At PMC (PrimeMedCares), we provide specialized pathology medical billing services designed to improve accuracy, reduce denials, and maximize your lab revenue. Our certified billing experts handle everything from CPT coding to CLIA compliance and complete revenue cycle management.
We support both anatomic and clinical pathology practices by ensuring every claim is coded correctly, submitted on time, and followed up properly for faster reimbursement and improved cash flow.
We also ensure correct use of ICD-10 codes to establish medical necessity and apply essential modifiers like -26, -TC, -90, and -91 to prevent claim denials. In addition, our MIPS specialists manage Medicare reporting requirements, quality measures, and CMS submissions to help your lab avoid penalties and maximize incentives.
We also ensure full CLIA compliance and proper documentation, so missing certification numbers or compliance errors never interrupt your payments.
We also provide strong accounts receivable follow-up to recover unpaid claims and reduce revenue loss. Our system ensures faster claim resolution, improved cash flow, and reduced Days in A/R through continuous tracking and follow-ups.
With our structured billing process, pathology labs typically experience lower denial rates, improved claim acceptance, and more stable financial performance.
Our approach helps pathology labs achieve over 95% clean claim rates, faster reimbursements, and up to 35% improvement in cash flow. We also ensure full compliance with CLIA, HIPAA, and MIPS regulations, protecting your lab from audits and penalties.
With PMC, your pathology practice gets a reliable billing partner focused on accuracy, compliance, and maximum revenue recovery.