Laboratory billing involves unique coding requirements, payer policies, medical necessity considerations, ordering provider information, claim edits, and reimbursement challenges. Managing these requirements efficiently requires a structured approach and a clear understanding of laboratory revenue cycle workflows.
Maverick provides laboratory billing and revenue cycle support designed to help clinical, diagnostic, and specialty laboratories manage claims, reimbursement, denials, accounts receivable, and billing operations with greater visibility and control.
Laboratory billing differs from traditional physician billing.
Testing services may involve complex coding, medical necessity requirements, payer-specific rules, ordering provider information, specimen-related documentation, and coverage policies that can directly affect claim processing and reimbursement.
Maverick provides structured support across the laboratory revenue cycle, helping laboratories manage the administrative and financial processes that take place from test ordering through claim resolution and payment.
Our goal is to help laboratories reduce unnecessary billing complexity, improve workflow visibility, and create a more organized approach to reimbursement management.
Depending on the type of laboratory and
services provided, billing workflows may involve:
Review the payer response and available claim information to understand the reason for the denial.
Determine whether the claim requires correction, additional information, appeal, resubmission, or another follow-up step.
Follow the appropriate workflow to address the issue and move the claim toward resolution.
Monitor recurring denial patterns to identify potential process improvements.
Outstanding laboratory claims can become increasingly difficult to resolve as they age.
Maverick provides accounts receivable support designed to help laboratories maintain visibility into outstanding claims and prioritize follow-up activity.
Managing laboratory billing requires a coordinated approach to claims, coding, payer requirements, denials, and accounts receivable.
Maverick helps laboratory organizations create more organized billing workflows, maintain greater visibility into reimbursement activity, and address the challenges affecting their revenue cycle.