weekly
& Monthly Reports

Our Specialty

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Hospital Billing
Services
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Physician Billing
Services
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Laboratory Billing
Services
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Imaging Center
Billing
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Coverage
Discovery
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AR Recovery
Services
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Ambulatory Surgery
Billing
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Medical Billing
Services
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Complete RCM Services

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Experienced Billers and Coders

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Overall Reports

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Free Audits

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Our Clients

What Client's Say?

We are an e-commerce website and JAR solutions provide IT services, inventory handling, and virtual assistance. We are satisfied with their customer service and timely delivery. They have a skilled team of IT professionals who have managed our IT infrastructure in the best possible way.

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Luis Morton
CEO Sebastian Shopping

We picked JAR solution for IT services. They have effectively handled our IT infrastructure and transformed our core ideas into practical solutions. Moreover, they have sorted our day-to-day technical issues and enhanced our productivity by 80%.

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Frankie Murphy
Co-founder Claudia Alves

JAR solutions have the most competent team that handles our digital platforms effectively. Our sales have drastically increased due to proper digital marketing services by JAR solutions. From web development and Search Engine Optimization to social media marketing, they have improved and developed our brand's online presence. 100% recommended.

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Gloria Mcgee
Founder Oneturn films

I am working with JAR solutions. They manage my medical billing and I am very happy with the turnover. My revenue has progressively boosted and I can manage my practice without bothering about the finances.

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Dr. Lorena Bowers
Neurologist
Timely
Deliverance
Customer
Satisfaction

OUR STAFF

We help to create visual strategies.

We are Obelisk. We create award-winning websites, remarkable brands and cutting-edge apps.Nullam imperdie.

UI / UX Design
Apps Development
Stephanie Lawrence
Alex Regelman
Stacey Stamper
Stephanie Lawrence

We provide the best value for investment

1 Cost-effective:

JAR solutions are ten times more affordable as compared to the competitors.

2 Seamless Transition:

Our collaborative staff makes the outsourcing transition easy for the clients.

3 Result-Driven Solutions:

Our specialized internal system guarantees that you monitor results for your investment. s.

4 Value-Added Services:

We create free proposals for all the offered services for our clients.

5 Complete Services:

We have packages and solutions tailored according to your budget and constraints.

6 Top-of-the-line Customer Support:

We dedicate an account manager for all outsourcing services. There will be a single point of contact at your disposal 24/7 for organized communication and seamless workflow. NO runarounds to fulfill your needs.

BEST FEATURES

Our Clients

Our area of practice is quite wide: design, graphics, branding, development.

Sebastian Shopping
Jamie Kyrie
Claudia Alves
One Turn

FAQs

Medical revenue cycle management outsourcing refers to the practice of entrusting the management of the financial processes of a healthcare organization, including patient registration, insurance verification, coding, billing, and collections, to a specialized third-party service provider. By outsourcing these tasks, healthcare providers can streamline their revenue cycle, optimize financial performance, and focus on delivering quality patient care.

Outsourcing medical revenue cycle management offers several benefits. It allows healthcare providers to leverage the expertise of professionals who specialize in revenue cycle management, ensuring accurate and efficient financial processes. Outsourcing can also lead to reduced administrative burden, improved revenue generation, minimized claim rejections, and increased financial stability. By partnering with a trusted outsourcing provider like JAR Solutions, you can achieve better financial outcomes while maintaining compliance and patient satisfaction.

Medical revenue cycle management outsourcing typically includes a range of services, such as patient registration, insurance verification, coding, billing, claims submission, denial management, payment posting, and accounts receivable management. The outsourcing provider takes care of these tasks, ensuring that the revenue cycle flows smoothly and maximizing revenue generation for the healthcare organization.

Outsourcing revenue cycle management can maximize your revenue through various means. The outsourcing provider employs skilled professionals who ensure accurate coding, timely claim submission, and proactive denial management, reducing claim rejections and minimizing revenue leakage. Additionally, outsourcing allows your organization to benefit from advanced technology solutions that streamline processes, improve efficiency, and provide real-time visibility into financial performance. These factors contribute to increased revenue generation and improved financial outcomes.

Yes, outsourcing revenue cycle management is suitable for healthcare organizations of all sizes and specialties. Whether you’re a hospital, clinic, or medical practice, outsourcing can bring significant benefits by freeing up resources, enhancing financial performance, and allowing you to focus on patient care. At JAR Solutions, we offer customized solutions tailored to your specific needs, ensuring that our outsourcing services align with your organization’s goals and requirements.

At JAR Solutions, we prioritize data security and confidentiality. We implement robust security measures to protect sensitive information, adhere to industry regulations, and maintain compliance with HIPAA guidelines. Our commitment to data security ensures that your patient and financial data is safeguarded throughout the revenue cycle management process.

Getting started with revenue cycle management outsourcing from JAR Solutions is simple. Contact our team to discuss your organization’s needs and goals. We will work closely with you to develop a customized solution that meets your requirements. Our onboarding process is smooth and efficient, ensuring a seamless transition to our outsourcing services. Let us handle your revenue cycle management while you focus on providing exceptional patient care.

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