Laboratory Billing Services For Labs and Clinics
Revenue Made Predictable with Precise Laboratory Billing
Your lab’s brilliance belongs under a microscope, not buried in billing codes. 63% of labs lose revenue to coding errors alone. But what if you could flip the script? BilNow delivers end-to-end revenue cycle management with a 91% first-pass claim acceptance rate, backed by over 25 years of serving molecular, pathology, and outreach labs. We pair you with a dedicated specialist, submit claims within 24 hours, and prevent denials from snowballing.
Why are Laboratories in the USA Outsourcing their Billing?
Poor Lab Billing Feels Like a Lab Experiment Gone Wrong
The best labs aren’t just outsourcing to save time; they’re doing it to dominate. Here’s why:
Denied claims your profit vampires
The average lab loses $9.4M annually due to compliance slip-ups alone.
AI won’t save you
Even the slickest software crumbles without certified coders who fluently speak " CPT-80047.”
Your lab’s size doesn’t matter
Whether you’re processing 100 or 10,000 samples daily, billing errors don’t discriminate.
Labs using specialized billing partners see 66.6% higher revenue in under a year
Complete Spectrum of Lab Billing Services
Simplify order entry and patient demographic management with automated, accurate systems. Reduce errors and speed up claims with our lab billing expertise.
Order & Demographic Management
Simplify order entry and patient demographic management with automated, accurate systems. Reduce errors and speed up claims with our lab billing expertise.
Laboratory Billing Services
Optimize your lab’s billing with expert coding, claims submission, and denial management. Our scalable solutions ensure faster payments and compliance.
Laboratory Revenue Cycle Management
Maximize cash flow with end-to-end lab revenue cycle management, minimizing denials and delays. Our AI-powered tools deliver precision and profitability.
Laboratory Coding Solutions
Ensure accurate, compliant coding with our certified experts and AI-driven tools. Minimize errors and boost reimbursements with tailored lab coding solutions.
PAMA Reporting & Compliance
Stay compliant with PAMA reporting requirements using our meticulous auditing and reporting services. Protect your lab from penalties with expert compliance support.
Types of Labs Served for Billing Services
1
Clinical Laboratory Billing
Streamline clinical laboratory billing with precise coding and efficient claims management. Our tailored solutions boost revenue and ensure compliance for clinical labs.
Molecular Diagnostic Lab Billing
Optimize molecular diagnostic lab billing with specialized coding for complex tests. Maximize reimbursements and reduce denials with our expert solutions.
3
Physician Lab Billing
Our services simplify physician lab billing through accurate coding and seamless insurance processing. They enhance cash flow for in-office and independent physician labs.
4
Toxicology Laboratory Billing
Navigate toxicology laboratory billing with expert handling of unique codes and payer rules. Boost efficiency and compliance with our AI-driven billing solutions.
5
Pathology Laboratory Billing
Precise coding and denial management enhance pathology laboratory billing. Our scalable services ensure faster payments and compliance with regulations for pathology labs.
BilNow’s Core Laboratory Billing Strengths
Our lab billing experts are trained to speak your coding language from PCRs to PQRS.
Test-Centric Coding
Our AI maps 15,000+ lab codes (CPT, LOINC) to payer rules. We have successfully reduced the denials for molecular tests (81479) by 88% at GenoLab and many such laboratories.
Prior Auth Mastery
Our trained coders and state-of-the-art technology auto-flag tests that require authentication (e.g., HLA typing) and secure approvals within 48 hours.
CLIA + HIPAA Safeguard
Our compliance team conducts monthly compliance audits and provides real-time updates on FDA and CMS lab regulations.
Specialty Lab Focus
Precise billing for all your lab specialties, whether it's Toxicology Labs, Fighting denials for definitive drug testing (G0480-G0483), or Genetics Labs, optimizing reimbursement for BRCA panels (81162-81167).
They Only Promise
We Deliver
Affordable Rates
7–8% of collections
~6% of collections
Flat $35 /mo starter plan
3.31% flat fee, volume never bites
Clean Claims
~90% first-pass rate
88% first-pass clean claims rate
30% reduction in denials
98.7% first-pass rate – gold standard
Reporting
Monthly batch reports only
Online analytics dashboard, but data lags by 24–48 hrs
Basic web dashboard with static charts
Live KPI tracking + denial-pattern intel
Compliance
HIPAA-compliant; internal QA only
Fully HIPAA/CMS/OIG compliant; periodic in-house audits
HIPAA-compliant EHR integration, coder-led reviews
Triple-audited: attorneys, coders & AI
Are You Wondering, What If…?
LIS & EHR Integration
Your lab tech hates clunky software. So do we.
Seamlessly connect with leading Laboratory Information Systems and EHR platforms via HL7 and FHIR.
The Director of Regional Lab says, “They integrated with our ancient LIS in 8 hours. Kind of Witchcraft, I would say :D.”
