Accurate. Compliant. Faster Reimbursement for Clinical & Diagnostic Labs.
Lab billing is high-volume, rule-heavy, and denial-prone, especially with medical necessity checks, payer edits, and frequent policy changes. HSMEDBILL helps laboratories and provider offices bill lab services cleanly, reduce denials, and collect faster across Medicare, Medicaid, and commercial payers.
Whether you run an in-office lab, an independent lab, or a specialty lab, we manage the full revenue cycle from charge entry to denial appeals, so your team can focus on patient care and operations.
HS Medical Billing
Lab & Clinical Billing Service Provider
Clean Claim Creation & Submission
• Accurate CPT/HCPCS coding for lab tests and panels • Proper ICD-10 diagnosis linking and “diagnosis pointers”
Medical Necessity & Policy Alignment
• Support for LCD/NCD-driven medical necessity workflows (especially for Medicare) • Payer-specific rules for frequency limits, diagnosis coverage, and documentation flags
Denial Management & Appeals
• Medical necessity / diagnosis mismatch • Missing or invalid CLIA/ordering/referring information
Payment Posting & Reconciliation
• Accurate ERA/EOB posting • Underpayment identification and follow-up
Patient Billing Support
• Clear patient statements and balance follow-up workflows • Dispute handling and payment plan support (based on your preferences
Who We Serve
- Physician offices with in-house labs
- Independent laboratories
- Reference labs and outreach programs
- Specialty testing providers (toxicology, molecular, allergy, hormone, etc.)
Compliance & Best Practices
- We follow lab billing best practices including:
- HIPAA-aware handling of PHI
- Documentation-based coding and billing support
Payer policy adherence for coverage and medical necessity
Common Lab Billing Challenges We Solve
- Claims denied for medical necessity or incorrect diagnosis/test pairing
- Missing/incorrect ordering/referring provider info
- Incorrect use of QW/90/91 or payer edits causing rejections
- High A/R due to slow follow-up or unresolved claim rejections
- Underpayments and poor visibility into payer performance
Lab Billing FAQ
Do you bill Medicare and commercial payers?
Yes. We support Medicare, Medicaid (state-specific rules vary), and commercial payers based on your contracted networks and payer mix.Can you work with our LIS/EMR or clearinghouse?
We can integrate with most common workflows. If you share your setup, we align our billing process to your systems.Do you handle denials and appeals?
Yes. Denial management and appeals are core to our lab billing service.Can you help reduce denials?
Yes by improving claim quality before submission and fixing root causes (missing data, diagnosis mismatch, payer edits, workflow gaps).